royal aeronautical society heathrow branch the sir richard fairey lecture “training to avoid loss...

162
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 1 /165 Royal Aeronautical Society Heathrow Branch The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT formerly BOAC/BA, AUH, AHK, MAU, Airbus Toulouse (Busy slides for reading without audio!)

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Royal Aeronautical Society Heathrow Branch The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT formerly BOAC/BA, AUH, AHK, MAU, Airbus Toulouse. (Busy slides for reading without audio!). Hugh Dibley’s Main Aviation Activities. - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 1 165

Royal Aeronautical Society Heathrow Branch The Sir Richard Fairey Lecture

ldquoTraining to Avoid Loss of Control Accidentsrdquo

Hugh DIBLEY FRAeS FRIN CMILT

formerly BOACBA AUH AHK MAU Airbus Toulouse

(Busy slides for reading without audio)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 2 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 3 165

Hugh Dibleyrsquos Main Aviation Activities

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 4 165

Training to Avoid to Loss Of Control Accidents

Main Accident Causes ndash CFIT (Controlled Flight in Terrain) LoC-I (Loss of Control In Flight)

CFIT now reduced ndash Read across to LoC-I prevention Symptoms and Causes

Examples of LOC-I - Instrumentsystem failure mis-handled Crew induced on serviceable aircraft Extreme weather ndash icing windshear Controlsystem failure causing upset

Examples of Negative Training

Work across the Industry to Prevent LOC-I

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 5 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 6 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 7 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 8 165Same number of accidents

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 17
  • Slide 18
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  • Slide 20
  • Slide 21
  • Slide 22
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  • Slide 33
  • Slide 34
  • Slide 35
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  • Slide 44
  • Slide 45
  • Slide 46
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
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  • Slide 163
  • Slide 164
Page 2: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 2 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 3 165

Hugh Dibleyrsquos Main Aviation Activities

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 4 165

Training to Avoid to Loss Of Control Accidents

Main Accident Causes ndash CFIT (Controlled Flight in Terrain) LoC-I (Loss of Control In Flight)

CFIT now reduced ndash Read across to LoC-I prevention Symptoms and Causes

Examples of LOC-I - Instrumentsystem failure mis-handled Crew induced on serviceable aircraft Extreme weather ndash icing windshear Controlsystem failure causing upset

Examples of Negative Training

Work across the Industry to Prevent LOC-I

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 5 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 6 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 7 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 8 165Same number of accidents

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
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Page 3: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 3 165

Hugh Dibleyrsquos Main Aviation Activities

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 4 165

Training to Avoid to Loss Of Control Accidents

Main Accident Causes ndash CFIT (Controlled Flight in Terrain) LoC-I (Loss of Control In Flight)

CFIT now reduced ndash Read across to LoC-I prevention Symptoms and Causes

Examples of LOC-I - Instrumentsystem failure mis-handled Crew induced on serviceable aircraft Extreme weather ndash icing windshear Controlsystem failure causing upset

Examples of Negative Training

Work across the Industry to Prevent LOC-I

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 5 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 6 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 7 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 8 165Same number of accidents

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 4: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 4 165

Training to Avoid to Loss Of Control Accidents

Main Accident Causes ndash CFIT (Controlled Flight in Terrain) LoC-I (Loss of Control In Flight)

CFIT now reduced ndash Read across to LoC-I prevention Symptoms and Causes

Examples of LOC-I - Instrumentsystem failure mis-handled Crew induced on serviceable aircraft Extreme weather ndash icing windshear Controlsystem failure causing upset

Examples of Negative Training

Work across the Industry to Prevent LOC-I

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 5 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 6 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 7 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 8 165Same number of accidents

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
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  • Slide 12
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  • Slide 21
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
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  • Slide 163
  • Slide 164
Page 5: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 5 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 6 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 7 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 8 165Same number of accidents

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
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Page 6: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 6 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 7 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 8 165Same number of accidents

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
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  • Slide 143
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  • Slide 149
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  • Slide 158
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Page 7: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 7 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 8 165Same number of accidents

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
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  • Slide 156
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  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 8: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 8 165Same number of accidents

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
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Page 9: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 9 165

Why did CFIT decrease Could have been reduced sooner

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
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  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 10: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 10 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
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  • Slide 25
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  • Slide 28
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  • Slide 36
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  • Slide 39
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  • Slide 45
  • Slide 46
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 161
  • Slide 162
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  • Slide 164
Page 11: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 11 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

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  • Slide 33
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  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
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  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
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  • Slide 57
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  • Slide 60
  • Slide 61
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  • Slide 63
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  • Slide 65
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  • Slide 67
  • Slide 68
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
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Page 12: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 12 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

3degglidepath to runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 22
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  • Slide 35
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 163
  • Slide 164
Page 13: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 13 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Since 1970s with DME in line with the RunwayNO excuse for NOT following

Constant 3degpath to runway threshold ndashUsing DME ndash Altitude Display

or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam ndash

Approach Altitude = (5+33) x 300 + 310 = 2800ft

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
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Page 14: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 14 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
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  • Slide 164
Page 15: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 15 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 16
  • Slide 17
  • Slide 18
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  • Slide 36
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  • Slide 45
  • Slide 46
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
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  • Slide 164
Page 16: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 16 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card Heading345deg MagnetWhat is QDM(Direction M)to the NDB

= 075+345=420-360 = 60degM

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
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Page 17: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 17 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Aids existed for crews not skilled in mental arithmetic ndash like bookmakersrsquo clerks calculating betting odds

Similar to using the improved ADF RMI (Radio Magnetic Indicator) versus an old

RBI (Relative Bearing Indicator) to which Magnetic Heading must be added to calculate the

Magnetic course to the beacon ndash no longer in use

RBI ndash Fixed Card RMI Heading Mag

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
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  • Slide 8
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  • Slide 84
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  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 18: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 18 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 19: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 19 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

Published VOR-DME approach into Kuala Lumpur in 1976 was about 15degthus not sensible as drawn

Circular slide rule defines a 3degfinal approach based on the DME 125 nm from the runway

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
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  • Slide 8
  • Slide 9
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 20: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 20 165

What Have Been the Prime Causes of CFITWhat Have Been the Reasons for CFIT Reduction

In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME

approach to KUL 16 ndashThe approach procedure started 2000ft

below a 3degglide path with no DME-Altitude checks The approach was a ldquoBlack Holerdquo

over forest with no visual cues The approach procedure was revised to

follow a 3degpath with DME-Altitude checks which were being incorporated on all BA

Aerad charts and no similar NPA incidents occurred afterwards in BA

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
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Page 21: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 21 165

BAAerad Provided DME-Altitude Tables Permitting Constant Angle NPAs starting in 1975

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
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  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
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  • Slide 164
Page 22: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 22 165

By the 1980s Most European Authorities provided DME-Altitude Information for Constant Angle NPAs

But information not universally available

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 23: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 23 165

In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur

Final Approach Fix Altitude 2400ftGPWS ldquoPull Up Pull Uprdquo ignored for 25 seconds

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
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  • Slide 8
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  • Slide 83
  • Slide 84
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  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
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  • Slide 164
Page 24: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 24 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 25: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 25 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

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  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
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Page 26: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 26 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 27: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 27 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

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  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
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Page 28: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 28 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
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  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 163
  • Slide 164
Page 29: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 29 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
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  • Slide 164
Page 30: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 30 165

CFIT NPAs Continued ndashIn 2002 Don Bateman father of GPWSEGPW

published 9 NPA CFIT accidents which could have been saved if EGPWS had been fitted

But 5 had DME available but no DME-Altitude tables on the charts which could have avoided an accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 11
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  • Slide 20
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  • Slide 45
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  • Slide 84
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  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
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Page 31: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 31 165

FMS navigation started in the 1970s and navigation database integrity improved

during the 2000s to allow RNP (Required Navigation Performance) ILS

type approaches without need for ground based navigation aids

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 34
  • Slide 35
  • Slide 36
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  • Slide 39
  • Slide 40
  • Slide 41
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
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  • Slide 51
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  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 163
  • Slide 164
Page 32: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 32 165

RNP Approaches particularly help Charter Operators with many NPAs ndash CFIT accidents should be reduced

Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
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Page 33: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 33 165

DME-Altitude Constant Angle NPAs remain a good backup

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 11
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 163
  • Slide 164
Page 34: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 34 165

Hazards of a ldquoDive amp Driverdquo NPA Profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
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Page 35: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 35 165

Approach Unstable ndash needing pitch thrust amp flap changes

Hazards of a ldquoDive amp Driverdquo NPA ProfileUnstable profile

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
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Page 36: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 36 165

Experience shows that flying level at MDA while obtaining visual reference especially in poor visibility can lead to a late ldquodiverdquo at the runway and chances

of a hard landing or deep landing with over-run off the end of the runway

Hazards of a ldquoDive amp Driverdquo NPA ProfileChance of hard landing or runway over-run

Approach Unstable ndash needing pitch thrust amp flap changes

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 37: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 37 165

It is easy to misread the chart and miss a step possibly flying into an obstacle28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam(During an old HKG Kai Tak IGS No Glidepath approach a UA 747 missed a step and descended early towards the hill on the approach but the error was advised by Hong Kong Approach Radar and the aircraft stopped the descent)

Hazards of a ldquoDive amp Driverdquo NPA ProfileMissed step can cause terrain accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

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  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
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  • Slide 64
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  • Slide 68
  • Slide 69
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
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Page 38: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 38 165

Benefits of a Constant Angle NPA ProfileStable Approach ndash established as many orders safer

Stable approach landing configuration no pitchthrust changes

NPA Minima may be reduced

65 37deg 393 fnm120 kts 140 kts 160 kts790 fpm 920 fpm 1050 fpm

Dist KLO Alt QNH (HAT)D -74 4000 (2584)D -70 3860 (2444)D -60 3470 (2054)D -50 3080 (1664)D -40 2680 (1264)D -33 2390 (974)D -20 1900 (484)D -10 1510 (94)D -09 1470 (54)

DME-Altitude Tables can provide regular checks to confirm aircraft on the correct profile to 30ft accuracyRather than checks at single points which might be interrupted by ATC request crew action etc

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
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  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
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  • Slide 156
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  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 39: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 39 165

A final Comment about UseUnderuse of DME

Indicates Prevention of an event is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
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  • Slide 14
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  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
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  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
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  • Slide 50
  • Slide 51
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  • Slide 58
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  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 156
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  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 40: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 40 165

Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force

made No mention of DME-Altitude TablesTo Fly

Constant Angle Non Precision Approachesalthough known to be a prime safety aid

A proposal that ldquoAt night and IMC the FO shall fly the approach and the captain shall landrdquo was not included

and One More

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
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Page 41: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 41 165

Don Batemanrsquos EGPWS is certainly a marvellous aid which has contributed incomparably to flight safety

A B747-400 out of Mauritius which

turned North to fly straight over Lion

Rock as cleared by ATC was saved by

the EGPWS warning

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
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Page 42: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 42 165

CFIT remains an accident cause as frequent as LOC-I

and remains a high priority of authorities such as ICAO

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 16
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  • Slide 21
  • Slide 22
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  • Slide 35
  • Slide 36
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  • Slide 38
  • Slide 39
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  • Slide 41
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
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  • Slide 50
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 163
  • Slide 164
Page 43: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 43 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
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  • Slide 164
Page 44: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 44 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 45: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 45 165

During 3 recent accidents crews have ignored or even cancelled EGPWS warnings

10 April 2010 Polish Air Force Tu-154 continued after Terrain Ahead amp Pull Up warnings

20 Apr 2012 Bhoja Air Boeing 737 into Islamabad Captain continued downwind despite EGPWS warning and advice from FO

10 May 2012 Sukhoi Superjet-100 descended below MSA and into side of volcano

Behaviour can be read across to LOC-I events

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
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Page 46: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 46 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

21 Dec 1962 BEA Comet 4B Ankara After rotation on takeoff pitched up to 45degamp stalled

Captainrsquos Flight Director was stuck

01 Jan 1978 Air India B747 Bombay After takeoff captain rolled to the left into the sea after his horizon ldquotoppledrdquo in right bank

22 Dec 1999 Korean Air Cargo Stansted After takeoff captain rolled left into the

ground after his horizon failed

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 14
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  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
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  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
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  • Slide 41
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
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  • Slide 54
  • Slide 55
  • Slide 56
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  • Slide 58
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
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  • Slide 156
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  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 47: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 47 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

Solved by improved training and CRM (Crew Resource Management)

(The co-pilot of the Korean B747 could have been preoccupied with trying to change to a radio frequency

which was not displayed as cleared The aircraft had an 833Mhz frequency selector required in

Europe while the UK was still usinggiving frequencies in the older spacing)

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 163
  • Slide 164
Page 48: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 48 165

Examples of LOC-I Instrumentsystem failure Mis-handled

Disorientation after SingleSimple Failure

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
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  • Slide 164
Page 49: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 49 165

Examples of LOC-I Disorientation with No apparent Failures

Confusion with AutomaticsManual Handling Skills

03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh After take off the aircraft rolled right instead of turning

left reaching 110degbank and crashing into the sea The (ex military) captain was engaging and disconnecting the autopilot in different modes

25 Jan 10 Ethiopian Airlines B737-800 Beirut Aircraft took off out of trim which the captain did not correct amp lost control of the aircraft reacting incorrectly to prolonged stall warning stick shakers The captain and co-pilot were both relatively inexperienced

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
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Page 50: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 50 165

Examples of LOC-I Stalls due to FlapSlat Mis-Handling

27 Oct 1965 BEA Vanguard London Heathrow During a Go Around after the 3rd approach the aircraftpitched up then crashed on the runway in a steep dive Flaps had been retracted to zeroFlightrsquos comment FDRs are Pilotrsquos Training aids

18 Jun 1972 BEA Trident London Heathrow Aircraft stalled

after the co-pilot retracted the droopslats prematurely

12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo On approach after flap selection with speed decreasing the stall warning sounded The co-pilot retracted the flaps amp the aircraft stalled More about this later

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
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  • Slide 164
Page 51: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 51 165

Examples of LOC-I Stalls due Excess Thrust Causing Pitch Up at Low Level

26 Apr 1994 China Airlines A300-600 Nagoya During the approach the FO applied TOGA thrust in error amppushed forward on the control column while the autopilot trimmed back The aircraft pitched upstalled pitched down amp crashed on the runwayThe captain tried to arrest the descent by pulling back

11 Dec 1998 Thai Airways Int A310 Surat Thani During 2 Go Arounds the captain slowly applied TOGA thrust

and controlled the pitch up but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust the aircraft pitched to 45degamp crashed

23 Sep 2007 Thomson Fly B737-300 Bournemouth After the autothrust

disconnected without warning the autopilot trimmed back to maintain the glideslope During Go Around the aircraft pitched up with full foward stick and stalled The captain recovered by reducing thrust amp trimming forward

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
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  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
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  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
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  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 52: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 52 165

Examples of LOC-I Extreme Weather ndash Turbulence Windshear Icing

5 Mar 1966 BOAC 707-436 near Mt Fuji The aircraft encountered severe clear-air turbulence causing a sudden structural failure Acceleration +9-4G

02 Aug 1985 Delta Air Lines L1011 Dallas Crashed after encountering a microburst-induced severe windshear from a developing thunderstorm

located on the final approach course Windsheardetectionrecovery systems were developed

12 Feb 2009 American Eagle ATR 72 near Chicago Control was lost when holding due to icing causing sudden aileron hinge moment reversal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
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  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
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  • Slide 76
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  • Slide 78
  • Slide 79
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  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
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  • Slide 150
  • Slide 151
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  • Slide 153
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  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 53: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 53 165

Icing ndash Aircraft may Stall Before the Stall WarningStick Pusher

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
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  • Slide 9
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 162
  • Slide 163
  • Slide 164
Page 54: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 54 165

Examples of LOC-I Loss of Normal Pressure Instruments

6 Feb 1996 Birgenair B757 Puerto Plata Continued takeoff with captainrsquos pitot blocked control was lost due to confusion between flight instruments

01 Oct 1996 AeroPeruacute B757 Lima Took off with static vents

covered causing multiple warnings - rudder ratio mach trim overspeed underspeed and

flying too low With no reliable barometric altimeter and airspeed readings amp experiencing several stalls the aircraft crashed into the sea

This spurred manufacturersoperators to introduce unreliableairspeed procedures for all aircraft types

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 162
  • Slide 163
  • Slide 164
Page 55: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 55 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 56: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 56 165

Early aircraft ndash Inputsensor failures affected single systems

Current aircraft ndashInputsensor failures affect multiple systems ndashWith perhapsmultiple consequences disconnections multiple warningspossibly startling ndashBut if crews understand the systems and are prepared ndashNeed not be quite so startling ndash hopefully

Examples of LOC-I ControlSystem Failure Causing Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 46
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  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 57: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 57 165

Airbus A320 ndash Flight Control Laws Reconfiguration after failures

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 162
  • Slide 163
  • Slide 164
Page 58: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 58 165

Examples of LOC-I ControlSystem Failure Causing Upset

Table assumes failed systems are flagged invalidInputsdata can ldquofailrdquo in different ways ndash

Erroneousincorrect and flagged as Invalid ndash Inputs to systems switched off Reconfigurations made as per design

Erroneousincorrect but not flagged as invalid ndashBad information fed to systems perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft so autothrust reduced to idle as if landed)

Unreliable ndash incorrect but may return to normal

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
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  • Slide 155
  • Slide 156
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Page 59: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 59 165

Examples of LOC-I Fly By Wire ControlSystem Failure Causing Upset

1 Aug 2005 Malaysian 777-200 from Perth When climbing through FL380 the airspeed indicated near the overspeed and stall speed limits The aircraft pitched up climbed to FL410 with the airspeed dropping to 158 kt and the stall warningstick shaker activated The crew took control and returned to Perth flying manually throughout One of several accelerometers had failed another accelerometer had failed in June 2001

7 Oct 2008 Qantas A330 from Perth ADIRU 1 fed very high false AoA values to the flight control computers commanding a nose-down aircraft pitch of about 85 degrees The aircraft diverted

to Learmonth

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
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  • Slide 153
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Page 60: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 60 165

Examples of LOC-I Classic Aircraft ControlSystem Failure Causing Upset

03 Mar 1991 United Airlines 737-200 Colorado Springs08 Sep 1994 USAir 737-300 near Pittsburgh

Both aircraft crashed due rudder PCU jamming which could reverse the pilots inputs

The FAA ordered that the servo valves be replaced and that

new training protocol for pilots to handle unexpected movement of flight controls be developed

Some airlines implemented upset training procedures which were not approved by the manufacturers therefore in 1998 Airbus Boeing and McDonnell Douglas published the

Airplane Upset Recovery Aidremains ldquobiblerdquo for Upset Prevention amp Upset Training

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
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Page 61: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 61 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
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  • Slide 154
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Page 62: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 62 165

Bill Wainwright Airbus Chief Test Pilotone of the 3 signatories to the AURTA manualgave more advice in an Upset Recovery article

in the June 1998 Airbus FAST magazine

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 141
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  • Slide 145
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  • Slide 162
  • Slide 163
  • Slide 164
Page 63: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 63 165

Bill Wainwrightrsquos Advice

Prevention is Prime

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
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  • Slide 164
Page 64: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 64 165

Bill Wainwrightrsquos Advice Together with Boeing amp McDonnell Douglas

But AA persisted with their Upset Recovery policy of using rudder

Do NOT use Rudder in an Upset

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 46
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  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 65: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 65 165

LOC Accidents ndash American 587 ndash Airbus A300-600

ex JFK October 2001 Copilot applied full rudder travel both ways after passing through B747 wake vortex thus exceeding the designed loads of the vertical stabiliserfin which broke offCrews had been trained to use rudder in an upset and flight simulatorsrsquo roll control response modified to require this ndash against the advice of both major aircraft manufacturers Indicates the need for upset recovery training to be according to the manufacturerrsquos recommendations otherwise negative training can result

AA had modified the flight simulator reaction in roll so

only rudder was effective

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
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  • Slide 162
  • Slide 163
  • Slide 164
Page 66: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 66 165

Recent LOC-I Accidents ndash 14 Oct 2004 Pinnacle Bombardier CL-600-2B19Ferry flight ndash only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410

Speed reduced to stall which was not recovered Should have been prevented by improved knowledge of aerodynamics and thus use of automatics ndash (There is an official view that crews must not VS mode as the mode not understood This indicates a failure in trainingVS has to be used routinely when climbing fast in busy airspace to avoid unnecessary ACAScollision avoidance warnings etc)Could have been recovered by better knowledge of aerodynamics and if had been given proper stallstick pusher training Avoided by proper crew discipline

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
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  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 45
  • Slide 46
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  • Slide 51
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  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
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  • Slide 162
  • Slide 163
  • Slide 164
Page 67: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 67 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

Crew airspeed monitoring lapsed ndash due to fatigue Speed reduced after flap selected amp stick shaker activated FO had discussed icing several times during flight ndash Had seen NASA tailplane icing video instructing flap retraction Reacted as per training video to retract flaps amp pull aft stick Should have been prevented by type training on tailplane icing Could have been recovered by trainingknowledge for type

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 39
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
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  • Slide 49
  • Slide 50
  • Slide 51
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  • Slide 56
  • Slide 57
  • Slide 58
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  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
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  • Slide 141
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  • Slide 145
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  • Slide 150
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  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 68: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 68 165

Most Significant LOC-I AccidentColgan Air - Bombardier DHC-8-400

12th February 2009

NASA Tailplane Icing Video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
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  • Slide 45
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  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
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  • Slide 141
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  • Slide 143
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  • Slide 145
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  • Slide 148
  • Slide 149
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  • Slide 155
  • Slide 156
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  • Slide 158
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  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 69: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 69 165

Colgan Air Cockpit Voice Recorder

FO Retracted the flaps

Captain pulled back on stick as per NASA video

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 45
  • Slide 46
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  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
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  • Slide 145
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  • Slide 150
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  • Slide 153
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  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 70: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 70 165

Video of Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 162
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  • Slide 164
Page 71: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 71 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
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  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
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Page 72: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 72 165

Colgan Air Bombardier Accident into Buffalo

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 73: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 73 165

NASA Icing Video showed aircraft with a similar configuration to Colgan Air ndash High wing turboprop with high T tailplane

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
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  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
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  • Slide 72
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  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 74: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 74 165

Most Significant LOC-I AccidentFamilies of those lost formed a focus group amp website

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 18
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  • Slide 21
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  • Slide 26
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  • Slide 33
  • Slide 34
  • Slide 35
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  • Slide 37
  • Slide 38
  • Slide 39
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  • Slide 41
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
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  • Slide 49
  • Slide 50
  • Slide 51
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  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
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  • Slide 60
  • Slide 61
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  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
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  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
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  • Slide 143
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  • Slide 145
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  • Slide 149
  • Slide 150
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  • Slide 153
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  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 75: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 75 165

Families of passengers killedIn the Colgan Airways Accident

into Buffalo Lobbied congress to

Pass a LawRequiring Stall Training

For All Airline Pilotsand more hoursrsquo experience

(New president amp administration)

Most Significant LOC-I Accident

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
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  • Slide 45
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  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
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  • Slide 147
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  • Slide 150
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  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 76: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 76 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
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  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
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  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 77: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 77 165

US Law

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
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  • Slide 164
Page 78: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 78 165

Large Number of Loss Of Control Stall-Stick Pusher Related Groups

Set UpExisting in the Industry

FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc

Other activitiesITQI (IATA Training amp Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilotrsquos Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 79: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 79 165

FAA Advisory Circular 6th August 2012to provide best practices and guidance

for training testing and checking for pilots within existing regulations to

ensure correct and consistent responses to unexpected stall warnings and stick

pusher activations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 80: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 80 165

FAA Stall Training ACRequirement for Instructors to Highlight Full Flight Simulator Motion Limitations

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 26
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  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
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  • Slide 41
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
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  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
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  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 81: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 81 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 82: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 82 165

Development of Simulation

Angular motions are sensed in humans by canals in the inner ear

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
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  • Slide 46
  • Slide 47
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  • Slide 50
  • Slide 51
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  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
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  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
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  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
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  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 83: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 83 165

compute aerodynamic coefficients

compute aerodynamic

compute aerodynamic

convert axes stability to body

and moment

forces

moments convert axes

stability to body

compute linear accelerations

compute angular accelerations

compute ab

compute Euler compute DCM

convert axes body to Euler

convert axes body to stability

atmospheric model

ab

PQR PQR

PsQsRs

LMN

engine forces

r M PQR

e0e1 e2e3

inceptors

r M XpZp

LpMpNp

XsYsZs XbYbZb UVW

UVW

PsQsRs

Vc r

inceptors

aa bb

and moments

qfy

UVW

VxVyVz PnPeh

LsMsNs

M

ograve

ograve

ograve Vc

Vc

parameters

Development of Simulation

The inputs to the motion platform are calculated by the Equations of Motion

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 84: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 84 165

Development of Simulation

As movement is limited platform motion must be washed out ready for next event

Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 85: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 85 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
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  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
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  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
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  • Slide 65
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  • Slide 67
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  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
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  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
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  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 86: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 86 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
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  • Slide 18
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  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
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  • Slide 41
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  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 87: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 87 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 88: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 88 165

1g

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 89: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 89 165

1g

1g Sin 20deg = 034 g

1g Cos 20deg = 094g

20deg

Development of Simulation

Acceleration sense available from motion platform

5 Motion Systems

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 90: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

901Royal Aeronautical SocietyFlight Simulation Group

Maintaining ControlThe ICATEE Approach

RAeS Flight Crew Training Conference27 September 2012Dr Sunjoo Advani Chairman of ICATEE

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 91: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

91

ICATEE

bull International Committee for Aviation Training in Extended Envelopes

bull Initiated by RAeS Flight Simulation Group in June 2009

bull MISSION To deliver a comprehensive long-term strategy to reduce the rate of Loss of Control In-Flight accidents and incidents through enhanced UPRT

bull Approach Upset Prevention and Recovery Training

bull Provide recommendations to ICAO FAA and industry

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 92: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

92

92

ICATEE Participants

45 organizations over 80 individuals

Category ParticipantsOrganization RAeS-FSG ICAOAirframe Manufacturer

Boeing Airbus Bombardier

RegulatorGovernment

FAA NTSB IATA (ITQIEBT) Transport Canada EASA Russian CAA

Training Provider CAE FlightSafety Boeing Flight Training APS CALSPAN Embry-Riddle

Simulation Provider CAE FlightSafety Thales Opinicus ETC BihrleIndustry Body ALPA IFALPA ATA BBGAAirline KLM Alaska Flybe FedEx Air Canada Lufthansa several airlinesResearch AIAA MSTC NASA UTIAS NLR TNO IDT DLR U Liverpool SOS

Volpe

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 93: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

93

ICATEE Meetings to Date

93

1 11-09 London2 03-10 Washington3 04-10 Orlando4 06-10 London5 11-10 Oklahoma6 03-11 Mesa7 04-11 Daytona8 04-11 Orlando9 06-11 Amsterdam

10 08-11 Seattle11 09-11 Montreal12 11-11 London13 04-12 Lutz14 09-12 Cologne

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 94: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

9494

ICAO Montreal - September 2011

ICATEE Team

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
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  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
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  • Slide 61
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  • Slide 66
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  • Slide 78
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 95: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

95

Loss-of-Control In-Flight

bull Normal flightbull Upsetbull Loss-of-Control

95

Prevention

Recovery

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
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  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 96: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

96

Todayrsquos Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

96

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 97: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

All-Attitude Daily Threat

100 All-Attitude Training (180 AOB +- 90 Pitch)

98

All-Attitude Knowledge Deficiencies

111 Max Licensing Limits (60 AOB +-30 Pitch)

49

Upset DefinitionAirplane Upset Recovery Training Aid

Upset Definition (45 AOB +25 amp -10 Pitch)

Roll (Right)Roll (Left)

Pitch (-down)

Pitch (+up)+ 90o

+ 50o

+ 30o

+ 25o

+ 10o

- 10o

- 50o

- 90o

60o

90o 180o180o 135o135o

45o

Approximate limits Colgan 3407

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 98: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

99

All-envelope knowledge deficiencies

99

LD MaxStall WarningFull Stall

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 99: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

100

4-Psychophysical response is predictable amp reliable

100

STARTLE

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
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  • Slide 17
  • Slide 18
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  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
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  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
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  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 100: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

101

Flight Simulation Group - Royal Aeronautical Society - London UK

Training Assumptions

1 Aircraft is within normal operational envelope and in a non-agitated flight condition

2 Situational awareness and information can be accurately correlated by the pilot with respect to observed flight condition

3 Airplane handling skills and strategies established by regulatory licensing can directly resolve an escalating condition

4 Human psychophysical response is predictable and reliable

101

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 101: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

102

Upset Mitigation Levels

bull Awarenessndash Knowledge Skills and Attitudes to prevent an Upset

bull Recognition amp Avoidancendash mitigation of a developing threat as early as

possiblebull Recovery skills to regain control

102

PR

Prevent undesirable aircraft states

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 102: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

103

Current Training

Loss-of-Control

103

Upset

Normal flight

first recognition

recoveryawareness

incapacitation

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 14
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  • Slide 16
  • Slide 17
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  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 103: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

104

Enhanced UPRT

Loss-of-Control

104

Upset

Normal flight

first recognition recovery

awareness

incapacitation

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 104: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

105

Learning Elements

105

Competency-based approach to UPRT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 105: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

106

Developing Integrated UPRT Skills

106

Academics

FSTD

aircraft

UPRT Requires Integrated Training

Elements

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 106: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

107

107

Element 1 - Academics

bull Airplane Upset Recovery Training Aid (1998) is the industry reference

bull New ICATEE UPRT Manualsndash Pilot Academic Knowledge amp Skill

Preparationndash Instructor Guidance in UPRTndash Authorized Training Providersndash Regulatory Guidance

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 107: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

108

108

Element 2 - Airplane

bull Exposure tondash Psychological componentndash Physiological componentndash Accurate recovery environment

bull Requirendash qualified aircraftndash qualified instructors

CALSPANAPSTTCTCA

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 108: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

109

109

bull Upset Prevention amp Recovery Training is NOT Aerobatic Trainingndash Aerobatics focuses on precision maneuvers for

aerobatic pilotsbull UPRT focuses on recovery from dangerous

situations and is designed for commercial pilots

bull UPRT includes significant surprise elementsbull Management of startlebull Training of instructors

Element 2 - Airplane

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 109: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

11010

Element 3 Appropriate Use of FSTDrsquos

bull Better use of todayrsquos devicesbull Enhanced feedback in

todayrsquos simrsquosbull Improved simulation fidelity

in extended envelopendash aero modelndash pilot cueing (buffet motion)

graduatedapproach

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 110: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

111

UPRT learning objectives

111

FSTD ACEITHER

bull FSTD + All-Envelope All-Attitude AC skills neededbull Current pilot fleet possibly had adequate on-aircraft

componentbull AC exposure can be very small if done properlybull Despite few training elements UPRT ac training is

critical

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 111: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

112

112

UPRT Instruction

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 112: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

113

113

UPRT Instruction

bull Instructor Inputsbull upset initiationbull surprise-inducing situationsbull LOC training scenarios

bull Instructor feedbackbull Did you stay reasonably within

the validated flight envelopebull Did you over stress the airframebull Did you apply

incorrectinappropriate control inputs

bull Did you recover

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 113: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

117

IOS Feedback

117

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 114: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

118

3

2

1

0

-1

Load

Fac

tor

Flaps down

Flaps up

Airspeed

VS1 VA VC VD

Flaps up

VS1 = flaps up 1-g stall speed

VA = design maneuver speed flaps up

VC = design structured cruising speed

VD = design dive speed

-2

Load Factor Envelope Showing Speeds and Load Factors

118

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 115: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

119

Controls usage

119

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 116: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

120

10Flight Simulation Group - Royal Aeronautical Society - London UK 120

AVOID NEGATIVE TRAINING

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 117: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

121

121

UPRT Simulation Requirementsbull Simulation requirements specify

ndash Representative stall model characteristicsndash Performance tests for high-altitude stallsndash Tighter objective performance standards in

approach-to-stall regionndash Stall evaluations for additional flight

conditionsndash Objective stick pusher force testsndash Objective buffet tests for additional flight

conditionsndash Buffet onset requirementsndash Improved icing modelndash Wake vortex modelling

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 118: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

122

Simulator-Based UPRT

bull Learning Objectivendash Managing angle-of-attack energyndash Recognizing and reacting to signs

bull buffetbull reduced lateral controlbull reduced stability

bull Main objective UNLOADINGndash Maneuver-oriented familiarization Experience a

full stall under standardized instructionndash Line-oriented trainingchecking Recognize and

apply recovery at FIRST SIGNS

122

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 119: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

123

123

Training media

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 120: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

124

124

Training media

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 121: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

125

125

Deliverables

bull Recommendations to FAAndash StallStick-Pusher WGndash Stick Pusher Adverse Weather ARC

bull ICAOndash Manual of Upset Prevention amp Recovery Training

bull Regulatory framework for pilot instructor training provider

ndash Simulator technical standards appendix (9625 or other)

bull RAeS Reportndash ICATEE UPRT Research and Technology Report

bull IATA FSTD Data Document revisions

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 122: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

126

Take-Away

bull Loss of Control in Flight can be mitigated through integrated Upset Prevention and Recovery Trainingndash Academicsndash In-Flightndash Simulator

bull Simulator Standards Recommendationsndash Improved simulator usage scenarios IOS model

bull ICATEE is working with industry to improve the training paradigm effectively

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 123: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

127

wwwicateeorg

127

sadvaniidt-engineeringcom+31 655 737 345

Sunjoo Advani

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 124: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 128 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 125: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 129 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 126: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 130 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
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  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
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  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 127: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 131 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 128: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 132 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 129: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 133 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 130: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 134 165

2 pilots amp Flight Engineer

2 pilots

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
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  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 131: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 135 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 132: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 136 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 133: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 137 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 134: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 138 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 135: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 139 165

Dealing with Black Swans

>

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 136: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 140 165

Some Black SwansExamples of Crew actions saving loss of life

Eric Gennottersquos crew landed a A300 B4 with no hydraulics using differential engine thrust alone after hit by missile at BaghdadCaptain Peter Burkill retracted the 777 flaps to reduce drag thus avoiding fences before the runway when engines lost thrust on final approach into LHR

Captain Sullenberger started the APU out of sequence to keep the A320 powered normally when ditching in the Hudson

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 137: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 141 165

Other Black SwansExamples of Failures requiring Considerable Crew Activity

After an A380 engine 2 uncontained failure while the aircraft was being flown manually Richard de Crespignyrsquos crew had to action 53 ECAM messages taking some 50 minutes to complete It took the 5 man crew some 2 hours to prepare the aircraft for landing When on the ground they still had matters to resolve ndash engine 2 could not be shut down wheels brakes reached 900degC

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 138: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 142 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 139: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 143 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 140: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 144 165

PRIORITIZATION OF TRAINING TOPICS

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

Factors in accidents 1M TOs - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 141: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 145 165

PRIORITIZATION OF TRAINING TOPICS

0

5

10

15

20

25

30

35

40

45

50

distribution of factors in each Generation Last 15Ye xcept 70s-90s for Gen1Gen1Gen2Gen3Gen4

000

050

100

150

200

250

300

Factors in each Generation per 1M TOs Last 15Y except Gen1 70s-90s Gen1Gen2Gen3Gen4

What of accidents had each factor - Last 15 years

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 142: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 146 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 143: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 147 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 144: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 148 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 145: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 149 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 146: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 150 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 147: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 151 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 148: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 152 165

EASArsquos Rule Making Tasks

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
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  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 149: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 153 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 150: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 154 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 151: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 155 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 152: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 156 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 153: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 157 165

Training to Avoid to Loss Of Control Accidents

Prevention is PrimeEliminate the Cause

Everything is importantRight from the start ndash

Pre-selection to retirement

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
  • Slide 30
  • Slide 31
  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
  • Slide 154
  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 154: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 158 165

Cruise ndash Crews Need to be Aware of Aircraft Performance Table of Airbus A320 All Engines and Engine Out information ndash easier to access than FMS All Engines Max Altitude is always limited by Climb Thrust Available after FMS failure

Paper type presentations can still be usefulgiving essentials of aircraft performance

for background knowledge amp gross error checks - Cruise Speeds Thrust amp Attitude

MaxOptimum Altitudes - all engines amp engine outTakeoffLanding Speeds amp distances

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 14
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  • Slide 16
  • Slide 17
  • Slide 18
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  • Slide 22
  • Slide 23
  • Slide 24
  • Slide 25
  • Slide 26
  • Slide 27
  • Slide 28
  • Slide 29
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  • Slide 32
  • Slide 33
  • Slide 34
  • Slide 35
  • Slide 36
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
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  • Slide 143
  • Slide 144
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  • Slide 146
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  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 155: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 159 165

Training to Avoid to Loss Of Control Accidents

Manual flying practice versus rigid use of automatics -

Trident 747 DC10 TriStar different policies

FDR event if flown manuallyWhatever system we aim for

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
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  • Slide 21
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  • Slide 37
  • Slide 38
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  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • Slide 48
  • Slide 49
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
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  • Slide 146
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  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 156: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 160 165

from Capt David Mason of Emirates

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
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  • Slide 46
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  • Slide 50
  • Slide 51
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  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
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  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
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  • Slide 70
  • Slide 71
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  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
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  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 157: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 161 165

Remember

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
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  • Slide 50
  • Slide 51
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  • Slide 54
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  • Slide 56
  • Slide 57
  • Slide 58
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  • Slide 60
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  • Slide 65
  • Slide 66
  • Slide 67
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
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  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
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  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 158: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 162 165

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
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  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
  • Slide 131
  • Slide 132
  • Slide 133
  • Slide 134
  • Slide 135
  • Slide 136
  • Slide 137
  • Slide 138
  • Slide 139
  • Slide 140
  • Slide 141
  • Slide 142
  • Slide 143
  • Slide 144
  • Slide 145
  • Slide 146
  • Slide 147
  • Slide 148
  • Slide 149
  • Slide 150
  • Slide 151
  • Slide 152
  • Slide 153
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  • Slide 155
  • Slide 156
  • Slide 157
  • Slide 158
  • Slide 159
  • Slide 160
  • Slide 161
  • Slide 162
  • Slide 163
  • Slide 164
Page 159: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 163 165

MCC CoursesAll airline pilots must pass a

Multi-Crew Cooperation CourseThese concentrate on the fact that

We all make mistakes We should admit our mistakeswe were wrong We must help each other work together for the

common good ndash of not having an accident

MCC Courses should be compulsory for bankers

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

  • Slide 1
  • Slide 2
  • Slide 3
  • Slide 4
  • Slide 5
  • Slide 6
  • Slide 7
  • Slide 8
  • Slide 9
  • Slide 10
  • Slide 11
  • Slide 12
  • Slide 13
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
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  • Slide 24
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  • Slide 28
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  • Slide 39
  • Slide 40
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  • Slide 49
  • Slide 50
  • Slide 51
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  • Slide 54
  • Slide 55
  • Slide 56
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  • Slide 60
  • Slide 61
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  • Slide 70
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  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Slide 88
  • Slide 89
  • Slide 90
  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
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Page 160: Royal Aeronautical Society Heathrow Branch  The Sir Richard Fairey Lecture “Training to Avoid Loss of Control Accidents” : Hugh DIBLEY FRAeS, FRIN, CMILT

RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY ldquoTraining to Avoid Loss of Control Accidentsrdquo 16oct 12 164 165

Thank you

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  • ICATEE
  • ICATEE Participants
  • ICATEE Meetings to Date
  • Slide 94
  • Loss-of-Control In-Flight
  • Todayrsquos Training Assumptions
  • All-Attitude Knowledge Deficiencies (2)
  • All-envelope knowledge deficiencies
  • 4-Psychophysical response is predictable amp reliable
  • Training Assumptions
  • Upset Mitigation Levels
  • Current Training
  • Enhanced UPRT
  • Learning Elements
  • Developing Integrated UPRT Skills
  • Slide 107
  • Element 2 - Airplane
  • Slide 109
  • Element 3 Appropriate Use of FSTDrsquos
  • UPRT learning objectives
  • Slide 112
  • Slide 113
  • Slide 115
  • Slide 116
  • IOS Feedback
  • Load Factor Envelope Showing Speeds and Load Factors
  • Controls usage
  • Slide 120
  • UPRT Simulation Requirements
  • Simulator-Based UPRT
  • Training media
  • Training media (2)
  • Deliverables
  • Take-Away
  • wwwicateeorg
  • Slide 128
  • Slide 129
  • Slide 130
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