situationalawareness
TRANSCRIPT
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OVERVIEW SITUATIONAL AWARENESS
ELEMENTS OF SITUATIONALAWARENESS
HUMAN ERROR & THE ERRORCHAIN
DEGRADATION TO SITUATIONALAWARENESS
THE DYNAMICS OF SITUATIONAL
AWARENESS
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Situational Awareness Knowledge of all pertinent aspects of
your surroundings as it applies to thesafe accomplishment of a task
Elements of Situational Awareness
Seeing the big picture
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Situational Awareness
Theory of the Situation - A set of beliefsabout what is happening and what actionthe individual should take Based on the interpretation of available
information
It is the humans perception of reality Reality of the Situation - Actual reality,
without human perceptions Theory of Practice - A persons concepts
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Element of Situational
SITUATIONAL
EXPERIENCE
AND
PHYSICAL
FLYING
HEALTH
AND
COCKPIT
MANAGEMENT
SKILLS
SPATIAL
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Having Situational Awareness
True situational awareness is anindividuals accurate perception ofreality
Indicators of HIGH SA
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Losing SituationalAwareness If a discrepancy exists between the
individuals Theory of the Situation andthe Reality of the Situation, a loss ofsituational awareness occurs and an error
Indicators Of LOST SA- Radio/Comm Degradation..Ambiguity
Violating Minimums
- Fixation/Preoccupation..Unresolved
Discrepancy- ConfusionDeparture from SOPsNo one
flying the aircraft
- Use of undocumented procedureNo one
looking outside- Failure to meet tar et.
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RISK FACTORS
Everything that we do is entailRISK,
it is how we manage the risk in
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Evaluating Risk in the Flight
Environment The Plane- Type, Equipment, Etc.
The Pilot- COM, AIC - IM SAFEModel Illness, Medication, Stress, Alcohol,
Fatigue, Experience
The Environment- IFR,VFR,Mountains,
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High Risk Situations
Taking Off with Known Problem
Midair Collision- High Density Area
Inadequate Terrain Separation- CFIT
Unstabilized Approach
Deviation From SOP
Weather COMPLACENCY
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AIRPORTAIRPORT
ACCIDENTACCIDENT
FOUR out of FIVE Pilot
Errors that caused anACCIDENT occur beforethe flight left the
1. Failure to meet targets2. Use of undocumented procedures3. Departure from SOPs
4. Violating minimums or limitations
5. No one flying airplane6. No one looking out thewindow7. Communications
9. Ambiguity10. Unresolved
discrepancies
The Error Chain
Tend to occur sequentiallyMay or may not be related to eachother
Cl L f Si i l
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Clues to Loss of SituationalAwareness
Low Stress Level Lack of alertness Loss of recognition of warning signals Reduced ability to quickly & correctly
High Stress Level Low levels of situational awareness Information overload
Ambiguity Information can be interpreted in more
Cl t L f Sit ti l
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Clues to Loss of SituationalAwareness
Fixation or Preoccupation Ability to detect other important
information lost Departures from SOPS/Regulations
Violating minimums Using improper procedures Failure to Meet Planned Targets
When planned targets are not met suchas airspeeds, checkpoints, times, etc
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Maintaining SituationalAwareness Experience
Creates a mental file Experience file helps establish how one
interprets & responds to conditions Training
Adds to pilots experience file Can experience situations in training
that occur rarely Spatial Orientation
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Maintaining SituationalAwareness Ability to Process Information
use of information from sense inputs,instruments, and other sources to forman accurate picture of what is happening
Cockpit Management Skills contribute to the ability to manage the
total flight environment Personal Attitude
professionalism
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CFITFIT
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What is CFIT?Controlled Flight into Terrain(CFIT) occurs when an airworthy
aircraft under the control of aqualified pilot is inadvertentlyflown into terrain, water, or an
obstacle with inadequate
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The following actual incident and accident summaries illustrate sometypical CFIT accident scenarios:At night in IMC, the pilot misread the NAV-DME due to fatigue. Read DME onwrong NAV radio, descended too early on back course LOC approach and
penetrated prohibited airspace, after flying 7 hours and having been on dutyfor 10 hours. A low- altitude alert issued by the Approach Controller preventedan accident.The pilot likely lost situational awareness and inadvertently flew the aircraftinto the ice surface while in controlled flight because of the combined effects
of the lack of external visual references and weak instrument flying skills.The pilot continued flight in adverse weather conditions and probably did nothave the necessary visual references to avoid hitting the steep slope of themountain. Likely contributing to this accident was the pilot's over-reliance onGPS while attempting to maintain visual meteorological conditions ( VMC).During the overshoot from the approach to the airport, the pilot probably lostsituational awareness as a result of spatial disorientation, unintentionallyflying the aircraft into the ground.The pilot encountered weather conditions that were worse than forecast, and,in an attempt to maintain or regain visual contact with the ground in an area
of low cloud and dense ground fog, descended and the aircraft struck the
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Howeverby using HFACS (Human Factor analysis & Classification
System) on CFIT
More fatal than non-fatal accidents wereassociated with violations
Decision errors were more oftenassociated with non-fatal CFIT accidents
When weather was a factor, more CFITaccidents were associated with
WHWH
Confl ence of Factors in a CFIT Accident
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Confluence of Factors in a CFIT Accident(Bradley, 1995)
Non-precisionapproach 250 footterrain clearance
Are most pilots
aware of this?
Weather conditions
Airlines use ofQFE altimetry
Strong
Autopilot wouldnot hold
PF selectedHeading
Additional
Increased
vulnerability
Crew error (70 feet)in altimeter setting
Altimeter updatenot available
170 foot error inaltimeter
Tower closed
Towerwindow
Rapid change inbarometric
Approach controllerfailed to updatealtimeter setting
Altitude Holdmay allowaltitudesag 130 feet in
PF used Altitude Holdto capture MDA
PM used non-standardcallouts to alert PF
Training & Standardizationissues?
Aircraft strucktrees
?
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Forget to Act (LOST SA) in Six Prototypical Situations
Non-habitual tasks that must be deferred
e.g., Report passing through 10,000 feet
Interruptions
e.g., Controller interrupted before turning aircraft onto final
Attention switching among multiple concurrent tasks
e.g., First officer re-programming the FMC for approach
Habitual tasks with normal trigger cues removed
e.g., Go to tower at final approach fix
Habitual tasks performed out of the normal sequence
e.g., Lowering Ldg Gears delayed because of time factor
Habit capture (a typical action must be substituted for habitualaction)
e.g., Modified standard instrument departure.
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CFIT Countermeasures
Countermeasures for CFIT prevention can be groupedin two main categories:
aircraft equipment and training/educationFindings from accident investigations have indicated
that many CFIT accidents could have been avoided ifsome type of terrain warning system or an improvednavigation system had been installed on the aircraftand/or if pilots were better informed of CFIT relatedhazards and how to avoid them
Equipment
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Equipment
Advances in technology have resulted in cockpit equipment that cansignificantly improve a pilot's situation awareness. Some of this
technology is now cost effective for general aviation applications.
- Ground Proximity Warning Systems (GPWS) have been mandatory
equipment on large transport aircraft for years and been instrumental inpreventing some CFIT accidents. Terrain Awareness and Warning Systems
(TAWS) have been developed with increased capabilities to replace
GPWS. In addition, less capable but cost effective TAWS have beendeveloped for the smaller aircraft market.
These systems compare the aircraft's present position, as determined
from the aircraft's navigation system, with an onboard terrain database.
If there is a potential threat of collision with terrain, TAWS provides an
aural and/or visual warning to the pilot, enabling corrective action to be
taken even in instrument flight or night conditions.
- Global Positioning Systems (GPS) are now used extensively
throughout commercial and general aviation operations. Used correctly,these systems can provide increased navigation capability and accuracy,
instrument approaches in locations where no ground-based approach aidsare available and better situational awareness. All of these potentialbenefits can help to reduce the CFIT accident rate, particularly in
circumstances involving flight in instrument conditions or visual flight in
reduced or marginal visibility, both situations are potential factors in CFIT
accidents.
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Training
Specific training and education in the area of CFIT
awareness/avoidance is perhaps more importantthan equipment improvements. In some countriesCFIT avoidance training is mandatory for mostcommercial and business operations. Although theemphasis for this training has been on these typesof operations, the statistics indicate that general
aviation accidents account for the highestpercentage of the overall CFIT accidents. Therefore,general aviation pilots should familiarize themselveswith the flight circumstances typically associated
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REVIEW SITUATIONAL AWARENESS
ELEMENTS OF SITUATIONALAWARENESS
SITUATIONAL AWARENESS ANDSAFETY
HUMAN ERROR & THE ERRORCHAIN
DEGRADATION TO SITUATIONALAWARENESS
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Tools to Reestablish Equilibrium (when SA is lost).- Get away from dirt, rocks, trees, and metal(climb
/ breakaway)
- Stabilize the aircraft: --Roll out, Stabilize heading,airspeed, and altitude.
- Buy time: -- Climb to safe altitude, put on
autopilot.
-- Delay the maneuver (refuel, formation, etc.)
--Enter holding
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Thank you!Thank you!
Congratulations, here is what youve just accomplished;
CRM Skill Situational Awareness
To know more about new exciting subject ,refer to the training programme given out to you.