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Crew Resource Management
Skills
Resources to be managed People Information Equipment Consumables – fuel, time, energy
Basic personal skills needed to effectively, efficiently function in the cockpit
Communication Coordination Conflict resolution Critique
To be effective in communication, pilots should be able to:
1. Communicate messages, actions and intentions clearly
2. Encourage questions regarding crew actions and decisions
3. Confirm messages are received and understood
4. Provide non-defensive answers to crew members questions
5. Actively listen to crew members input
I know you thought you understood what I said, but what bothers me is that what you heard is not what I meant.
Communication Three parts –
Sending Receiving Feedback – must be “looped”
Sending Provides information – message
quickly efficiently
Allows coordination of efforts and actions
If done well, message will be understood & accepted – grid styles will affect this
Sending Several decisions must be made
What to say How to say it – command, question,
statement Non-verbal – tone, inflection,
expression, body language Length Reaction desired Mode of transmission – face-to-face,
radio, body language, hand signals
Sending Aspects of sending that can
interfere with good communication feeling that all is not right but can’t
explain failing to reveal intended actions failure to share significant information
that everyone should know
Sending barriers Poor choice of words Silence Assumptions Tone Over load Volume Negative body language Dark Seat positions
5-Step Respectful Assertive Statement
1. Opening Address the crewmember by name.
This alerts the person that you want his or her attention.
2. State concern State what you feel or think, take
ownership: “I’m uncomfortable with . . .”
5-Step Respectful Assertive Statement
3. State problem As clearly and succinctly as possible,
define the problem.
4. Offer solution Suggest at least one alternative for
solving the problem.
5-Step Respectful Assertive Statement
5. Obtain agreement This is your feedback; it lets you know
that the receiver recognizes the concern.
Verbal Tools “Rushed” “Overload” “Back to business” “Are you OK?” “Safety,” “Not safe” “I’m uncomfortable,” “I’m
concerned”
Other tools Briefing Touch Debrief or critique
Receiving/Listening Acquire information, data, feelings,
concerns that others are sending Listener must:
hear what is being said observe non-verbal indicators –
posture, gestures, facial expressions, tone, body language
The process of listening Receive – hear, see, touch Analyze Assign meaning Understand
Question validity of information
When you hear: probably possibly I think so I hope so maybe should
Listening barriers Boredom Complacency Distractions Impatience Anger Dark Seat positions
Distortions to communication Distortions can occur both with
sending and receiving – grid styles will affect
Preconceived ideas Lack of attention Trigger words or topics – focus on
them instead of message
Feedback Communication should be “looped”
or completed. Listener must hear and understand
the message – sender needs to know.
“Looped communication” demands a confirmation of receipt.
Feedback Important to both sender & receiver Unlooped communications can
cause accidents/incidents Recognize your responsibility to
give or receive feedback When in doubt – ASK! Don’t assume anything
What is feed back?
Ask for clarification until understand
Acknowledge Restate Confirm Observe
Question Disagree Answer Resolve
conflict Restate
Sensitivity in communications Tone of voice Inflection Facial expression Sensitive to what goes on in and
around aircraft flight attendants, ground personnel,
ATC
Open atmosphere Allows free flow of communication Encourages input Contributes to likelihood that all
available information will be considered
Barriers to communication Internal
rank attitude choice of words misinterpretation
Barriers to communication Internal, continued
hearback hear what you want to hear numbers expecting don’t change altitude alert mixing/switching 200-220, 120-210 assuming other pilot heard the clearance
Barriers to communication External
high noise uncomfortable temperatures high workload uncertain policies/procedures unable to see each other –
smoke, dark, seat location
Communication
When the rear-seat pilot of a dual-piloted T-33 aircraft attempted to adjust his position, he inadvertently deployed the life raft in the seat bucket survival kit. As the raft inflated, it pushed the stick forward, which caused the aircraft to pitch nose down. The front seat pilot attempted to correct the dive, but met resistance when he pulled the stick back.
Communication, continued
Meanwhile, the back seater found and deployed the raft deflation tool. The front seater, trying to solve the control problem, heard an explosion as the cockpit filled with talcum powder from inside the raft, which looked very much like smoke. He identified the problem as an engine failure, closed the throttle and secured the engine.
Communication, continued
As the haze cleared in the back, the back seater noticed the apparent engine flameout and ejected. The front seater then dead-sticked the aircraft into a field. Throughout this entire sequence, not a word was spoken.
Coordination
Process used to share and consider information, plans, operational activities
Reduces potential for error because of overlooked or disregarded information
Enhances early detection of deviations
Coordination The way coordination takes place
affects the ability of the crew to function, follow the plan, react to problems
As with communication, grid style affects quality and effectiveness of coordination
Conflict resolution Definition of conflict –
anytime two sources don’t agree
- people - instruments- information
Conflict resolution
Conflict is inevitable! differences in thoughts, feelings, opinions, values may lead to disagreement or disputes
Not necessarily bad – depends on how it is handled
Conflict resolution Conflict must be resolved
At time of conflict if time permitsor
On ground if necessaryor
With management if necessary
Critique Joint examination of an activity or
flight to improve both individual and crew effectiveness
Discussions about flight – informal, constructive, descriptive
Critique Learning from experience Occur during flight or on ground
after Focus on problem not person Debriefing is part Expand debriefing = critique Non-judgmental Others describe how they
perceived actions
Critique During flight
Problem solve among crew
After flight Aid crew in summarizing what went
well and why Examine ways problems might more
effectively be resolved
Feedback is the heart of critique
Advanced skills Inquiry Advocacy
Both are forms of sending and require feedback
Inquiry Request for ideas, opinions,
information, or suggestions specific to a situation
Raise ones own situational awareness
Attitude of checking and rechecking as well as the action of asking a question – not only verbal but a state-of-mind
Inquiry Curiosity Skepticism Interest Not complacent Maximize learning and awareness Ensures larger gains in knowledge
Effective Inquiry Decide what, how and who to ask Clear and concise question Relate concerns accurately Specifically ask for feedback Keep an open mind Draw conclusions from valid input
Disregard “maybe” “I think” “probably”
Inquiry Every crew member is responsible Take nothing for granted
Advocacy The act of expressing information,
opinions, suggestions about a particular situation to someone in order to gain acceptance of one’s view
Used to raise someone else’s situational awareness
Effective Advocacy State position Suggest solutions Be persistent Use quality communications Appropriate timing Honesty Listen carefully Keep an open mind
Advocacy Assertive form of communication Obligation of every crew member
to advocate
What is a role? Position Set of behaviors
Role Position defined by the relationship
to other positions Captain Co-pilot Second Officer
Role Position includes
Title Status level “Left seat”
Expected to behave like a Captain, FO, etc.
Behave the way other people expect a Captain, FO to behave Role senders
company FAA other pilots controllers
The person him/herself has expectations
Position behaviors
maintenance flight attendants instructors passengers
Role senders Some more important than others
superiors those who can reward or punish those who work closely with the person
Role senders communicate expectations
Some expectations are always part of a role – Captain is in command always
The role of Captain authority, command person in charge leader responsibility obligations importance also cockpit/flying tasks
Role of the FAA FAA establishes regulations –
minimum levels of safety that all aviation companies must meet
Carriers must operate at the highest practical level of safety – operate above the minimum standards.
Prevents chaos
Operate at a higher standard
Why? Costs Reputation
How? Require more
training home study Initial Operating Experience (IOE) many pilots demand more of themselves
Role of the Flight Operations Department Ensures regulations are
administered and followed Ensures corporate objectives are
followed (safety, profitability)
Managing cockpit roles Making sure each crew member is
working on the right tasks for the particular situation
Must have some way of setting priorities
System for managing tasks “A” tasks – immediately critical to
successful operations “B” tasks – not immediately critical
but will become critical (an “A” task) if not accomplished in near future
“C” tasks – productive and useful but will never become an “A” task
Role ambiguity Unclear or confusion about what
each crewmember is supposed to be doing Unstated expectations
Who’s flying the airplane? Who’s looking out the window?
Auto-pilot complacency – no monitor
Role conflict Get conflicting signals from
different role senders Must be clear about priorities Captain must help others manage
role conflict
Role overload
When a person has more to do than is possible for him to do Stressful Increases possibility of error
Captain must: help each crewmember manage
inputs balance workload among crew
Boundary management Cockpit boundary
ATC communications cross boundary FA entering crosses boundary
Sterile cockpit – one way to manage the inputs to the cockpit
Boundaries
Cockpit
Captain First Officer
Second Officer
Boundaries – poorly managed
Cockpit
Captain
A1, A2, B1
First Officer
A3
Second Officer
C1
A4 B2, B3
A1 Fly airplaneA2 Exercise commandA3 Monitor ATCA4 Manage cockpit rolesB1 Plan landing,
study approach plateB2 Compute fuel dumpB3 Monitor systems
performanceC1 Send list of passengers
to companyC2 Other low-priority tasks
Factors that repeatedly contribute to incidents/accidents
Lack of response to warning systems Over reliance on automated systems Chart reading errors Communication errors Diffusion of responsibility Crew monitoring failures
Common failure areas1. Preoccupation with minor mechanical
problems2. Inadequate leadership3. Failure to delegate tasks and assign
responsibilities (flying)4. Failure to set priorities5. Inadequate monitoring 6. Failure to utilize available data7. Failure to communicate intent and
plans
Six rules for improving workload management
1. In any abnormal situation, positive delegation of flying and monitoring responsibilities must be the top priority and action item.
Six rules for improving workload management
2. A positive delegation of monitoring responsibilities is just as important to safety as a positive delegation of flying responsibilities.
Six rules for improving workload management
3. The pilot flying an aircraft must not attempt to perform secondary tasks during dynamic flight situations.
Six rules for improving workload management
4. When there are conflicting interpretations of fact, external sources of information must be used to resolve the conflict. Do not rely on “confidence” to resolve the ambiguities.
Six rules for improving workload management
5. Whenever there is conflicting information from two sources (or questionable information from one source) cross checking from an independent source is a necessity.
Six rules for improving workload management
6. If any crewmember has a doubt about a clearance, procedure or situation, he/she must make that doubt known to other crewmembers.
Capt. Al HaynesUAL flight 232, DC-10
“We had 103 years of flying experience in that cockpit . . . But not one minute of that 103 years had been spent operating an airplane the way we were trying to fly it. If we had not worked together, with everybody coming up with ideas and discussing what we should do next and how we were going to do it, I do not think we would have made it to Sioux City.”