“Staying in Control – Loss of Control (LoC) – Prevention and Recovery”, 4-5th October 2011

Loss of ControlSignificant Threat – Significant Actions

Captain David McCorquodaleHead of Flight Crew Standards

UK CAA

� Setting the Scene

� ‘Significant Seven’ Task Forces

� Loss of Control Task Force Findings

� Questions

Outline

Slide 2 of 15

Data Source: “Annual Safety Review 2010”, EASA

0 2 4 6 8 10 12

Runway incursion - vehicle, aircraft or person

Collision or near collision with birds

Security related

Fire/smoke (non-impact)

Undershoot/overshoot

Windshear or thunderstorm

Abrubt manoeuvre

Runway excursion

ATC

Other

Unknown

Icing

Ground handling

System component failure (non-powerplant)

System component failure (powerplant)

CFIT

Fire/smoke post impact

Loss of control in flight

Accident Categories for Fatal Accidents involving E ASA Member State Operated Aeroplanes

(2001 - 2010)

Setting the Scene

Slide 3 of 15

‘Significant Seven’ Task Forces

� Loss of Control

� Post Crash Fire

� Controlled Flight into Terrain

� Runway Excursion

Identification of Main Risks Worldwide AAG

Slide 4 of 15

‘Significant Seven’ Task Forces

� Airborne Conflict

� Ground Conflict (including Runway Incursion)

� Ramp Incident

Identification of Main Risks Worldwide

Identification of Additional Risks in the UK Environment

AAG

THREAT

Slide 5 of 15

‘Significant Seven’ Task Forces

Airborne ConflictRunway Incursion

Ramp IncidentAirborne & Post-Crash Fire

Task Forces

Loss of Control

CFITRunway Excursion

Slide 6 of 15

� Jan 2009: First Safety Conference

� Jun 2009: Launch of CAA-Industry Task Forces

� May 2010: Task Forces report their findings

� Oct 2010: Findings debated at second Safety Conference

� Mar 2011: Consolidated Task Force report published (CAA Paper 2011/03)

� Aug 2011: CAA Safety Plan 2011 to 2013 published

‘Significant Seven’ Task Forces

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� 75% of worldwide fatal loss of control accidents involved the following factors:

� Use of Automation

� Manual Flying Skills

� Type-Related Issues

� Upset Recovery

� General Aspects (including Human Factors)

� These factors were also present in UK high-severity occurrences

Data Source: CAA-Industry Loss of Control Task Force

Loss of Control Task Force Findings

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� Loss of Control Task Force actions in new CAA Safety Plan focus on:

� Training and assessment of pilot monitoring skills

� Use of aircraft automation

� Maintenance of manual flying skills

Loss of Control Task Force Findings

� Oversight of their implementation by new Loss of Control Action Group

� Other actions are under consideration – more later

Slide 9 of 15

Loss of Control Task Force Findings

Pilot Monitoring Skills• Report on research into current best practice in pilot monitoring

and associated training delivery methodsNov-11

• CAA best practice guidance document on training and assessment of pilot monitoring skills

Aug-12

• Training of CAA inspectors, promotion of best practice and oversight of implementation

Jan-13

Slide 10 of 15

Loss of Control Task Force Findings

Use of Aircraft Automation• Review of report of FAA study and Cranfield University

research on crew interaction with flight deck automationJan-12

• Workshop with industry to discuss findings of review and to identify the top key priorities for action

Mar-12

• Plan developed for implementation of actions to mitigate the risk of the top findings from the review

May-12

Slide 11 of 15

Loss of Control Task Force Findings

Manual Flying Skills• Jet Upset Recovery Training Aid Tool and associated DVD

distributed to all UK commercial pilotsFeb-12

• Feasibility of incorporating manual flying skills measuring methodology into a Flight Data Monitoring Tool

Apr-12

• If feasibility is demonstrated, then methodology incorporated into an FDM programme and trialled with an airline

Dec-12

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� Other issues for consideration:

� Review appropriateness of type-rating training

� Develop type-specific Licence Skills Tests

� Equip simulators with more accurate data on aircraft handling characteristics close to edge of flight envelope

� Extend use of ATQP to smaller operators

� Develop enhanced safety performance indicators (including FDM)

Loss of Control Task Force Findings

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� Methods of information dissemination:

� Liaison with EASA Working Groups

� Senior Examiners Annual Conference

� Class Rating Examiners Annual Workshop

� Examiners Newsletters

� Information Notices

Loss of Control Task Force Findings

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Thank You

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