Fly The Dog
Fly The Dog
Fly The Dog
Brett B. Despain
Engine failure, loss of all electric generators or cabin decompression rarely result in fatal accidents, although the latter one can become overwhelming. An inextinguishable engine fire is not a life-threatening event, despite scare stories that the wing drops off if the engine burns for 10 minutes or more. Similar to the Loch Ness monster, no one has ever experienced this event in a modern aircraft. All-engine flameout due to heavy rain, ice crystals or volcanic ash has occurred in real life, but has never led to a fatal crash. I would even go as far as to say that none of the failures instructed in the simulator, if they are managed correctly with an appropriate flight crew response, ever compromise the
aircraft to the extent of a fatal crash, except for the following: Jammed or restricted flight controls: Your aircraft is not responding to control wheel inputs, or a flight control is jammed fully deflected. I recommend to try to regain control through flight controls and engine secondary effects. Unreliable flight instruments: Airspeed, altimeter or attitude indicators showing confusing or even contradictory values, for example overspeed and stall warning go off simultaneously. My advice is to freeze the aircraft attitude for a few seconds until both pilots determine which indicator is working correctly.
Cabin fire: Any fire starting inside the fuselage can destroy the aircraft in only a few minutes. Videos on the internet show flames coming out the aircraft ceiling only minutes after the fire ignited. My advice is to initiate an immediate descent and consider an off-field landing as soon as the cabin crew reports flame height exceeding 1 meter / 3 feet, even when crossing 40 west over the Atlantic. This doesnt mean simulator training is useless. On the contrary you need to practice those skills in order to fly the aircraft safely. However, simulator training should not solely focus on type-rating requirements. In fact, if you double or triple the simulator hours, almost anyone, including your mother in law, can fly an ILS without any previous flying experience.
Self-discipline
Besides flying skills and sound judgment, self-discipline is the third keystone of good airmanship. Unfortunately, there are several occasions where safety can be jeopardized, even by experienced pilots, due to lack of self-discipline. It can be something as simple as poor handwriting.
Handwriting
It may sound pedantic that I refer back to what you were taught many years ago, but some pilots handwriting is similar to that of doctors. Illegible handwriting compromises flight safety!
Is takeoff weight 146.000 or 156.000 kg? Is CG for landing 24.0 or 29.0 units?
Multiple times a year the loadsheet comes in with invalid weights simply because the initial numbers prepared by the flight crew were unreadable. Last year our airline had an in-flight engine shutdown due to poor handwriting. An excessive fuel imbalance noticed on takeoff was interpreted as a major fuel leak because of an unclear remaining fuel entry in the Tech Log by the previous crew. Keep in mind that fellow pilots and ground personal may come from other cultures using different alphabets. Simple numbers may be interpreted incorrectly when your handwriting is not clear.
It requires extra effort and self-discipline to write clearly. I strongly recommend to use unambiguous handwriting whenever you take down the weather, prepare the loadsheet, order fuel or calculate aircraft performance.
attentively verifying switch position and flight deck indications. Pilots onboard a Spanish MD-82 verbally confirmed flaps set for takeoff while reading the checklist. A few minutes later the aircraft crashed on departure with the flaps up.
Use of checklists
It is very unusual for pilots to deliberately skip the checklist. On long taxi routes to a distant takeoff runway there is an increased risk that the crew gets distracted by nonoperational chitchat and consequently an increased risk of forgetting the before takeoff checklist. However, even more important is the way the checklist is completed. If you read and reply to checklist items without looking at the switches, it reduces the effectiveness of the checklist to nothing! I am surprised by the normal checklists of a major manufacturer where the first-officer does the overhead panel setup, he or she reads the checklist items and then responds to the items him or herself. The typical verbal challenge and response crosscheck is completely wiped out here. It takes an enormous level of selfdiscipline for the captain to concentrate and actively follow the checklist and not be distracted by ground personal calling the flight deck, by cabin crew reporting boarding issues or by any other source My advice to co-pilots is to monitor your captain while you read the checklist. If you notice any inattentiveness, simply stop the checklist until your silence wakes up the old man and he returns focus. Unfortunately, I notice that most co-pilots simply continue the checklist when I grasp my cell phone for an incoming text message Reading checklists, up to 30 times on a commuter pilot working day, is a routine task and therefore increases the risk that the checklist is accomplished without the pilots
The Spanish MD-82 crashed on takeoff with flaps not selected
Sometime later, several companies updated their SOPs by including an extra check on the pressurization system during initial climb. Therefore, even if you do not always understand or agree with a company SOPs, you should always adhere to these procedures. Again this requires self-discipline day-in day-out.
you did hundreds of times by now. Do you know what they are? Step 3: Move the switch into the correct position this comment is especially true for pilots flying multiple aircraft models or variants and for new factory delivered aircraft where identical switches may have different selections. Step 4: Monitor the actions that you listed in step 2 positively verify all lights and indicators display as expected.
The Hydraulic Pump switches can be mistaken for Engine Anti-Ice switches
Now, which step is the most difficult one? For pilots new on aircraft type, step 2 is probably the difficult one. Sad to say, some pilots with years of experience on aircraft type appear also unable to list flight deck responses to switch selection. However, for experienced pilots step 4 is the stumbling block. Flying the same aircraft model for 25 years now, I have selected every switch on the flight deck some 25,000 times. Can you imagine how much selfdiscipline it requires from me to look at that light as if its my first time seeing it come on? It is awfully boring to look at that panel dayafter-day to ensure the system is responding
as expected! That early morning, when you are still drowsy after too little sleep, the system or autopilot does not respond to your switching and you do not notice it. These are the errors that kill you! The day you believe the system never fails, because it has worked for years, is the day you crash!
The day you believe the system never fails, is the day you crash!
A Turkish 737 crashed during a low visibility approach with the autothrottle system switched ON. Despite an additional safety crew member on the flight deck, the autothrottle system was left unmonitored by the crew and it failed that day The investigation is still ongoing, but the same system may have failed or was perhaps left unmonitored by the flight crew in the Korean 777 accident at San Francisco. In many accident reports you read that system malfunction was clearly indicated on the flight deck, but both pilots failed to notice it!
Typical map display with terrain relative height indicated with different colors green-amber-red
Imagine you are hospitalized for surgery and you are laying on the operating table. The doctor is about open you up with a brand new laser gizmo. But when you ask him about the green-amber-red lights on his new toy, he goes like euh, minus 2000, or, was it plus 500, euh, dont remember Im pretty sure you stand-up and you run for your life. Each aircraft accident involves a double investigation. The first one is the technical investigation where investigators try to find the cause of the accident, such as human error or a technical malfunction. The report contains recommendations to the airline training department, to Air Traffic Control, the aircraft manufacturer and to anyone else in the chain of events. But there is a second parallel investigation, never shown on television The juridical investigation; whos responsible and who is going to pay? Payments for surviving relatives and medical care for injured passengers are expensive and somebody has to be held accountable. Dont worry, even in the case of pilot error, you will not have to pay yourself your companys insurance covers that. But, as a pilot and a human being, you may be held responsible. So, there is that 12-men jury, sitting in front of you. Some of them are not pilots, they cannot tell the difference between a B707 and an A380, both have two wings and four engines.
green is euh I think minus 2000 feet, or was it minus 500 feet, euh, dont remember to its 4000 feet for sure, I did my line check last week, sure to what a stupid question.
None of those was the correct answer. The same green-amber-red color question could also be asked for N1 engine display. Some pilots felt offended by my questioning, so I stopped asking.
But they do know the difference between green-amber-red simply because they have the books open in front of them. And they will tell you dear pilot, on page 872 it says;
These numbers are not in the book, but they are displayed on the flight deck every day It makes me sad to see a crew during engine start in the simulator blowing-up the engine beyond maximum exhaust gas temperature (EGT), while fuel flow was clearly out of limits for the past five seconds. You can shutdown that engine at 200 degrees instead of 200 degrees above maximum EGT simply by recognizing unusual fuel flows.
green-amber-red is And you did not know that? After which, depending on the
country where you happen to live, you may get convicted of negligent manslaughter.
As a pilot, your career is over. But also as a human being, your life is over. In a way of speaking, of every ten pilots surviving an aircraft accident, two commit suicide because they cannot live with the thought of being held responsible for the death of passengers or fellow crew, two end up in a mental hospital for the same reasons, two find themselves in a wheelchair, two end up in prison and the last two lose their jobs. It is very seldom that a pilot continues flying after surviving an accident with injuries that is tagged Pilot Error... Do you want your career and life (and that of many others) to end just because you didnt know the numbers? Make sure you always know the books. Trainees that passed their theoretical exams a few weeks ago have already forgotten a substantial part of the theoretical stuff. After all, we are humans, not computers, and there are tons of papers to be learned. Therefore, make sure you review the books on a regular basis. With a busy social life, this requires a lot of self-discipline. Dont wait until your next simulator check ride. That is only an expensive game toy. The real check ride is today and tomorrow, with real aircraft and real passengers!
It is also disappointing me when a captain with over ten years experience on aircraft type cannot tell me what amperage and voltage is usually shown in the cruise for the electrical generator. If you love your airplane, you get to know the reference values for all indicators on the flight deck. Imagine you have a special day to celebrate, but your girlfriend says Sorry honey, not tonight, I think I have a fever. You dont take No for an answer, so you grasp the thermometer, you measure her temperature and it says 40C. What do you do? Party or no party tonight? I suggest you first test the thermometer on yourself. If it shows 37C, an instrument error is excluded. Next, take your girlfriends temperature again to eliminate a faulty measurement. It now shows 41C. Time to call a doctor?
Reference values
Can you instantly recall and thus verify engine fuel flow on takeoff? Do you have any clue how hydraulic quantity varies during taxi, takeoff, climb and cruise? Many pilots cannot answer these questions, simply because they are not interested in this stuff.
Why should you? Is there something wrong with this temperature? You are not a doctor, so how can you interpret these numbers? The answer is simple; because you know the reference value. You know that 37C is normal and therefor 40C is too high. You dont have to become a nerd and know that your body temperature may drop down as low as 35.5C during a 6 hour sleep, or that temperature taken under the tongue is showing between 0.3 and 0.8C lower and when taken under the armpit, it can be up to 1.5C lower. The same goes for your aircraft; you really dont have to know that the hydraulic system LOW OIL PRESSURE light is calibrated at 1,250 psi with a 5% margin and a 3 seconds delayed timer. There are pilot nerds writing books which are full of this kind of stuff. Being an author of such book myself, I can confirm that you really dont need to know this level of detail to become a safe pilot. You only need a handful of reference numbers. When your aircraft climbs through 10,000 ft, what cabin altitude and differential pressure do you expect to see? It makes life much easier if you can recognize and anticipate unusual pressurization indications instead of being surprised by the cabin altitude warning. It takes discipline, or should I say love and interest, to get familiar with your aircraft reference values. If you know how your aircraft V2 speed varies with aircraft takeoff weight, you will immediately detect an error in the loadsheet, an error in takeoff performance calculation or an invalid entry of zero fuel weight (ZFW) in the FMC takeoff weight input prompt Many takeoff crashes and tail strikes are caused by obvious yet unnoticed errors in the loadsheet or performance calculations.
By the way, if there are three minutes in daily operation where you really need to seal the flight deck and resolutely block any communication with cabin crew, handling agent and ATC, it is when you verify the loadsheet and compute takeoff performance. Also, never let the late receipt of the loadsheet make you rush in an attempt to depart on time. If you end up in the village just beyond the end of the runway, you will be late anyway.
Tailstrike on a 747 beyond economical repair due to a mix up of ZFW and takeoff weight
CRM
Cockpit Resource Management You are not alone on the flight deck and the way you interact with that other human being seated next to you is of crucial importance to overall flight safety. Your airline organizes a CRM course every now and then to meet legal requirements. Are these courses effective?
Flight deck audio recordings in many aircraft accidents reveal that the first officer gave the correct input, but it was ignored or overruled by god-the-captain. Even worse are those accidents where the other crew member noticed the error but did not say anything because of hierarchical respect or due to lack of assertiveness. CRM training must focus on the vital importance of combined forces and clear communication on the flight deck, overruling any hierarchy set by religion, sex or culture. Many aircraft incident investigations reveal that one pilot believed the other one was aware of the problem and therefore never mentioned any concern. The monitoring pilot should never assume the flying pilot is aware of any deviations, no matter how obvious they are. Any flight path or aircraft attitude deviation must always be communicated, either by standardized callouts or any other clear phraseology. This is also valid on the ground. In many runway excursions, there was no or a late call-out from the pilot monitoring spoiler or reverser deployment.
Combined forces
The time that the captain is God and the copilots role is to carry the flight bag and do some radio talk, has gone. Unfortunately this is not true for all cultures worldwide. Thats too bad, because your first officer is a valuable source for feedback on your own performance and errors! Whatever decisions are to be taken in the daily operation of the aircraft, such as basic decisions on fuel, weather and navigation, or whenever you are dealing with an emergency in flight, always be open to your co-pilots inputs. His or her suggestion may save your day.
On the topic of mistakes, who makes the most? The highly experienced captain or the younger co-pilot? Both make the same number of mistakes, but the types of mistake are different. The co-pilot fails on stick-and-rudder and general knowledge, while the old man fails on management, such as not recognizing loadsheet errors, terrain obstacles, etc. Most co-pilots have nothing on their mind, only a smartphone, a girlfriend and next weeks barbeque. Now look at the old man; he lost his father last week, his wife wants to divorce him, his mistress complaints about lack of attention, his 15 year old daughter got pregnant, the other one is experimenting with drugs, his 12 year old son is hospitalized for heart surgery, his body is showing age by losing hair and teeth, and he cant pay all the bills anymore Either or both pilots could have a long list of issues taking up their mental capacity even before the pilot walks into the airport terminal... Its impossible to leave these things behind when he or she goes to work. This pilot is physically sitting behind the instruments, but his thoughts are elsewhere and crucial errors, warnings and information are not noticed.
Back in the 70s the first and second officers concerns about an ATC takeoff clearance in low visibility were overruled by the Dutch experienced 747 captain, killing nearly 600 passengers and crew at Tenerife airport. On several occasions miscommunication has also led to controlled flight into terrain (CFIT), though the latter can have different causes, such as both pilots getting fixated on a flight deck indication or FMC issue and meanwhile forgetting to fly the aircraft. Whatever light illuminates on the flight deck, always make sure someone stays focused on the basic flying and navigation.
Many runway excursions start at top-ofdescent, when kept high for traffic reasons. During the ensuing 20 minutes, neither of the crewmembers admits (pilot flying) nor expresses any concern (pilot monitoring) that they cannot make it today This is a real CRM issue! In this scenario, and many other scenarios, showing off pilot skills appears to be more important than demonstrating people skills. These pilots are not flying the aircraft as a safe pilot; they are only concerned about stroking their ego. The same goes for long floating and late touchdown. The only thing to do here is to admit that you cannot make the landing instead of trying to get things sorted within the remaining runway distance. Always be go-around minded! Going around, even after main gear touchdown, demonstrates good judgment and professional maturity. I humiliated my co-pilot for his poor landing on the way out and now I find myself messing-up my own landing at home base. Shall I try to cover-up my even worse performance by continuing the landing or shall I initiate a go-around and lose face as an experienced captain? Some pilots regard a go-around as a loss of face, an embarrassing admission that you messed up the landing. Dont be concerned about what your fellow pilot thinks about your landing, because the same will happen to him or her tomorrow. Dont worry about your late schedule. The airline management should never query you about a go-around and a subsequent 10 minute late landing. But they will definitely ask questions if your aircraft skids off the runway if you are still around to tell the story. Yet, many pilots pass through company defined stable approach gates in the flawed belief they can fix it later and that the flight parameters will soon return within tolerance.
Tenerife disaster in 1977: two Boeing 747 aircraft collide on the runway in heavy fog
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Each time you get away with it, the belief that passing through stable approach gates is no big deal for your level of experience is reinforced, and the invisible line is pushed further ahead. Without any doubt, one day you will fail and you end-up beyond the end of the runway! You find stunning spotter movies on the internet showing passenger carriers touching down mid runway and making it to a safe stop. Sorry to say, but these pilots have a CRM attitude problem. Overconfidence, or rather underestimating the danger associated with continuing a late touchdown, is a common factor in runways excursions. Its very easy to determine whether or not a pilot is go-around minded. Just look at his hand on the thrust levers. If you see that hand move forward during a long floating flare prior main gear touchdown, the pilots mind is setup for expeditious deployment of the thrust reversers. This mindset eliminates any option for a safe(r) go-around.
You tell him that you are too high, but the anxiety in your eyes creates a smile on his face, and he responds to your manifest unease with a know-all attitude; Dont
worry, my friend, I have 10,000 hours on this aircraft, we can make it. Today, you are going to learn something, watch me.
Take this in 3 steps: Step 1: express your concern Hey captain, I think we are too high. This is where you get that condescending smile. Step 2: make a suggestion Hey captain, lets go-around This is a good one, allowing him to bail-out. Because in the meantime he found out himself that he cant make it. This suggestion allows him to save his ego and just perform the goaround Because you insisted Step 3: instruct a go-around GO-
These three steps will save the day in most cases. Some years ago, an Indonesian 737 passed the threshold at 250 knots and continued the landing. Are you going to takeover control at 200 feet above ground and then both push-pull-turn in opposite directions? Dont! Why would pilots still continue while its obvious you cannot make it? Home driven or plan continuation bias is the natural tendency for a human being to not accept deviation from a planned course of action. The ultimate action you as a first-officer can do at this stage is to get the other pilot out of this tunnel vision by raising the landing gear. He will not appreciate your action, but by natural reflex no pilot will continue the landing. Just for the record, dont take this as a SOP.
The Indian 737 captain initiated a go-around after reverser deployment on late touchdown
Today is a beautiful day, the weather is clear sky. The landing runway is straight ahead, but you are way too high... The experienced captain is flying and he decides to continue. You dont have much experience, but its abundantly clear that the aircraft cant make it. What will you do?
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Back to the subject of making the landing, weather conditions and air traffic clearances also play a major role in many runway excursions. Pilots may accept difficult ATC instructions due to professional pride in being able to make it in any situation without consciously evaluating the increased threats associated with the new clearance. ATC instructions should be declined when they force you into a position of making a rushed approach.
and runway length. Compare actual wind and runway state with these limits during the entire approach and abandon the approach as soon as calculated limits are exceeded.
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weather permitting. Many long haul wide body pilots with 3,000 hours logged on type actually have only 20 hours of hand-flying, that is 2 minutes on takeoff and 2 minutes on landing. Whenever you end-up running behind the automation, switch to a lower level autopilot mode, like heading and vertical speed, or switch-off all automation and just fly the dog.
Pat BOONE is an experienced captain and instructor with over 15,000 hours on Boeing aircraft. He is general manager of the MCC company, headquartered in Belgium Europe, developing pilot software products, like mccPILOTLOG logbook software. Pat is author of the Boeing 737
Whenever you run behind, switch to a lower level of automation or switch it off and fly the dog.
Besides the ability to use automation to its maximum extent, pilots should also practice and maintain manual flying skills. When was the last time you manually flew an ILS down to the minima in 3 miles / 5000 meters visibility on a real aircraft? Are you still able to do this? While most aircraft manufacturers and companies recommend maximum use of automation, pilots should be encouraged to switch-off the autopilot and manually fly the aircraft below 15.000 feet, traffic and
Management Reference Guide, used by ten thousands of pilots worldwide. www.mccPILOTLOG.net www.B737MRG.net
August 2013 - In the interest of aviation safety this article can be reproduced in whole or in part Contact the author - pat.boone@b737mrg.net
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