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Threat and Error Management. Definitions What it’s about Teaching it Assessing it. Threats. A situation or event that has the potential to impact negatively on the safety of a flight, or any influence that promotes opportunity for pilot error. EXTERNAL: Weather, traffic
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Threat and Error Management • Definitions • What it’s about • Teaching it • Assessing it
Threats A situation or event that has the potential to impact negatively on the safety of a flight, or any influence that promotes opportunity for pilot error EXTERNAL: Weather, traffic INTERNAL: Fatigue, complacency
Errors • Errors are defined as crew actions or inactions that: • lead to a deviation from crew or organisational intentions or expectations; • reduce safety margins; and • increase the probability of adverse operational events.
Human beings will make errors • Typical errors in GA may include: • incorrect performance calculations; • inaccurate flight planning • non-standard communications • aircraft miss-handling • incorrect systems operation or management • checklist errors
Undesired aircraft state Pilot induced aircraft position or speed deviations, misapplication of flight controls or incorrect systems configuration associated with a reduced margin of safety
Example Loss of directional control during a stall (error) resulting in an unusual aircraft attitude (state); Inappropriate instrument scan (error) resulting in flight below best single engine rate of climb (blue line) speed (state).
Strategies • Passenger brief • Pre take-off brief • Checklists • SADIE • Systematic scan
So what’s new? What is TEM about? Raising Awareness
Human Factors in Flight: Frank H Hawkins, Second edition, P115 To demonstrate the blind spot, hold the drawing at arms length, close the left eye and move the picture toward you keeping the right eye focused on the cross.
Teaching TEM Verbalise your decision making process
Assessing TEM Verbalise