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DR Rolf Andersson In charge of the Circuit of Mantorp - Sweden. CRM. Crew Resource Management. ”Maximize effectiveness and safety through effective utilization of all available resources”. Tenerife 1977. Deadliest aircrash ever, 583 people dead. Why? How could this happen?
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DR Rolf Andersson In charge of the Circuit of Mantorp - Sweden
Crew Resource Management
”Maximize effectiveness and safety through effective utilization of all available resources”
Deadliest aircrash ever, 583 people dead • Why? • How could this happen? • Could it have been prevented?
Lack of communication • Lack of situational awareness • Hazardous attitudes
Communication • The ”CRM Loop” • Five steps:
Inquiry • Assertive Advocacy • Conflict resolution • Decision making • Critique/Feedback
1. Inquiry • The right and obligation to question • Be specific ”Captain, are you sure that the runway is clear?”
2. Assertive advocacy • State the name: ”Captain…” • State your discomfort: ”..I’m unconfortable with...” • State your concern: ”..that the Pan am aircraft hasn’t reported clear…” • Offer alternative: ”..can’t we ask traffic control if they are clear..” • Get consent: ” What do you think?”
3. Conflict resolution • Identify all components of the decision • WHAT is right, not WHO is right • Be tolerant to differences
4. Decision making • Be flexible and willing to change your mind • Ask for everybodys opinion
5. Critique / Feedback • Talk about it afterwards, what could have been done better?
Situational awareness • ”What you need to know not to be suprised” • "the perception of the elements in the environment within a volume of time and space, the comprehension of their meaning, and the projection of their status in the near future"
Hazardous attitudes • Pressing • Impulsiveness • Complacency • Excessive deference
1. Pressing • Bending or breaking rules to achieve a goal
2. Impulsiveness • To act forcefully and quick, without proper analysis.
3. Complacency • Lack of attention due to experience
4. Excessive deference • To be afraid of senior colleagues
Useful CRM Links • http://www.crm-devel.org/resources/misc/transcan/transcan1.htm#crm1 • http://www.caa.co.uk/docs/33/CAP737.PDF • The book : ”Culture, environment and CRM” By Anthony T Kern