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Human resources
© Dédale 1996-2000
Ourselves
© Dédale 1996-1998
DATE: APR 2000 Page 1 SIMDEBRIEF
A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
© Dédale 1996-2000
Loss of
control
In control
Mental Resources
to control
Actions
ACRM - 2000 Briefing simulator - V4
If we were talking about machines (e.g. the autopilot) , perhaps we could talk about
control as a relatively simple phenomenon - either in control or out of control.
But it is not so simple, or so dangerous, for humans.
Fortunately for us, there is a buffer zone that sends warning signals that one is starting to
lose control. This signals come from yourself, the others and the aircraft systems.
Activity in this area can alert the person to adjust the use of their mental resources so as
to regain their full control and the safety of the ‘green zone’.
In most cases, losing control can be prevented because specific signals warn us that we
are reaching the limits of the control envelope.
For example:
When we start to become overloaded, we feel it, and we manage the available resources
accordingly, usually by deciding to do fewer tasks or by sharing the workload with
another.
And conversely, when we are distracted or thinking of other things, slips and errors alert
us that we need to bring our mental resources back to the task at hand.
We will talk more about the different warning signals and what they mean as we go
through the day, especially in the module on Error Management.
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Strategic
Tactical
Opportunistic
Opportunistic
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
What
Whathappened?
happened? Why?
Why? What
Whatdid
did you
youlearn?
learn?
Time pressure Manage time
Forgetting to ... Attention capture Prioritize tasks
© Dédale 1996-2000
Inattention Use check list
Seeing / hearing
Too much anticipation “What if not ?”
what was expected
More attention
Slip, lapse Routine errors More monitoring
“What may be different?”
Make it simple
Wrong reasoning Inadequate knowledge
Stick to SOP
For each of these categories there can be several reasons why they occurred, from time
pressure, to complacency or under-investment, poor knowledge.
Example:
You take a 100-item test, and you get two items wrong. 3 months later, what are you
most likely to remember? The two that you got wrong!!
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Control during
Transition
Mental Resources
to control
Sit. Awareness
© Dédale 1996-2000
Mental Resources
Mental Effort to control
to stay in control on Actions
the new Aircraft
ACRM - 2000 Briefing simulator - V4
First you have to learn new systems knowledge and maneuvers. You have to start to
build your new skills and expectations. You need more mental resources to control
your actions.
Second you have to monitor your old habits and routines from the previous aircraft,
making sure they are appropriate or adapting them for the new context. You need more
mental resources to control Situation Awareness, because the new aircraft is not so
familiar, your mental picture and expectations are weaker.
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Becoming an expert..
again
• Identify what is
similar
• Practice your
© Dédale 1996-2000
skills
Using this graph again, the question is how to rebuild your expertise, to build up control
capacity on the new aircraft so that it is as strong as on your previous aircraft…
For now it is important to appreciate that some aspects will be the same, especially
your basic airmanship and the higher order planning, anticipating, and strategic
control.
Also that traps such as habits lie in wait for the overloaded and the underloaded
pilot.
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Descent
preparation
© Dédale 1996-2000
Briefing before
descent, Fuel check
Mode change
at TOD
Waypoints,
ATC..
Weather, Nav..
Just as in our model of control, each of these influences the other. Mental expectations
are cross-checked against physical cues, which provide the feedback about whether the
result is matching the goal or whether the actions, or goals, need to be modified.
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
To detect a loss of
situation awareness
© Dédale 1996-2000
– Unusual timing
– Unexpected results
– Communication mismatch
u GPWS warning
u ‘‘Something seems strange, it doesn’t feel
right’’
u Healthy doubt, ...
ACRM - 2000 Briefing simulator - V4
These signals should alert you that your situation awareness is poor:
u Unexplained discrepancies
• Unusual timing
• Unexpected results
• Ambiguities in communication
u A feeling that something looks strange. You have to listen to your intuition
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
To recover a loss of
situation awareness
© Dédale 1996-2000
u Avoid fixation on the past problem: Debrief what
happened after the flight
u Keep It Simple Stable and Safe
– Change the question: move back to the big picture, to the last
thing you were sure of
– Change the information source: use raw data, basic information,
external inputs
– Change the automation level (or take over)
u Recognize your limits, communicate, express your doubts and listen. You
should not feel ashamed. If both crew members have a poor situation
awareness, they can ask for help from ATC, Ops, other airborne aircraft, ...
u Set a time deadline and develop contingencies, eg, X minutes to diagnose the
problem, otherwise go to Plan B.
u Avoid fixating on a past problem. Look forward. After the flight, you will have
time to debrief what happened.
u Keep or come back to a triple S situation; a Stable, Simple and Safe situation.
u Change your information sources. Use raw data to confirm inputs from the
system. Don't forget you have stand-by instruments. Also use external inputs.
u Change the question. Try to recover a ‘big picture’. Come back to the last thing
you were sure of and then rebuild the big picture from there.
u Take over, or change the automation level. This will help you to look at the
situation from a different perspective.
Note: The moment you start to detect a loss of SA, you are already on the road to
recovering or rebuilding (updating) your SA. So many of the same things that help you
detect a loss of SA are also useful for rebuilding SA.
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Human resources
© Dédale 1996-2000
The crew
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Factors affecting
teamwork
© Dédale 1996-2000
u Workload & time pressure
u Stress, illness, fatigue
u Physical factors: Noise, heat, cold
u Differences in crew position, experience, age
u Mixed-culture crews: country, company
u Disagreements
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Manage time
First
fix a decision
deadline !
u
© Dédale 1996-2000
Stabilize the situation
u Assess time factors
u Prioritize tasks
u Keep everyone in the loop
– moderate time pressure: involve everyone
– extreme time pressure: act and inform everyone
u First of all, fix a decision deadline. E.g.: “We need to come up with a decision
within 15 minutes. At that time, we must accept the information we have and
decide!”.
u Stabilize the situation. If the time available allows it, ask for a holding pattern or
radar assistance for example.
u Assess time factors: a holding pattern is OK if you have enough fuel. You should
be aware of the time you can spend.
u Prioritize: start with the emergency, then you can work back to the abnormal and
secondary importance items.
u Manage workload: use your team, delegate. E.g., the flight attendant can go and
check for evidence of smoke at the rear of the cabin.
u If you want everybody to follow the decision process and understand the objectives
given, you must let everybody follow you:
- if the time allows it, keep everyone involved in the decision making process
(in other words, adapt the decision process speed to the “slowest” crew
member);
- under extreme time pressure, there is no time for discussion! The Captain
decides, acts and then informs the other(s) about the decision made.
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Error Management:
The Crew
u Communication
u Read-backs (ATC)
i
u Call outs
u Cross checking
© Dédale 1996-2000
u Briefings
u Check-lists
u Procedures
ACRM - 2000 Briefing simulator - V4
However competent the aircraft systems capabilities are, the main error management tool
is the crew.
You are intelligent, the computers are not. Computers have been called ‘dumb and
dutiful’ - they will only do what you tell them. You understand the situation, the
computers do not. You know what you intend to do, the computers do not. Therefore you
need to communicate between crew members, to read back all ATC messages. Making
the call-out, cross-checking and carrying out briefings are error management tools at the
disposal of the crew.
Check-lists and procedures are also tools the crew can use to detect and correct error.
Let’s have a look at these two items now.
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
© Dédale 1996-2000
Mental Resources
to control
Actions
ACRM - 2000 Briefing simulator - V4
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Communication
Summary
u Use briefings, call-outs and procedures with
discipline
u Prepare your message: use simple, standard
language, be clear & unambiguous
© Dédale 1996-2000
u Manage interruptions: respect the receiver’s task,
protect your own task
u Listen actively : Check that you understand and that
you have been understood
u Communication is not only verbal: Gestures,
attitudes, even silences can send a ‘mixed message’
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A.C.R.M.
SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Decisions based on
Situation Assessment
Situation A Situation B
© Dédale 1996-2000
Action 1 Action 2
We will talk about two types of decisions. The first focuses on situation assessment, the
second focuses on evaluating different options.
Example:
Imagine there is smoke in the cockpit. If it is due to an electrical problem, then the
procedure is straightforward. If the smoke is due to a pneumatic problem, the procedure
is very different, but it is also very straightforward. In each case, the ECAM status page
is a solid support. As soon as you can diagnose the situation, the correct course of action
will be apparent.
The situation assessment is the problem, not the action to take: you know what to do in
each case.. So you need to put your energy into gathering the information that will
verify your diagnosis.
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
© Dédale 1996-2000
Relevant cues Are we
missed missing something?
Here are some traps and tips concerning these “situation assessment dependent
decisions”.
Traps are boxed in red (left side):
u Your situation awareness can be poor or inaccurate such that you fail to
diagnose very clearly
u The poor SA in turn leads you to miss relevant cues. Alternately, you may not
have the proper knowledge (lack of expertise).
u As a consequence, you can hesitate between wrong options: the situation is
perhaps neither Situation A nor Situation B, but something else
Note: You are supposing here there is no strong time pressure: you have plenty of time to
think and improve the decision process.
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Decisions based on
Mental Simulation
Unusual
Situation
© Dédale 1996-2000
Will option A work?
Let’s now consider another type of decision. Here the situation is unusual or non-
standard, and your job is to decide the best possible course of action. There is little
doubt as to what has happened. But the problem lies in the solution.
Example:
You have a passenger medical emergency about half-way through your flight, and there
is no professional medical help available (you can not reach the company’s medical
advice service, and there are no medical professionals in the passenger list). You need to
decide if it is best to return to your original airport, to continue as planned, to divert, …?
Here you really need to consider each option and its feasibility. Are there any problems
further along to be considered. Eg., is there suitable medical help where you want to
land? Is there accommodation for the other passengers if needed? Is there a company
fueling station?
You go through the options in your mind (mental simulation) to discover if anything
important could go wrong. If problems are foreseen, then the option might be modified
or rejected altogether, and another typical action plan is explored.
Note: the process is simplified under severe time pressure: fewer options are considered
(as few as one in case of strong pressure) and the option evaluation is simplified.
Another example:
You have lost one engine and all associated hydraulic and electrical systems.
There is no doubt as to what has happened. But the problem lies in the solution.
What should you do?
u go back to the departure airport? go on to destination? divert? Trouble-shoot
and try to restore systems?
Mental simulation will allow you to choose one option by evaluating consequences:
What fuel? What weather? What about the passengers? What about maintenance? etc.
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
What are the traps and tips specific to decisions based on mental simulation?
Traps are boxed in red (left side):
u You can choose an option that is poor or ignore one that might be more
effective.
u You can decide the “the best” solution and then realize you can’t implement it.
Novice pilots (or new on type) are particularly likely to be trapped this way
because they don’t yet have a good knowledge of what they can do with the
aircraft
u Humans have the tendency to look for confirming cues or supporting evidence
only. In other words, we tend to look for data (instrument values, events, etc.)
that confirm our initial decision, and rarely look for evidence that would show
us we are wrong. Because to this so-called “confirmation bias”, it is very
difficult to change the initial decision.
u No decision-follow up is another trap, as the situation may evolve differently
from what we expected at the time we were assessing the different options.
Example: Because the weather is foggy at destination, a crew decides to embark 20
additional T of fuel. The extra fuel makes them very confident. Shortly before arrival, the
destination airport closes. The crew decides to stay airborne to burn fuel without
questioning the situation (no situation re-assessment). But diversion n° 1 airport closes
and then diversion n° 2 airport too! The crew has then to invent a new solution, for which
it was not prepared: they finally decide to land in the nearest available airport, but far
below the fuel minimum!
Tips are boxed in green (right side):
u Try to widen the range of options.
u Ask yourself if you can make it, individually and as a crew. Choose a solution
that is realistic and well within your capabilities; One that you can
implement even if it is not “the best one” (risk assessment)
u Look for negative evidence:”Is there anything telling us we are wrong?”;
u Follow up your decisions: watch how the situation evolves and be ready to
adapt your decision or strategy accordingly.
Note: We again suppose here there is no strong time pressure. Under pressure, the first
acceptable solution is often taken. There is no time to search for a better or best solution.
Just a safe solution.
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Decision support:
The Captain’s role
Listen, this is
what we are going to do ...
© Dédale 1996-2000
u Ask for F/O inputs
u Assess the different options
u Make the decision
u Brief the F/O and all interested
parties (e.g. Cabin Crew)
about the decision made
ACRM - 2000 Briefing simulator - V4
Note: it is important that these roles be performed respecting your cultural rules and
style (power distance, communication style, etc.).
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Decision support:
The First Officer’s role
But the thunderstorm
is still over the airport!
The First Officer will:
u Provide information to
© Dédale 1996-2000
the Captain
u State his point of view
firmly enough: Assertiveness
u Explain his ideas and suggestions: Advocacy
u Ask questions : Inquiry
u Support the Captain’s decision when it is made
ACRM - 2000 Briefing simulator - V4
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Technical resources
© Dédale 1996-2000
The aircraft
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Decision support:
Procedures
u Read the procedure,
do not trust
your memory
u Monitor
the result
© Dédale 1996-2000
FLY!
u Think: assess
the situation,
u Act, call out confirm as a
and cross check crew
u First, you must read the procedure. Do not try to apply it by heart.
u Think, evaluate the situation, and confirm as a crew. Make sure you are
applying the right procedure, and that you understand it properly.
u Act, call-out and cross-check. Working as a crew facilitates in particular error
detection.
u Finally, always monitor the results of your actions, and assess the global
situation using ECAM status pages.
Warning: never forget to fly the aircraft: Take care of the trajectory!
While you are executing the procedure, the aircraft does not stop!
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Decision support:
Aircraft systems
u In abnormal situations,
decisions are supported
and guided by the
ECAM DO-LIST and
© Dédale 1996-2000
ECAM STATUS PAGE
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Example of automation
benefit: ECAM
u Need-to-see Concept
u Provide the crew with
timely information about:
© Dédale 1996-2000
– nature of the failure
– critical actions to be taken
– resulting status of the systems
– non critical clean-up actions
(to be completed when time permits)
Note: The ECAM philosophy relies on the need-to-see concept. By that we mean there
are preset sequences that you can view which will provide you with the relevant
information for the phase of flight you are in.
But, beware, if you watch only this page, you may be out of the loop, and your situation
awareness may be downgraded.
This is the reason why you should periodically review the ECAM system display pages.
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Flight modes
© Dédale 1996-2000
Some protections:
u You should be aware of the current status of the FMA at all time and
understand the flight mode implication (ex. how does the aircraft behave with
the current mode?)
u Every time a mode changes, be it commanded or unexpected, you should call it
out.
Accident examples
The Bangalore accident, or the Sainte Odile accident are examples of what can happen
when the crew misunderstands the flight mode.
But this is not specific to glass-cockpit aircraft. In 1979, a DC10-30 flying from
Frankfurt to Moscow lost 11000 feet in less than one and a half minutes after it had
stalled while unwittingly climbing in Vertical Speed mode. It took almost one minute for
the crew to realize they were stalling.
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SIMULATOR BRIEFING INSTRUCTOR’S GUIDE
Levels of automation
Aircraft reaction time
Managed
Selected
© Dédale 1996-2000
“HEAD DOWN”
LONG INTERACTION
LONG TERM ACTION
“HEAD UP”
SHORT INTERACTION
SHORT TERM ACTION
According to the time you have, you can either go on basic flight, or selected or
managed navigation.
Basic flight will reduce almost to zero your interaction time with the aircraft. But your
workload will be high.
On the contrary, if you use the managed level of automation, the interaction time will be
higher, and so will the aircraft reaction time.
But your workload will be lower.
u SELECTED: ATC asks you to turn heading 220 for Radar Vectoring to ILS.
For this you use the FCU Heading knob
u BASIC: ATC requests you to immediately turn left for safety reasons. For this
you disconnect AP and turn manually to decrease reaction time.
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