Captain Ed Pooley The Air Safety Consultancy & FSF European Advisory Committee
Safety and Automation The Air Safety Consultancy 1
Forum Brussels 2015 AUTOMATION HAS ARRIVED It has done so in company with the means for greater navigational accuracy and the fuel use efficiency which this has facilitated. Did we see it coming? - Yes Did we fully appreciate what the operational safety consequences would be? - No Have we yet responded effectively? - No
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Forum Brussels 2015 WHAT ARE THE ISSUES? There is no question that the effect of automation on safety over the past 25 years has been overwhelmingly good - arguably the main reason for the low fatal accident rate. But the evidence shows that there are still problems at both the HMI and with manual handling at reduced levels of automation availability. Before we look further, perhaps it is worth remembering the journey we are on here. The unwritten but ultimate objective of automation is the eventual removal of pilots from the flight deck. But before that we have to keep the system safe for a generation.
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Forum Brussels 2015 NEAR MISSES v ACCIDENTS We know that we can always expect more ‘near misses’ than actual accidents but…. In the case of occurrences involving the management of automation or its absence, it may well be that there are rather more ‘near- misses’ in proportion to accidents than in the case of accidents without automation status being a significant contributory factor. If this is indeed true, it would be a ratio that we could not rely on remaining favourable and a reason for action in itself.
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Forum Brussels 2015 THE CONTEXT FOR HIGH LEVELS OF AUTOMATION It is exceptionally reliable Its use is usually mandated for most of the flight Its rise has come at the same time as: the simplicity of GNSS navigation increasingly prescriptive instructions on how to fly Together, these factors have resulted in: Virtually no manual flying in normal operations A dramatic reduction in ad hoc decision making in favour of following the right procedure.
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Forum Brussels 2015 THE RESULT? The unexpected has not vanished, it is just much less prevalent. Pilot competency is required in two entirely different ways of operating and all the combinations in between yet most of their training and experience is focused on the normal and the ‘predictable’ abnormal. At the standard mandatory training level, there has so far been just a modest concession in content and no recognition that more training time is required to assure competence in the rarely used as well as the normally used.
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Forum Brussels 2015 ‘SAFETY NET’ EFFECTIVENESS IS LIMITED The most obvious tactical defences against automation misuse or non availability and/or its consequences are: More and better Alerting Effective (cross) Monitoring in the flight deck Flight Envelope Protection It is easy to conclude that none of these deliver at the level we would like Safety and Automation The Air Safety Consultancy 7 Forum Brussels 2015 HAS THERE BEEN A MITIGATING TRANSITION FACTOR? Maybe, but it won’t last much longer. The generation of pilots who had the benefit of careers which transitioned them to very high levels of automation only after significant exposure to low levels of automation have (except in Japan!) almost all retired. This means that any protection from the consequences of lower than normal automation functionality for whatever reason afforded by an older Captain with this ‘traditional’ background has nearly vanished.
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Forum Brussels 2015 WHERE DO WE GO FROM HERE? Embrace the ‘foundation benefit’ of the move to competency-based training and assessment instead of the achievement of minimum performance in the conduct of prescribed manoeuvres. Recognise that preparation for the rare and unexpected event where normal automation is no longer available and for which there may be limited or no SOPs requires meaningful representative practice which will allow demonstration of flight path control competence in unscripted or only partially scripted events. Provide more practical training for the skills with the least everyday use and support this with improved ‘knowledge-assurance’ to inform both the normal management of automation by SOPs and any reversion towards a manual take over.
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Forum Brussels 2015 CURRENT PILOT TRAINING & COMPETENCY ASSESSMENT Improve the initial training of pilots for aircraft type ratings, both in objectives and scope. Ensure that recurrent training validates continued competence in least-used skills at appropriate intervals using cost effective methods. Fully justify the presence of a second fully trained pilot on the flight deck by improving the effectiveness of monitoring. Remove unnecessary complexity from the flight deck and ensure that a holistic operational view is taken of the overall effect of the HMI as encountered.
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Forum Brussels 2015 NEW PILOTS - LICENSING Review the process of determining competency for initial issue of a professional pilot licence. Ab-initio professional licensing of fixed wing transport pilots in the European tradition has been founded on assessment of competence at licence issue rather than deferment of too much of this to subsequent employers. A review of whether present licensing requirements have altered this balance is needed with corrective action if it is concluded that it has done so, since best practice alone will not spread everywhere.
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Forum Brussels 2015 AIRCRAFT CERTIFICATION Widespread awareness of HMI automation safety issues dates back to at least 1992 (the Mont Saint-Odile A320 accident). Since then, the more obvious examples of poor specific elements in the flight deck HMI have been fixed but attention to the subject has not kept pace with the nature of modern piloting and today’s pilots. Aeroplane Type Certification could almost certainly contribute more to safety by more effective assessment of the collective HMI effect of flight deck design and use this to set minimum ‘whole system’ standards.
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Forum Brussels 2015 CONCLUDING SUMMARY The combination of the changing nature of pilots and piloting does not equip us to face the safety-related future of automation with confidence. Best Practice with or without a degree of regulatory flexibility is currently able to contain the safety consequences of highly reliable, all-embracing and almost-always-used automation for the fortunate few. But the baseline requirements for licence issue, pilot type rating issue and recurrent training/assessment are not. Both the methods and time required to assure competency need a fundamental overhaul. The aeroplane type certification approach to overall HMI issues in automated flight decks needs revisiting once again and all the manufacturers of highly automated aeroplanes need to help with this.
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