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In-Flight Cargo Ignition AeroSafety WORLD FAR, FAR AWAY BARS benefits resource sector CRUSHING PRESSURE Money woes influence helicopter pilot EVERYDAY RISK CHECKS EVA Airways applies FORAS software 747 CRASH REPORT CITES CATASTROPHIC FIRE IN-FLIGHT CARGO IGNITION THE JOURNAL OF FLIGHT SAFETY FOUNDATION NOVEMBER 2013 Thank You For Your Support! Platinum Sponsors Gold Sponsor Bronze Sponsors PRESIDENT’SMESSAGE Pilot Training MORE THAN JUST STICK AND RUDDER SKILLS n the wake of Air France Flight 447 in mitigating LOC–I, were discussed in long had assumed, given the advanced June 2009 and more recent accidents, a September in London during the Royal state of automation. lot has been said and written about how Aeronautical Society’s International Air- Other issues include how to carve out pilots are trained and about what seems line Flight Crew Training Conference. adequate time in tight training schedules Ito be an erosion of basic flying skills. Many The society’s 80-member International for UPRT and manual handling practice; subject matter experts (SMEs) agree that Committee for Aviation Training in ensuring that training addresses real-life airline flying today suffers from what some Extended Envelopes (ICATEE) focused survival; refinement of flight simulation call “the curse of ubiquitous normalcy,” that on practical solutions that will make a training devices to provide highly accu- is, a professional cultural expectation of difference in LOC-I rather than push- rate cues; UPRT instructor qualification; low-stress operations in which high-risk ing new technology, but the resulting further work on technology-based LOC–I problems are so rare as to need little atten- solutions still require strong indus- mitigation; further study of root causes of tion. The more robust a system becomes, try commitment and support. Several upsets; reaching agreement on contentious the more likely people are to become com- presenters said evidence is emerging human factors issues, such as today’s long placent. This is where important advances that these LOC–I mitigations, where periods of pilots monitoring automation in upset prevention and recovery training voluntarily adopted, already are work- and managing systems; and optimal crew (UPRT) will come into play. ing and leading to entirely new insights resource management during upset pre- Publication of the new International and paradigms for airline pilot training. vention, recognition and recovery stages. Civil Aviation Organization (ICAO) Doc One captain said that “when you There is more to LOC–I than just 10011-2013, Manual of Upset Prevention disconnect the autopilot is where tech- stick and rudder skills. Meaningful guid- and Recovery Training — expected in mid- nology becomes art,” advocating that ance compiled from many sources on the October — signals a major transition for regular practice of manual flying builds various components will be needed to ef- the air transport industry from a four-year problem-solving resilience and a reserve fectively mitigate this threat. Flight Safety period of “expert talk” about mitigat- of cognitive capacity to handle stall/ Foundation stands ready to facilitate ing loss of control–in flight (LOC-I) to upset situations. Traditional methods new developments and to see that they readiness for worldwide implementation of repeatedly flying familiar maneuvers are shared. of specific changes. It is not the first time and scenarios in flight simulators are no the industry has addressed airplane upset longer enough, some SMEs said, because recovery, and the validity of previous work unforeseeable or extremely rare events — (in which Flight Safety Foundation par- not to mention go-arounds, hand-flown ticipated) has been an influential bedrock visual landings and unreliable airspeed of the new 2013–2014 products. scenarios — today demand a higher Capt. Kevin L. Hiatt Details of the transition over the level of skill, situational awareness and President and CEO next few years, and further steps for resilience than many safety specialists Flight Safety Foundation FLIGHTSAFETY.ORG | AEROSAFETYWORLD | NOVEMBER 2013 | 1 AeroSafetyWORLD contentsNovember 2013 Vol 8 Issue 10 features 12 Cover Story | ‘Catastrophic Uncontained Fire’ 12 17 StrategicIssues | BARS Influences Remote Operations 23 FlightOperations | Misjudging Density Altitude Effects 17 28 ThreatAnalysis | Airline Insurance as Safety Asset 33 HelicopterSafety | Bankruptcy Threat Degrades Judgment 38 HumanFactors | New EU Flight and Duty Time 42 SafetyTools | Daily Use of FORAS Software 23 departments 1 President’s Message | Pilot Training 5 EditorialPage | Fiscal Crisis 7 Safety Calendar | Industry Events 2 | FLIGHT SAFETY FOUNDATION | AEROSAFETYWORLD | NOVEMBER 2013 operations management traffic flow crew policy aircraft procedures weather airports 33 38 42 AeroSafetyWORLD 8 In Brief | Safety News telephone: +1 703.739.6700 Capt. Kevin L. Hiatt, publisher, 47 InfoScan | Managing Workload FSF president and CEO [email protected] 51 On Record | Close Call on Climb-Out Frank Jackman, editor-in-chief, FSF director of publications [email protected], ext. 116 Wayne Rosenkrans, senior editor [email protected], ext. 115 Linda Werfelman, senior editor [email protected], ext. 122 Rick Darby, contributing editor [email protected] Mark Lacagnina, contributing editor [email protected] Jennifer Moore, art director About the Cover [email protected] The fatal in-flight fire aboard this Boeing 747-400F erupted in a main-deck cargo pallet. Susan D. Reed, production specialist [email protected], ext. 123 © Mario Aurich/AirTeamImages.com Editorial Advisory Board David North, EAB chairman, consultant We Encourage Reprints (For permissions, go to <flightsafety.org/aerosafety-world-magazine>) Share Your Knowledge Frank Jackman, EAB executive secretary If you have an article proposal, manuscript or technical paper that you believe would make a useful contribution to the ongoing dialogue about aviation safety, we will be Flight Safety Foundation glad to consider it. Send it to Director of Publications Frank Jackman, 801 N. Fairfax St., Suite 400, Alexandria, VA 22314-1774 USA or [email protected]. The publications staff reserves the right to edit all submissions for publication. Copyright must be transferred to the Foundation for a contribution to be published, and Steven J. Brown, senior vice president–operations payment is made to the author upon publication. National Business Aviation Association Sales Contact Emerald Media Barry Eccleston, president and CEO Cheryl Goldsby, [email protected] +1 703.737.6753 Airbus North America Kelly Murphy, [email protected] +1 703.716.0503 Subscriptions: All members of Flight Safety Foundation automatically get a subscription to AeroSafety World magazine. For more information, please contact the Don Phillips, freelance transportation membership department, Flight Safety Foundation, 801 N. Fairfax St., Suite 400, Alexandria, VA 22314-1774 USA, +1 703.739.6700 or [email protected]. reporter AeroSafety World © Copyright 2013 by Flight Safety Foundation Inc. All rights reserved. ISSN 1934-4015 (print)/ ISSN 1937-0830 (digital). Published 11 times a year. Suggestions and opinions expressed in AeroSafety World are not necessarily endorsed by Flight Safety Foundation. Russell B. Rayman, M.D., executive director Nothing in these pages is intended to supersede operators’ or manufacturers’ policies, practices or requirements, or to supersede government regulations. Aerospace Medical Association, retired | | FLIGHTSAFETY.ORG AEROSAFETYWORLD NOVEMBER 2013 | 3 Select the Integrated Air Safety Management Software Solution... SMS IAMS FAA Airline Quality JSA IOSA Flight Control Safety Audits Risk Matrix Safety Integrated JSA Aviation Security IAMS SMS IOSA Environmental JSA FAA Risk Management IAMS SMS SMS IATA Operational Safety Audit Flight Control Job Safety Analysis IATA Risk Matrix Safety Management System Job Safety Analysis FAA IOSA Risk Assessment JSA Integrated Airline Management System IATA JSA Environmental Federal Aviation Administration IOSA IOSA Reporting Airline Industry IAMS Aviation Risk Assessment FAA Airline Safety JSA SMS Safety Audits Aerosafety Risk Management Flight Control Flight Control Safety Audits Safety Audits Reporting JSA Risk Matrix SMS Airline IOSA FAA SMS Airline IAMS IAMS Air Safety IATA Quality Integrated Airline Safety IOSA Reporting Flight Control Job Safety Analysis Aerosafety Safety Audits Risk Management IATA Airline Industry FAA SMS SMS JSA Aviation FAA Best Practices: Integrated modules for Aviation Safety Management: ...with the most VALUE Document Control • Reporting • Audits • Training • Job Safety Analysis CAPA • Safety Incident Reporting • Risk Assessment ...and more! Safety Assurance: Handles daily events, hazard analysis, and controls related to Aviation Safety Management System Assessment & Corrective Action: Uses intelligent Decision trees to determine whether event conform to requirements, and take Corrective Action to known events Safety Risk Management: Intuitive process for determining potential hazards using Job Safety Analysis, FMEA and similar tools Risk Assessment: Identifies, mitigates, and prevents high-risk events in the Aviation Safety Management System Change Control: Implement Controls to mitigate risks and Change Management to change processes related to known hazards Integration: Integrates with 3rd party business systems Scalable: Readily adapts to enterprise environments, and
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