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- By: William Benhoff
- Safety Program Manager
- Cleveland FSDO
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- When certified a pilot is expected to:
- Be responsible in behavior
- Understand and interpret the “rules”
- To use “Good Judgment”
- Accident statistics indicate 80 to 85% of all GA accidents involve “Pilot
Error”
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3
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- Oversimplification
- Pilots intend to fly safely
- Make decisional errors
- Skill and luck most times is enough to save them - Sometimes it’s not
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- Ben Franklin in the 1734 edition of Poor Richard’s Almanac” said:
- “Experience keeps a dear school, but fools will learn in no other”
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5
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- Training
- Controlled Environment
- With a “qualified” Instructor
- Simulated Problems
- Safety Seminars
- Hanger Flying
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- Pilot Judgment - takes 2 forms
- Cognitive:
- More time to think
- Final decision is easily influenced by non-flight factors
- Perceptual:
- Without much thought
- Not easily influenced
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- Help you move your pilot decisions from Cognitive to Perceptual
- Give you a 5 step “checklist” to help you make better decisions
- Reduce your chances of enrolling in that “Dear School”
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- It’s easy and requires no purchase
- It is within arms reach at all times!!!
- Each flight has 4 risk factors:
- Pilot
- Aircraft
- Environment
- Operation
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- The Pilot
- Any evaluation of the pilot, is included in the First Step.
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10
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- I - Illness
- M - Medication
- S - Stress
- A - Alcohol
- F - Fatigue
- E - Eating
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- Do you have any symptoms?
- What will be their effects in flight
- Will they cause you discomfort
- How will they effect other decisions
- Do you really want to fly if your sick?
- There is no MEL for the pilot
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- FAR 91.17(a)(3) states you can not fly while taking any drug that
effects your faculties in any way contrary to safety
- Have you been taking any prescription or over-the-counter medication?
- CAFFEINE ????
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- Some stress - good / A lot of stress - bad --- very bad
- Life stress vs Flight stress
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- Life stress values:
- Death in family ......................50 pts.
- Serious health problem..........37 pts.
- Lack of sleep.........................34 pts.
- Government action................29 pts.
- Employment...........................26 pts.
- Total of 50-70 pts. - could be trouble
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- FAR 91. 17 (a) has three parts to it:
- 8 hours
- .04 Blood alcohol
- Under the influence
- What have I been drinking within the last 8 hours? Within 24 hours?
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- Am I tired or not adequately rested?
- In the life stress it rated 34 pts.
It even scored more points than serious financial problem = 29
pts.
- In parts 121 and 135 there are limits of duty time and rest hours set.
- However under Part 91 you can fly
until you drop - perhaps literally.
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- Am I adequately nourished?
- Vending Machine or Fast Food
- Good meal with proper foods
- How long ago was your last meal?
- Remember school and a good breakfast
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- If all evaluations of the pilot are SATISFACTORY
- Fold down that finger and go to Step 2
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- The Aircraft
- Any Judgment about the aircraft and it’s equipment
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- Don’t use - THE WRONG TOOL
- Is the aircraft your using on
this flight adequate for the conditions expected?
- Instrument vs. All Weather
- Equipped for your use
- How current / qualified are you to fly it?
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- Are the required inspections completed?
- How can you verify this information
- When was the last maintenance completed
- Are there any open discrepancies
- IS THE REQUIRED PAPERWORK ON BOARD!!!!
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- Is a good thorough preflight inspection completed?
- Carefully look over every aircraft flown
- Know what each leak is, and why each stain is there
- Verify all equipment is working or address why it’s not required
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- Plan, Plan, Plan, then plan some more
- Know how much fuel is required and how much is being used
- Runway lengths required
- Weight and Balance of each leg
- Don’t be an “Experimenter Pilot”
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- If all evaluations of the aircraft are SATISFACTORY
- Fold down that finger and go to Step 3.
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- The Environment
- Any evaluation of where and in
what will the flight be operated in
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- VFR or IFR
- Winds
- Visibility
- Icing
- If you live by the forecast, you shall die by the forecast
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- Time of the day:
- Day/VFR
- Day/IFR
- Night/VFR
- Night/IFR
- Season:
- Winter vs. Summer
- Spring vs Fall
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- Airport location:
- Busy Airport / Class B Airspace
- Aircraft Traffic Mix
- Grass Field, remote location
- Surrounding area
- Facilities Available - airport / aircraft
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29
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- Availability - Services provided
- Complexity
- Weather observation
- Observer
- AWOS - different levels of services/info.
- NONE????
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30
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- If all evaluations of the environment are SATISFACTORY
- Fold down that finger and go to Step 4.
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- The Operation
- WHY IS THIS FLIGHT BEING MADE????
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- The most easily influenced by factors not related to safety
- The area where the majority of the Poor Decisional Errors are made
- Requires a personal commitment to not exceed your limitations
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- Is this flight:
- Low investment - High return
- High investment - Low return
- Must this flight be conducted NOW or can it be DELAYED
- Is this a financial decision?
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- Where is the pressure coming from? Pressure = Flight Stress
- Serious Disagreement..............50 pts.
- System Failure...................50 - 30 pts.
- Deteriorating Weather..............45 pts.
- Violation on This Flight..............31 pts.
- Almost an Accident...................25 pts.
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- Some Personal Stress when added to your Flight Stress -
- It’s easy to get above 50 - 70 points, putting you at risk for stress
related decisional errors
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- Other “Flight Stress” induces:
- Passengers
- What are their motivations
- Who is the expert in aviation
- Do they FULLY understand the risks
- Is it a failure to communicate the situation to them?
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- Employer
- Is it a communication problem
- Who is above this person
- 1,000 other pilots?
- A violation? For you or the company
- Is this job worth your life?
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- Other Pilots:
- Sometimes our worst enemies
- Would they really go with all the information you have?
- What are their decision making skills
- Perhaps they are WRONG - and you are RIGHT !!!!!!
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- The Pilot
- Is all this pressure from you
- What are your alternatives
- Have you carefully analyzed the risk factors - can any be changed?
- What are your true motivations????
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40
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- If all evaluations of the Operation are SATISFACTORY
- Fold down that finger and go to Step 5.
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- The Situation
- If all fingers are folded down, meaning all risk are SATISFACTORY
- Start or Continue
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- If any fingers are still out, meaning a risk factor is not satisfactory
- NO GO or STOP
- Determine how you can change the risk
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- GO / NO GO Decision
- GO / Continue to go Decision
- Continually make decisions based upon the 5 Risk Factors, to continue
the flight or divert
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- Who is the Captain/Pilot In Command?
- You are never really a Captain, until you can say “NO”
- One of the responsibilities of command is the ability to say “NO” in the
interest of Safety
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