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Copyright © 2003 jsd
21 Pilot-In-Command Decisionmaking
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The really good pilots use their superior judgment
to keep them out of situations where they might be required to
demonstrate their superior skill.
21.1 Decisionmaking In General
Piloting requires a range of skills: -
At one extreme are “reflexes” that involve lots of eye-hand
coordination and tactics rather than strategy. There are also some
basic thinking skills, such as giving answers to clearly-posed
questions. These skills are relatively easy to teach, and relatively
easy to evaluate.
- At the other extreme are advanced decisionmaking skills. As
pilot in command, you will need to make decisions in situations where
it’s not even obvious that a decision needs to be made. This requires
being able to notice small things as well as being able to see the big
picture. It also requires not assuming that whatever procedure you
used last time is going to work next time. These skills are extremely
important. They are, alas, not so easy to teach or easy to evaluate.
As an example: In a lesson, you might be asked to demonstrate
short-field landing procedure. It isn’t your decision, since you have
been told to use short-field procedure. In contrast, suppose
that years from now, you want to fly yourself to XYZ airport. Your
former instructor knows the XYZ runway is very short, but do you? The instructor won’t be there to tell
you to use short-field procedure. What’s worse, there won’t even be
anybody to ask you what procedure is called for. Will you be
wise enough to ask the question on your own? Perhaps questions such
as “should we be using short-field procedure?” and “should we be
using this runway at all?” ought to be on the takeoff and landing
checklists, but in light aircraft they typically aren’t.
-
Let’s assume you know how to calculate the runway requirements
using the POH. That’s easy, if and when somebody asks the
question.
- Let’s assume you know how to use short-field technique. That’s
not the issue.
- The question is, will you know whether to use short-field
technique, when there’s nobody there to ask the question.
This sort of decisionmaking is a high-level skill. It is not well
understood. Common sense is good, but this goes beyond common sense.
Planning ahead is good, but this goes beyond planning. Logic is good,
but this goes beyond mere syllogisms. Strategy is good, but this goes
beyond the usual definition of strategy. Let’s just call it
decisionmaking. (Some pilots also call it headwork.)
There are innumerable situations that require good decisionmaking.
As just discussed, one aspect of decisionmaking is to recognize that a
decision is needed, even though it’s not in the form of a
clearly-posed question. A somewhat-related aspect involves starting
from a seemingly-small, seemingly-isolated fact, then seeing how it
connects to the other facts you know, and working out the implications
and ramifications.
As an example of ramifications: Suppose
you were expecting a 20-knot tailwind, but you’ve actually got a
20-knot headwind. For starters, you have to notice this. It
won’t be obvious, unless you’re checking arrival-time at enroute
waypoints, and/or checking DME or GPS groundspeed. Then you
have to work out the implications.
- The obvious implication is that you’re going to be late.
- A slightly-less-obvious implication is that you might not have
enough fuel to reach your originally-intended destination. If you have to divert, don’t wait until
you’re low on fuel to do it.
- An even-less-obvious implication is that if the forecast is
wrong about the winds, it’s probably wrong about everything else:
ceiling, visibility, temperature, precipitation, icing,
turbulence, et cetera. You’d be well advised to get an updated
forecast.
21.2 Decisionmaking during Lessons
I have adopted an instructional style designed to exercise your
decisionmaking muscle. (Other instructors may have different
styles. Discuss it in advance with your instructor, to avoid
misunderstandings.)
21.2.1 Please Act As PIC During Lessons
During introductory lessons, you start out with minimal
responsibilities and gradually acquire more and more. Later, in
non-introductory situations, I want you to act like pilot-in-command
as much as possible.
With one exception (section 21.2.3), everything I say is merely a
suggestion. My suggestions aren’t meant to relieve you of your
responsibility as pilot-in-command. For instance, if I ask you to
turn right, you remain responsible for clearing the area. Please
clear the area just as you would if you were solo. Also think about
whether the new heading will take us into restricted airspace or some
such. If you don’t want to turn right, we can discuss it.
If we are in a situation that you ought to be able to handle on your
own, I will generally let you handle it. If I need to contribute, I
like to use a multi-stage “escalation” process:-
Ideally, I don’t need to say anything. If we are facing an
energy-management challenge, you can notice it (the sooner the better)
and deal with it.
- If you don’t deal with it on your own, I’ll start asking
questions, such as: “How’s your energy? Are we high and fast, or low
and slow?”
- Then come more-explicit statements: “It looks like the angle
from the horizon to the aim point is growing. If you don’t do
something we’re going to overshoot the runway.”
- Then it escalates to an instruction: “Go around.”
- Then the instructions become more detailed: “Add power.
Raise the nose. Start retracting the flaps.”
- Finally: “I’ve got it.”
Remember, being a pilot means making decisions, even during lessons
(except introductory lessons). During the escalation process, I’m
gradually shifting more of the decisionmaking onto my shoulders. Your
goal should be to take the hints at the earliest possible stage, so
that further stages of escalation are not needed.
As another illustration of the same idea, I try to avoid giving an
instruction such as “go around”. If I see a deer on the runway,
I’ll say there’s a deer on the runway, and you can come to your own
conclusion about going around. If we need to do some go-arounds just
for practice, I might say there’s a hippopotamus on the runway. You
know it’s not real, but I want you to pretend there’s an
obstruction, and come to your own conclusions about how to deal with
it. Most likely you will decide to go around.
At the other extreme, if you are struggling with an unfamiliar
situation, I’ll just tell you how to deal with it. No hints, no
escalation. There are lots of good but non-obvious techniques, and I
don’t expect you to re-invent them on your own.
Also note that one element of good PIC decisionmaking is knowing
when to ask for help. This includes asking for clarification of an
overly-vague hint.
21.2.2 How’s Your Workload?
From time to time I will ask you “How’s your workload?”
There are many possible answers, including:-
Swamped. Could use some help.
- Pretty busy right now.
- Workload’s not too bad right now.
If you’re swamped, I’ll help. If you’re busy, I’ll leave you alone.
If you’re not busy, I might strike up a conversation about strategy or
tactics, or suggest an exercise.
If I say “I’ve got it”, that means I am taking command of
the airplane and I don’t want any delay or any question about it. (We
will discuss it afterward.)
Notice the important distinction:-
“How about I fly for a bit?” or “Would you like me to
demonstrate that maneuver?” Those are simply questions,
perhaps verging on suggestions. Those are negotiable.
- “I’ve got it.” This is not a suggestion. This is
absolutely not negotiable. This is necessary to preserve safety.
When you are under the hood, practicing flight by reference to
instruments, you should start by telling your safety pilot (whether
it’s me or somebody else) “I’m delegating the traffic-spotting to
you”. The safety pilot should give you a readback on this, saying
something like “I accept the delegation”. You should insist on
this.
You remain pilot-in-command and you even retain a share of the
responsibility for traffic separation. Before turning (except small
shallow turns), ask “Clear right?” or “Clear left?”; don’t assume
your safety-pilot has pre-cleared all turns.
When practicing an instrument approach, I will tell you if/when we
break out of the simulated clouds. If in doubt, you can ask whether
we have broken out. This is another decisionmaking exercise. If we
reach the missed-approach point or decision height and haven’t broken
out, do not expect me to say anything at this point. I want you
to decide on your own when it’s time to begin the missed-approach
procedure.
If I say “you’ve got the approach lights” it means you haven’t
entirely broken out of the simulated clouds, but you have the option
of continuing the approach in accordance with FAR 91.175(c)3(i).
21.3 Layers of Safety
One of the standard ways to achieve a high level of safety is to use a
layered approach: layers and layers of backups and crosschecks.
For example, before takeoff, always check the
fuel level by looking in the tanks. If you can’t accurately judge the
fuel level by eye, use a pipette to measure it. Then see what the
cockpit fuel gauges are reading. Crosscheck the two types of
measurement. If they disagree, you’ve got a problem.
Similarly, during the course of the flight, you have two ways of
estimating how much fuel remains: (a) Start with what you had at
takeoff, and decrement it according to the expected fuel-burn rate,
and (b) look at the gauges. Method (a) will fool you if there is a
leak or other problem in the fuel system, and method (b) will fool you
if the gauge is stuck, but the chance of both problems happening at
the same time is remote. (The third layer of safety is to make a
forced landing, but you hope it doesn’t come to that.)
Don’t lightly give away layers of safety. For example, if you don’t
do a magneto check before each flight, it’s just a matter of
time before one mag fails. You won’t notice this, especially if it is
the right mag (since only the left mag is used for starting). Then
it’s just a matter of time before the other mag fails in flight. You
will notice it then, because the engine will suddenly quit.
The notion of layers of safety applies to many aspects of
flying:-
Having two magnetos doesn’t make the engine twice as reliable;
it makes it thousands of times more reliable.
- Pipetting the tanks and keeping an eye on the fuel gauges
is thousands of times more reliable than either one separately.
- As discussed in section 12.7.4 there is a long
list of cues you can use to make sure you aren’t landing with a
tailwind and/or excessive airspeed. Sometimes some cues will be
useless or worse: perhaps the windsock is not visible from pattern
altitude, and perhaps the previous airplane used the wrong runway.
And perhaps you will occasionally overlook one or two cues. But that
still leaves many, many cues that will keep you out of trouble.
- You have multiple sources of navigation information
(dead reckoning, pilotage, VOR, GPS, ATC radar) which can be cross-checked against each
other.
You should pay attention to anything that peels away one or more
layers of safety. Keep track of how many layers remain.
If one magneto fails, park the airplane until it is fixed!
If the fuel gauges cannot be trusted, park the airplane until it is
fixed! Do not rely on clock-and-dipstick alone, or on the gauges
alone.
21.4 Example: Obstacle Clearance
In other publications, obstacle clearance is commonly discussed
under the heading “controlled flight into terrain” (CFIT). The term
obstacle clearance is preferable, partly because it puts a more
positive spin on things: it is better to talk about your obstacle
clearance successes than your CFIT failures. Also, the CFIT
statistics are misnamed because they include collisions with trees,
man-made structures, bodies of water, etc. that you might not have
thought of as “terrain”. They also include taxiing into potholes
and other things that you might not have thought of as “flight”.
We ought to pay serious attention to the obstacle clearance issue,
because statistics show a surprisingly large number of accidents where
a perfectly good aircraft collides with an obstacle. You would think
such accidents would be entirely preventable, so even one occurrence
is far too many.
Obstacles can be a factor during any phase of flight, including
departure, enroute, or approach. A typical accident scenario goes
something like this: At night (or in hazy weather), at an unfamiliar
airport, the pilots crash into power lines or into a hillside.
Let’s analyze this scenario using our notion of layers of safety.
Let’s ask what “caused” this accident. -
Did they crash “because” of the obstacles? If they had been
flying somewhere with more benign topography, they wouldn’t have
gotten into trouble.
- Did they crash “because” they made a wrong turn? Presumably
every airport has some path that airplanes can safely follow on
takeoff. Perhaps they weren’t familiar with the correct procedure, or
perhaps they just neglected to follow the correct procedure.
- Did they crash “because” of darkness or hazy weather? If it
had been daytime in clear weather, they would have seen the
approaching obstacle in time to turn away.
We say this accident had at least three causative factors. Each of
the factors was “a” contributory cause of the accident, but none was
“the” sole cause of the accident.
Multi-factor situations like this can be a challenge to your
decisionmaking skills. Section 21.3 says you should
not lightly give away layers of safety. But what does “lightly”
mean? Sometimes there are good reasons for accepting some risk.
Sometimes it’s OK to fly at night, or in hazy weather. Sometimes it’s
OK to fly to an unfamiliar field. But don’t get too
complacent. If you get complacent about each risk
factor separately you can get into big trouble if/when multiple risk
factors gang up on you.
Anything that involves operating at low altitudes peels off one or two
layers of safety. In addition to ordinary approaches and departures,
there are many examples including patrol, photo work, crop dusting,
scud running (i.e. flying at low altitudes to avoid clouds), buzzing
(i.e. flying at low altitudes to show off), and mountain flying.
The departure phase and approach phase account for a huge proportion
of the obstacle clearance problems. You need to worry about this even
in regions that are not considered mountainous. A modest hill or a
modest structure can be a serious threat if it’s near a runway.
VFR at an unfamilar field at night (or in hazy weather) is
particularly risky, as discussed in section 12.1.3
and section 13.7.5.
In the enroute phase, the primary obstacle-clearance technique is to
choose a suitable route and a suitable altitude, as discussed in
section 14.8. A good secondary technique, to reduce the
chance of mistakes, is to get radar advisories. The ATC computers
know the minimum safe enroute altitude in each sector, and will sound
an alarm if you get too low. Similarly, some fancy RNAV units now
contain obstacle-clearance data and will give you warning of
approaching threats. Another thing that may be of some help is an
altitude alerter. This is a simple, cheap instrument. You tell it
what you have chosen as your intended altitude, and it will beep if
you inadvertently drift above or below that. Alas, this won’t help
much if you punch an unsuitable number into the instrument (due to bad
planning or whatever) and it won’t help if you are trying to fly
through a mountain pass and get off-course horizontally.
21.5 Flow Pattern
During the preflight check, you should walk around the airplane
and check everything that you come to, in order. This is an example
of using the flow pattern.
After examining things according to the flow pattern, you should run
the checklist to see what you overlooked.
Checklists are good. Flow patterns are good. Neither one is a
substitute for the other; instead, each is a backup for the
other. Using them both is much, much better than using either one
alone.
There are many situations where you can use a flow pattern,
including:-
Preflight walk-around.
- Pre-takeoff instrument check.
- Enroute instrument check.
- Engine failure / restart (section 15.1.1).
- Et cetera.
21.6 Checklists
If you don’t use a written checklist, it is just a matter of time
until you forget something.
There are some checklists that you should commit to memory, such as
rejected takeoff, spins, fire in flight, go-around, and possibly
others, depending on how complex your airplane is. But even these
should not be entrusted to long-term memory. Short-term memory is
better than long-term memory, so refresh your memory at frequent
intervals. An excellent method is to recite the checklist out loud,
while somebody else checks your version against the written version.
I know a lot of pilots who fastidiously use a written checklist for
preflight, but rely on memory for the approach and landing checklists.
It is fairly easy to see how people fall into this trap: During
preflight you are not strapped into your seat, and you are not busy
flying the airplane. You can always take a minute to find the POH and
read through it. In contrast, when you are setting up for a landing,
the book is likely to be somewhere hard to reach and you’re too busy
to do much reading anyway.
Therefore, here are some constructive suggestions.
Pick the one(s) you like best:
-
Make a pocket checklist. Print up the
checklists you are going to need during flight and fold them in
such a way that they fit in a pocket. During preflight, put the
list in a convenient pocket.
- If you habitually use a lap desk, tape a copy
of the in-flight checklists to the lap desk itself.
- If space can be found, glue a copy of the in-flight
checklists to the instrument panel.
The pocket checklist should include the approach, landing, and
go-around checklists, as discussed in section 12.1.
If you fly more than one airplane, make sure you have an appropriate
pocket checklist or lap-desk checklist for each of them. As you
progress in your pilot career, you will be flying progressively more
complex aircraft, and if you persist in using the same old checklist
you will get into trouble some day. Some aircraft have retractable
landing gear; some don’t. Some aircraft have cowl flaps; some
don’t. Some aircraft require using carburetor heat; some don’t.
Some aircraft require switching on the electric fuel pump for landing;
others forbid it.
Discipline yourself to pay attention to the checklist.
Don’t just keep it in your pocket as a good-luck charm.
My pocket checklist also includes an enroute checklist, which is only
three words long: “indications, configuration, location”. That is
shorthand for the following:
- Indications: Go left-to-right across the panel and
check everything, including the gauges that aren’t part of your
ordinary moment-to-moment scan: Fuel level, engine instruments, et
cetera. Check that the directional gyro is aligned with the
compass.
- Configuration: See if the fuel/air mixture is
appropriate for this phase of flight. Make sure you’re not flying
cross-country with the flaps extended. On more complex airplanes,
there are more things to check: landing gear, cowl flaps, speed
brakes, et cetera.
- Location: Where are we? Where’s the nearest airport?
Mark this location on the chart, along with the time, as discussed in section 14.2.
21.7 Personal Minimums
All too often, pilots get into risky situations without even realizing
it. They don’t consciously decide to run a risk. They just take off
on a supposedly routine flight, and by the time they notice a problem
it is already too late to solve the problem.
In theory, you can avoid such problems by paying meticulous attention
to “everything”. But in reality, it is unreasonable to expect
people to be super-meticulous all the time. The trick is to be aware
of what’s routine and what’s not. It helps to have a clear-cut set of
personal minimums.
Personal minimums are distinct from regulatory minimums. For
instance, the regulations might permit a pilot with little experience
to fly an unfamiliar aircraft on a maximum-range mission over water at
night in moderate turbulence, then land in a 25-knot crosswind on an
unfamiliar narrow obstructed unlighted runway, having had little sleep
the night before ... but I don’t recommend it.
Write down your personal minimums in the form of a checklist. Review
the list before each proposed flight. If you are within the
limitations, fine. If the proposed mission is slightly outside the
envelope in one or two aspects, you might want to go ahead with it
anyway -- provided you are super-meticulous. The checklist is
warning you that this flight is not routine.
Issues to consider include:
-
At least _______ runway length for _______ airplane for density
altitude below 2000 feet.
- At least _______ runway length for _______ airplane for density
altitude between 2000 and 5000 feet.
- At least _______ runway width.
- At most _______ knots gust component along the runway.
- At most _______ knots across the runway, including gusts.
- At least ____:____ fuel reserves.
- Ceiling _______ and visibility _______ for VFR.
- Ceiling _______ and visibility _______ at destination for IFR.
- Survival equipment for flight over wilderness.
- Survival equipment for flight beyond gliding range from dry land.
- At least _______ hours experience in this make & model.
- At most _______ pressure altitude without oxygen mask.
- Physiological issues: “I-M-SAFE”
-
Illness?
- Medication?
- Stress?
- Alcohol?
- Fatigue?
- Eating?
- Turbulence?
- Dark VFR?
- Mountain flying? Bush flying? Obstructions enroute?
Obstructions near the airports to be used? Low-altitude operations?
- In-flight “how-goes-it” checkpoints and
“proceed/divert” checkpoints.
There are lots of
other things you can legally do with just a private pilot certificate
that are, alas, not covered in the basic private-pilot training.
Examples include-
If you’re flying on a moonless night over unlighted areas, it
can be a challenge to keep the airplane right-side-up. This requires
instrument-flying skills far beyond what is required for the
private-pilot checkride. (Night VFR is prohibited in many
countries, but not all.)
- Specialized skills are required for mountain flying, bush
flying, low-level patrol, crop dusting, aerobatics, formation flying,
et cetera.
- Beware of the obstacle-clearance issues listed in
section 21.4.
- The first time you fly into a big, busy place like O’Hare, you
might want to take along an instructor or at least a copilot who’s
been there before.
- Hand-propping (i.e. starting the engine by pulling on the
propeller) is potentially very dangerous. You may have seen it done
in some old Hollywood movie, but that doesn’t mean you’re qualified to
do it. Don’t try it unless you’ve got a good reason and have
been thoroughly trained on the procedure.
- If you routinely fly solo out of a short field, it
doesn’t prove you can depart from there carrying three large
passengers and their luggage. Maybe you can, maybe you can’t, but
it’s not routine, so you need to get out the book and redo the
weight & balance calculations, the
performance calculations, et cetera.
These are just a few examples out of many. It is your responsibility
to recognize when a situation is outside the envelope of your training
and experience. It is your responsibility to acquire whatever skills
are required.
Don’t try to impose your personal minimums on the pilot next door.
Yours will be too strict in some aspects and too lax in others.
Your personal minimums are designed by you, for you. That’s why
they’re called “personal” minimums.
The idea of personal minimums applies during the whole flight, not
just during preflight. In some cases you should establish specific
personal checkpoints for a specific flight. For instance, if you’re
flying into questionable weather, pick a specific checkpoint where you
will get an updated weather report and decide whether to divert or
not. Similarly, if it’s a maximum-range mission, establish
checkpoints along the way, where you will re-evaluate the headwinds,
fuel quantity, et cetera. The idea is to notice early if Plan A
isn’t working, so you can execute Plan B while there’s still time.
21.8 Skepticism; Crisp Execution of Plan B
You need to notice things. That means more than just seeing things;
you need to appreciate the significance of what you are seeing.
Skepticism means, among other things, not assuming that the way things
are is the way things should be. For example:-
Suppose that during the preflight check you see a red
light on one wingtip and a green light on the other wingtip. Are you
sure you would notice if they were interchanged, so that both wingtips
had the wrong color?
- Suppose you see that the tow-bar is lying loose in the back of
the airplane. You could just leave it that way, on the theory that
people have flown the airplane hundreds of times in that condition
without getting into trouble. But suppose you get into an unusual
attitude or a minor crash; you don’t want the tow-bar to come whizzing
toward you like a spear. Leaving it loose is needlessly throwing away
one of your layers of safety. Anything that can’t be stowed securely
should be left on the ground until you get back.
- Suppose you find a puddle of oil underneath the engine. You
must be skeptical about where it came from. I’ve seen puddles on
about 20 occasions. Usually it’s just because some klutz spilled oil
while trying to add it to the crankcase. But on one occasion it was
due to a moderately serious leak in the engine, and on another
occasion it was due to a very serious crack in a cylinder, the sort of
crack that will get rapidly worse during flight. The only way to know
for sure is to take off the cowling, mop up the mess, run the engine
for a few minutes, and check for leakage. That’s a lot of bother, but
it’s preferable to risking in-flight engine failure.
You want to be properly skeptical without being paranoid.
Nothing in this world is perfect. If you cancel the flight whenever
the airplane is not perfect, you’ll never go flying. Judgement is
required.
Also: Piloting requires flexible thinking. Do not think you can plan
a flight and then fly it exactly as planned. -
First of all, you have to have a Plan B. (See
section 21.3.)
- Secondly, you need to promptly recognize when Plan A has gone to
pot. (See also section 21.7.)
- If Plan A isn’t working, don’t persevere with Plan A! We need
crisp execution of Plan B.
The very first takeoff on my private pilot checkride was
supposed to be a simulated soft-field takeoff. That requires, among
other things, not stopping after leaving the run-up area, lest we sink
into the simulated mud. I was nervous. I wanted to make a good first
impression.
We were cleared for takeoff on runway 15 Left. Another aircraft was
cleared to land on runway 15 Right. As I turned onto the runway, I
heard Tower yelling at the other guy, pointedly reminding him to land
on the right. I didn’t hear any response. I had no idea
whether the other aircraft was near or far; all I could do was try to
imagine what could cause Tower to say such things. I imagined that
the other pilot was planning on landing on the left and was
persevering with his Plan A even though he’d been cleared to do
something else.
I didn’t like what I was imagining, so I pulled the throttle to idle
and stomped on the brakes. I also keyed the transmitter and said
“Tower, Two-Four-Kilo is gonna hold our position for a moment”.
Now I was really nervous. I had planned to comply with all
ATC clearances, such as takeoff clearance.
I had also planned to comply with the examiner’s request for
soft-field procedure. But there I was, stopped on the runway. My
Plan A was in shambles.
I had no idea whether holding my position would make things better or
worse. I figured it was a 50/50 chance. The deciding factor was not
the odds but the relative payoff: if there’s going to be a collision,
I’d rather have a collision on the ground than in the air.
A moment later, the other aircraft flew right over top of us, about 10
feet up. My Plan B was starting to look pretty good.
Tower said “Two-Four-Kilo, advise when you’re ready for departure”.
I said “as soon as that guy is out of our hair, we’re ready”.
Tower acted like it was no big deal, and just said “Two-Four-Kilo,
runway 15 Left, cleared for takeoff”.
The examiner sat there with his poker-face on. I couldn’t tell
whether or not he approved of what I’d done. Looking back with the
benefit of years of PIC experience, I’m quite sure I did the right
thing, and I’m quite sure the examiner and the tower controller were
glad that I deviated from their instructions.
Still, it is worth remembering that at the time, I was uncertain about
this. I found the decision difficult and stressful. People aren’t
born with advanced decisionmaking skills. Training is needed.
21.9 Leadership and Resource Management
Be smart about using all the resources available to you.
If you have a copilot, that’s an important resource. You can
delegate certain tasks to your copilot.-
A very useful technique for expediting a flight is to let one
pilot do the pre-flight walkaround while the other deals with weather,
flight plans, et cetera.
- In busy airspace, it works well to let one pilot work the radios
while the other does everything else.
- Copilots and even passengers can help spot traffic.
- There are many other examples of effective collaboration.
Entire books have been written on the subject.
On the other hand, make sure you don’t get into a situation where
two pilots are worse than one. This can happen more easily than
you might think: -
I’ve seen situations where each pilot assumed the other would
take care of something, but it never got taken care of.
- I’ve even seen the following: It was time to toggle to a new
frequency. One pilot pushed the “toggle” button. The other pilot
pushed it also. As a result, the frequency was not what either pilot
was expecting.
To prevent such problems, make sure there is agreement about who is
pilot-in-command. If you are PIC, you retain final authority and
responsibility for everything. If you delegate something, make sure
the delegation is understood and carried out. If you are
second-in-command, make sure the PIC knows what you’ve done and not
done.
Learn from the story of Eastern Airlines flight 401. They crashed an
airliner into the swamp partly because all three pilots were
preoccupied with debugging a landing-gear indicator light. (Of course
this is only part of the story.) Whether you have one pilot on board
or three, don’t let a small problem interfere with your basic
responsibility to fly the airplane. That includes maintaining a
safe altitude, seeing and avoiding other traffic, et cetera. If you
have more than one pilot, let one fly the airplane while another
debugs the problem.
Resource management is commonly called “cockpit” resource management
(CRM), but it should include resources outside the cockpit, notably
Flight Service and ATC.
A related issue is cockpit leadership. If you are PIC, don’t
act like Captain Bligh. Encourage your crew members to speak up if
they see anything questionable. Keep them informed as to your
intentions, so that they will be better able to notice if something
unintended is happening. If you are a crewmember, it is your duty to
speak up if you see something amiss, no matter how surly the PIC is.
21.10 Learn from the Experience of Others
When pilots get together, they often trade stories about accidents or
near-accidents. Non-pilots are sometimes shocked; they think it’s
ghoulish. But that’s not the point at all. The point is to learn
what led up to the problem, and what can be done to prevent a recurrence.
You should study the accident statistics, so you know what are the big
worries and what are the relatively minor worries. There are many
sources of such information, including: -
Various pilot-oriented magazines feature every month a new
anecdote from some pilot who learned something the hard way.
- The National Transportation Safety Board keeps records on
all accidents and incidents. These are available on their web site.
- NASA’s Aviation Safety Reporting System collects reports
on untoward events, even those that don’t result in accidents. Every
month they publish a discussion called Callback which is
available from the NASA website and otherwise.
- The AOPA Air Safety Foundation puts out the annual
Nall Report summarizing statistics from multiple sources, taking
a general-aviation point of view. This is available from their web
site and otherwise.
- There are many published books containing aviation biographies
or collected stories.
21.11 Try to Outdo Yourself
Part of the romance of aviation is to do everything better than
necessary. If the runway is 50 feet wide and the airplane’s wheelbase
is 10 feet wide, it is technically possible to land on the left half
or the right half of the runway. But everybody tries to land exactly
on the centerline. If you were off by one foot last time, try to
be off by half a foot next time.
Safety is not directly affected by your best performance, or even your
average performance. What matters, directly, is your worst-ever
performance. This is called the minimax principle: make sure your worst-case
performance is good enough. This partly involves skill, but largely
involves using judgement to stay out of situations (distractions,
fatigue, bad weather, etc.) that might cause your performance to be
significantly worse than usual.
High standards contribute indirectly to safety in the following way:
If your usual tolerances are tight enough, then even on the super-rare
occasions when your performance is ten times worse than usual, you
will still have a wide margin of safety.
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Copyright © 2003 jsd