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On the Design of Flight-Deck Procedures - Intelligent Systems ...

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Humor. Humor is closely related to individualism, but its consequence may be similar to thatwhich results from complacency. Humor in <strong>the</strong> cockpit represents <strong>the</strong> desire to inject some variety andstimulation into an o<strong>the</strong>rwise humorless situation. Humor, like individualism, has its place. It makeslife enjoyable, overcomes <strong>the</strong> tedium <strong>of</strong> a highly precise job, and establishes a form <strong>of</strong> communicationbetween crew members. It also carries potential hazards:I called for clearance to Saint Louis (STL) as follows: ‘clearance delivery, company identification, ATISinformation, federal aid to Saint Louis.' Federal aid was meant to mean FAA clearance in a joking fashion. Thecontroller misinterpreted this to mean that we were being hijacked and called <strong>the</strong> FBI and airport police....Minutes later police arrived at <strong>the</strong> aircraft.It was not my intent to indicate we had a hijacking. I was merely requesting a clearance.... The phrase federalaid to obtain a clearance has been a sarcastic term used for years in <strong>the</strong> cockpit and I thought [it] could not bemistaken to indicate o<strong>the</strong>r problems. I will use absolutely standard phraseology in <strong>the</strong> future... (ASRS ReportNo. 248982)During our cockpit observations, we noted checklist reading behavior when <strong>the</strong> pilot reads “gasoline”where <strong>the</strong> checklist requires a challenge <strong>of</strong> “fuel,” or use <strong>of</strong> <strong>the</strong> Spanish term uno mas instead <strong>of</strong> a 1000feet to level-<strong>of</strong>f callout. These departures are inevitable, as <strong>the</strong>y break <strong>the</strong> monotony <strong>of</strong> a highlystandardized and procedurized situation. The meanings are assumed to be clear and <strong>the</strong> departure fromSOP is usually harmless. But that is exactly what cockpit standardization is all about: trying to eliminate<strong>the</strong> need to make unnecessary assumptions or interpretations during high-risk operations. The difficultdecision is where to draw <strong>the</strong> line. Unfortunately, <strong>the</strong> absolute distinction between what is humor andwhat is a deviation from SOP usually depends on <strong>the</strong> outcome. If this non-standard verbiage (e.g.,federal aid) caused a breakdown in communication that led to an incident, <strong>the</strong>n it would be labeled“deviation from SOP.” If it did not result in an untoward consequence, <strong>the</strong>n it would be humor.None<strong>the</strong>less, we take <strong>the</strong> position that any deviations during critical phases <strong>of</strong> flight should not be takenlightly: We once observed a take<strong>of</strong>f in which <strong>the</strong> captain was <strong>the</strong> pilot flying. The first <strong>of</strong>ficer wassupposed to make standard airspeed calls <strong>of</strong> V-1, V-r, and V-2. Instead, he combined <strong>the</strong> first two into anon-standard call <strong>of</strong> “V-one-r”, and at V-2 called, “two <strong>of</strong> 'em.” Apparently, <strong>the</strong> captain knew what wasmeant by <strong>the</strong>se strange calls, and while one cannot say that this was a dangerous compromise withsafety, it did represent a potentially serious departure from SOPs. Perhaps worse, it established anatmosphere <strong>of</strong> tolerance on <strong>the</strong> part <strong>of</strong> <strong>the</strong> captain <strong>of</strong> non-standard (one may say sub-standard)performance, which laid <strong>the</strong> foundation for more serious SOP departures later in <strong>the</strong> flight.We may question what moved <strong>the</strong> first <strong>of</strong>ficer to depart from standard procedures and utter nonsensicalcallouts. This example could <strong>of</strong> course be attributed to complacency. The link may be that complacencyinduces <strong>the</strong> introduction <strong>of</strong> “humor” in place <strong>of</strong> standardization. A critical phase <strong>of</strong> flight operations,such as take<strong>of</strong>f, is probably not an appropriate arena for humor.Perhaps <strong>the</strong> appropriateness <strong>of</strong> humor on <strong>the</strong> flight deck is an area addressable by cockpit resourcemanagement (CRM). It might be a relatively simple matter for <strong>the</strong> captain, during his initial briefing, toadvise <strong>the</strong> subordinate crew member(s) on how he or she feels about humor in <strong>the</strong> performance <strong>of</strong>duties. However, in spite <strong>of</strong> <strong>the</strong> fact that CRM training stresses free two-way communication in <strong>the</strong>cockpit, it might be somewhat more difficult for <strong>the</strong> o<strong>the</strong>r crew persons to do <strong>the</strong> same for <strong>the</strong>“humorous” captain.Frustration. Pilots may feel that <strong>the</strong>y have been driven to non-conformity by frustrating forcesbeyond <strong>the</strong>ir control. An example would be <strong>the</strong> failure to use <strong>the</strong> oxygen mask (above FL 250) whenone pilot leaves <strong>the</strong> cockpit in a modern, two-pilot aircraft. We repeatedly observed low conformity tothis regulation. First, it is not comfortable to wear any mask; and second, in some modern aircraft, it isdifficult to replace <strong>the</strong> inflatable masks in <strong>the</strong>ir receptacles. Pilots find it a frustrating task and avoid it bysimply not conforming to <strong>the</strong> regulation. “∆”, in this case, is equipment-induced.We observed an interesting technique (or ploy) to overcome <strong>the</strong> mask while still obeying <strong>the</strong> regulation.In a two-pilot aircraft with <strong>the</strong> inflatable mask, <strong>the</strong> captain left <strong>the</strong> cockpit briefly while <strong>the</strong> aircraft wasclimbing unrestricted to FL 330. At about FL 200 <strong>the</strong> first <strong>of</strong>ficer called ATC and requested level <strong>of</strong>f atFL 250, which he maintained until <strong>the</strong> captain returned, and <strong>the</strong>n requested continuation <strong>of</strong> his climb (<strong>the</strong>mask is only required above FL 250). In this case <strong>the</strong> pilot conformed to <strong>the</strong> regulation and procedure,12

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