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Advanced Technology Aircraft Safety Survey Report - Australian ...

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ADVANCED TECHNOLOGY AIRCRAFT SAFETY SURVEY REPORT<br />

50<br />

Table B3.9.3<br />

Nominated phase of flight in which difficulty was encountered<br />

Phase of Flight Response<br />

Descent 44%<br />

Approach (precision) 18%<br />

Go Around 16%<br />

Approach (non-precision} 9%<br />

Other 1 0%<br />

These results are of concern as the majority of accidents have been shown to occur during the<br />

final approach and landing phases of flight. As can be seen from table 3.9.3, descent and<br />

approach were the phases of flight in which most mode difficulties occurred.<br />

Conclusion<br />

A thorough theoretical and practical understanding of mode function is essential for the pilot<br />

of a modern automated aircraft. This was highlighted in the report concerning the accident<br />

involving an A300B4-622R aircraft at Nagoya, Japan, in 1994 (<strong>Aircraft</strong> Accident Investigation<br />

Commission 1996), which listed the following as two of the twelve causes of the accident:<br />

(2) The crew engaged the autopilot while go-around mode was still engaged, and continued<br />

the approach; and<br />

(6) The captain and first officer did not sufficiently understand the flight director mode<br />

change and the autopilot override function.<br />

<strong>Survey</strong> results presented in this chapter have revealed various inadequacies in both aircraft<br />

design and training.<br />

Over 30% of respondents reported that mode changes could occur without adequate<br />

indication. <strong>Aircraft</strong> manufacturers need to ensure that mode changes (especially automatic<br />

mode transitions) are adequately annunciated. Preferably, mode changes should be<br />

accompanied by a discrete audible tone.<br />

Mode selection is an important aspect of controlling an automated aircraft. A comprehensive<br />

understanding of mode selection, mode function and the consequences of inappropriate<br />

mode selection are required by the crew. Traditionally, pilots have been required to obtain a<br />

100% pass in the fuel, and weight and balance sections of the type-rating examinations.<br />

Failure to uplift sufficient fuel, or the incorrect loading of an aircraft, is potentially disastrous.<br />

Similarly, a lack of knowledge regarding mode usage is equally dangerous. Mode operation<br />

(both practical and theoretical) should be considered as important as fuel and loading<br />

calculations for a modern automated aircraft.<br />

Some airlines do not set clear guidelines and procedures when it comes to mode selection.<br />

They view the setting of guidelines as contradicting the freedom of the operating pilot to use<br />

an appropriate mode for the in-flight situation. There are two important issues here. The first<br />

includes the recognition that guidelines, rules or policies are valuable aids to the pilot,<br />

especially when newly endorsed on type. The second includes the importance of a consistent<br />

policy which flows from the initial simulator training through to line operations. Similarly, it<br />

would appear that briefings could be improved by including the intended use of modes during<br />

any given phase of flight.<br />

The written responses to question B3.9 (‘Please outline the details of a specific event where<br />

you had difficulty with Mode Selection, Mode Awareness or Mode Transition’) provide a

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