This is a reconstruction of a near stall on take-off caused by the distraction of a lightning
strike which terrified the cabin crew.
The confusion and lack of monitoring of flight path and Flight Mode Annunciators in the cockpit
results in a situation where no-one is flying the aircraft and it pitches up to an un-commanded 30
When a distraction has occurred it is always important to check the flight path and FMAs to get
back into the loop again and continue the monitoring task by mentally flying the aircraft.
These three scenarios illustrate level bust examples caused by incorrect mode selections
resulting from lack of monitoring of pilot actions.
These were due to in part to poor communication and workload management.
In order to avoid level busts it is essential that all flight path changes are monitored. Check
the pilot actions, resultant system modes on FMAs and aircraft responses on flight instruments.
This shows how management of a system fault compromised the safety of the flight which was on
its final approach to Exeter airport.
The pilot flying was distracted by system malfunction and failed to carry out his number one
task of flying the aircraft. Good monitoring could have prevented this serious incident from
When dealing with malfunctions it is essential that the pilot flying maintains his number one
task of flying the aircraft while monitoring the actions taken by the pilot dealing with the
Always maintain a heightened awareness of FMAs and ensure that goals are set for the pilot
monitoring to compensate for any loss of information resulting from the system malfunction.
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