Pilot Monitoring Scenarios

Examples of how safety can be compromised through lapses in pilot monitoring

Low Energy Management 

 

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 degrees.

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. 

 

 

 


Vertical Flight Path Management

 

 

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.

 

 

 

 


Fault management    

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 occurring.


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 fault. 


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.