Subject: Manual Flying and Types of Errors
Complete Reading from weekly to-do list:
Read “Children of the Magenta” using this link: aero/bookshelf/books/2353.pdf”>https://skybrary.aero/bookshelf/books/2353.pdf
Read one of these two articles:
“Experience Crew Struggled…” from Flight Global: Here
“ATR Stall Inquiry…” from Flight Global: Here
Write a Post (250 words)
Identify a safety issue present in both the “Children of the Magenta” and from one of the other articles.
Identify and Classify at least one error from the “Experienced Crew…” or “ATR Stall…”
Identify( or Suggest) and Discuss a mitigation strategy, including what levels within Reason’s Model (Administrative, Supervisory, Pre-Conditions, and Operator Actions) this strategy addresses
Mention, does this strategy reduce the effect of an error or prevent this type of error
Respond to this with a meaningful contribution to the conversation ( in a different Word document- not necessary to have 250 in the respond). “After reading “Children of the Magenta” I recognized a few safety issues. The one that stuck out the most was a statement made by a training pilot. According to Wolfgang Starke (an Embraer 190 line training captain) “a go around from a completely unstable approach is not part of pilot training at many airlines.” Later he talks about a few accidents that were caused by failure to have a successful go around. He mentions that the maneuver is not really ever practiced by airliners and can be preformed wrong. After reading “Experienced crew struggled with instrument flight after 737 lost autopilot” another safety issue that stuck out was the air traffic controller ordering the crew to climb twice but the crew never complied. After shooting an approach and having to execute a missed approach the crew of the 737 never climbed high enough for the new minimum altitude for the new area they were in.A error with the aircraft in the article “Experienced crew struggled with instrument flight after 737 lost autopilot” was that cockpit voice recorder in the Boeing 737 failed to record. In the article the even mention that the investigators were not able to find out why the cockpit voice recorder failed to record. I believe that if investigators had the cockpit voice recorder it would help tremendously with the investigation and help figure out why the crew struggled to maintain altitude specifically on turns. Overall these articles touched on some very key points and had lots of good lessons in them. Wolfgang Starke brought up many good points with go around specifically with air liners that do not really get to practice the maneuver. One way that airliners could mitigate risk at the operator level regarding go around is brief the maneuver before the flight. If both pilots talk about what they will due in the event of a go around the crew will be better prepared. Pre breifing a go around will only reduce the error because their is still possibility something could go wrong however I believe it will still greatly benefit the crew.”
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