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Threat and Error Management

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Old 21st Mar 2011, 00:48
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Threat and error management is best taught in an aircraft by an experienced and capable instructor/training pilot. The current scenario of TEM designed by "degrees and PHDs" is a non sense and complete and utter waist of time.

Name 5 types of threats?
Define the term threat.
Name 5 types of errors?
Define the term error,

Well done you have pas see and are now much safer having attended this course.
BOLLOCKS
What is common sense? It is totally subjective, biased and individual and reflects our individual values and beliefs, therefore it is totally variable and vague.
The way an individual reacts to a threat or error is not black and white either, OR is it?

Last edited by Skynews; 21st Mar 2011 at 01:01.
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Old 21st Mar 2011, 00:59
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Personally I think TEM is a great way to structure something that has been done by experienced guys for years. Yes you lot who have been flying for as long as I have been alive probably do it better, more efficiently and in a more interesting way but you only got that way after many years.

As a relative new kid on the block it's given me a framework to think through that my experience lacks. It's like when you learnt to write, you had those lines to help get your letters the right size, you don't need them now, but they sure helped when you were new to it!

It also helps for the cowboys who think they don't need to do these things (either TEM or the common sense you guys are talking about). Basically everything CASA and the airlines are doing in Human Factors has come about because someone dropped the ball and it led to an accident. If we were all perfect, we wouldn't need it.
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Old 21st Mar 2011, 01:06
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As a relative new kid on the block it's given me a framework to think through that my experience lacks. It's like when you learnt to write, you had those lines to help get your letters the right size, you don't need them now, but they sure helped when you were new to it!
I think you are correct.
It used to be the norm that training pilots and CFI wherethe most experienced and capable pilots available. In the modern organization that has changed to using the "company friendly" pilots, giving them a hand up the greasy pole. With this change I have noticed a distinct change in exchange of experience. This lack of experience is being supported by theoretical courses, again taught by the inexperienced.

How many people can effectively use a weather radar these days?
Not many. They may know the theory behind it, but the interpretation is completely lacking. How do we fix it, send out a useless video and run a TEM course. problem solved.
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Old 21st Mar 2011, 01:21
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Well said McGrath.

The current scenario of TEM designed by "degrees and PHDs" is a non sense and complete and utter waist of time.
It may be a waist of time for you but does that mean it's a waist of time to others as well? Is it possible that while you don't easily apply the theoretical concepts to your everyday situations that others can and do?

Statements like
TEM 'Total Empty Mess'..........what a crock of sh1t!
and
It is a load of dung which stinketh...abide ye not.
and
The current scenario of TEM designed by "degrees and PHDs" is a non sense and complete and utter waist of time.
remind me of something I read on the company intranet, it states "While attitudes towards CRM are not perfect predictors of behaviour, it is a truism that those whose attitudes show rejection of CRM are unlikely to follow its precepts behaviourally. These attitudes identified assessing the impact of CRM were the ones identified as playing a role in air accidents and incidents (Helmreich &Foushee, 1993).

Now before anyone gets upset because they think I am saying that they as an individual are likely to have an accident or incident, I am not, I am sure that you have ammassed a wealth of experience and skill and apply it to its best effect. I do wonder though if there is any truth in it in general. Personally I think there is because although the person who rejects the concepts is most likely very capable, they IMHO make their off-siders job more difficult by not recognising their experience levels and understanding that everyone works differently and some people do in fact get a lot out of CRM.
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Old 21st Mar 2011, 02:09
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Do you teach this stuff trashie?

My understanding of threat and error management is being able to identify when conditions exist that make us more susceptible to making and error or commiting a violation (fatigue to just name one). It is also about being accountable for your actions and basing behaviour on sound principles of professionalism.
Fatigue? Mate we don't fly fatigued..who flies fatigued? Is not allowed.

mcgrath50 all good points...but would you be better served being taught how to 'manage threats' by the experienced training captains in the airline you just joined or by a tosser with a degree and no experience?

Further to that TEM will make virtually no difference to the international accident rate because 'good' airlines already teach new pilots what they need to be thinking about, and when, and bad airlines won't bother. For 'good' and 'bad' think 1st world and 3rd world.

TEM, like CRM and Cert 4 english proficiency, won't gain any traction in those areas of the world that have most of the accidents...Africa, parts of Asia, the Middle East and South America. There are cultural factors that no amount of western theories will fix.

Make no mistake, I think the concept of TEM is fine. I merely have a problem with the application. No doubt it started life as part of the Human factors curriculum but that is where the term should have stayed. Its an answer in search of a problem.

When you give someone a formula to work to several things tend to happen,

* People try to cram in every conceivable threat or error most of which are not real threats...a TS at 20nm on departure for instance...or terrain that would only be a factor in a Twin Comanche,

* It rapidly becomes too formalised and people stop listening,

* Other stuff that maybe more important gets missed.

I go to Manila and Jakarta a lot...how long before "The threats tonight are crap ATC, ****ty runway full of soft spots and slippery, storms, bad airport signage and lots of other aircraft crewed by people who didn't/haven't/couldn't pass english proficiency" becomes redundant, meaningless noise? Every pilot in the company knows that is the case already - a new pilot joining tomorrow will be taught that on line training and experience it constantly.

Why verbalise it in a formulaic way?

Last edited by Chimbu chuckles; 21st Mar 2011 at 02:19.
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Old 21st Mar 2011, 02:37
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Framer
It may be a waist of time for you but does that mean it's a waist of time to others as well? Is it possible that while you don't easily apply the theoretical concepts to your everyday situations that others can and do?
You are not applying what I said to this discussion.

First, tell me how I apply the definition of a "threat" to an everyday situation? The "course" was a non sense.

I also said the guys who were new to the company believed they got some thingout of the course. I can't imagine hat, but hey, I accept we all learn in a different way. I also have o say, the guys that came out of the course believing they learnt something are the ones that could do with a good practical lesson on TEM in the aircraft by an experienced trainer, but they can define a threat so all is good.
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Old 21st Mar 2011, 02:54
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CC

I may have something to do with facilitating this stuff (not teaching) but it comes from 40 years in the industry and not from a PhD. Human factors, error management or what ever you like to call it should not be a tick the box exercise and the most appropriate facilitators are those that have made the mistakes or seen the errors and can quote from experience. HF is also not something you cover off every two years but should be continually reinforced and preferably by the Captain and crew. What is discussed these days in the cockpit on a long haul flight? Where would you divert to now if ------?. I doubt very much if this happens often.

The 380 incident in Singapore said a lot about CRM, experience and knowledge of the senior pilots on board. With 50 or more warnings the right decisions were made by drawing on the experience available to handle a unique situation. These types of scenarios are what should be used to create a greater understanding of HF and error management.
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Old 21st Mar 2011, 02:58
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* People try to cram in every conceivable threat or error most of which are not real threats...a TS at 20nm on departure for instance...or terrain that would only be a factor in a Twin Comanche,

* It rapidly becomes too formalised and people stop listening,

* Other stuff that maybe more important gets missed.
I totally agree and even see this becoming a problem in flight schools and GA. The last place I flew wanted perfectly scripted takeoff safety briefs and I know that I comprehended it less than when the take off safety brief followed a framework (and covered the same points) but was more of a discussion and had each pilots own style.

I think TEM might be something that's benefits come with time. CRM seems stupid now but if you look at the change in 'gradient' (sorry to use a HF buzz word) between the LHS and RHS over the last 50 years I would imagine you would see a positive change.
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Old 21st Mar 2011, 04:04
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The "course" was a non sense
I think that may be a key point in this discussion. Some airlines run great courses facilitated by active line pilots with examples and scenarios coming straight from their own operation while others present outdated boring information with a 'death by powerpoint' approach that doesn't give the crews anything concrete to take onto the line with them and often comes across as condescending.
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Old 21st Mar 2011, 04:51
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What is discussed these days in the cockpit on a long haul flight? Where would you divert to now if ------?. I doubt very much if this happens often.
We don't sit there saying in a formulaic way "If we suffer an engine failure/depressurisation/other at this point I will turn right and descend to.....and track....for an ILS approach at...." but we do, or at least I and the guys I fly with do, program something useful into FMC route 2 and the FIX pages. I saw someone do this in a different way the other day...it was an awesome idea which I will now copy...we never stop learning.

If you seek to formalise that process then it will soon become counter productive. Its like Govt picking economic winners and losers - think pink batts. They get it wrong 100% of the time because the real world (people) is too complicated to micro manage.

What happens is a management pilot (who invariably rarely if ever flies the route) decides that you must do A. Then someone else says "Ok, well then we should make them do B as well". Before you know it you have a brain dead crew flying along without a care in the world because the whole sector has been micromanaged for them.

Its fine to teach HF and TEM as part of the theory courses a pilot will study for their CPL or ATPL. Its probably good to have that formal knowledge - but then you go out to the real world and experience it in a different and more practical way.

CRM is similar. Great to learn the limitations of human communication and how to ask questions in the right way...non threatening communications, open and closed questions etc...but annual re currency? It VERY quickly becomes a box ticking exercise of very limited value and just frustrates people.

Last edited by Chimbu chuckles; 21st Mar 2011 at 05:13.
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Old 21st Mar 2011, 04:52
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The Guild of Air Pilots and Air Navigators (Australian Region) have produced a TEM package which is still available, even though the courses ran some years ago. Designed to 'train the trainer', if anyone needs such a course they can contact [email protected]
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Old 21st Mar 2011, 09:03
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Grandpa,

My grand daughter also calls me that and I melt immediately,

Back on the subject!

I am not avocating formalised "what if" type enroute training, but when I go back to my training in antiquity, our informal discussions on various airmanship topics and various scenarios provided me with a sound basis in regard to judgement, decision making and situational awareness. Technical discussions also provided me with the knowledge to make informed decisions in regard to engine and other systems problems and decisions associated with inflight emergencies. No one can envisage all emergency scenarios that may present themselves but the more knowledge that can be gained from both an operational and technical perspective will prepare aircrew to be more effective when confronted with an emenrgency situation, eg the Qantas 380.

I agree that any formalised training will become tedious and ineffective, and I have seen this when behavioural type education programs have been introduced and gradually lost their effect due to the regimentation and repetive nature of such programs (particularly in the maintenance environment).
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Old 22nd Mar 2011, 08:58
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Definately two distinct camps when it comes to these "touchy feely" topics.

I am a big believer in using all available tools to assist in reducing accidents/incidents and I believe TEM is just another of those tools we can use. It's not for everyone but neither is airline flying / military / GA etc, everyone has different needs based on their training and experience level.

For example, at my current work we regularly have 2 pilot crews with 600hrs total combined, flying twin turbo props into the flight levels and in and out of complex airpsace/CTAFs /mountainous terrain etc so i'm looking for every advantage I can give these guys to not kill themselves and other crew/passengers. If TEM gets through to just 1 person...job done.
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Old 22nd Mar 2011, 10:12
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Gundog, is this military flying??

I cant think of any other opportunity for 2 crew 600 hrs total combined to be doing this type of flying.
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Old 22nd Mar 2011, 13:07
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My understanding of threat and error management is being able to identify when conditions exist that make us more susceptible to making and error or commiting a violation (fatigue to just name one). It is also about being accountable for your actions and basing behaviour on sound principles of professionalism
TEM also means the CVR is recording every word you say about the emotional word "SAFETY." It is all about arse covering in the event even the smallest and most inconsquential event hits the media. Lawyers for the other side will mull over every uttered word to find an angle to pin you to the floor. By announcing the words "Threat and Error Management" into the CVR and then going into minute detail of the "threat" and how you will "manage" it, gives the CVR listener the impression that you are a true professional. Your job is then secure for the time being.
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Old 23rd Mar 2011, 09:58
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