Jul
18
2016
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Posted 8 years 163 days ago ago by Admin
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In the 1960s and ‘70s a disease seemed to strike the airline industry
that caused airliners to crash for no known reason. NASA called a
“Resource Management on the Flight Deck” workshop that identified human
error as the main cause of several high-profile accidents. NASA’s
research uncovered that from 1968 to 1976 there were 60 airliners that
crashed due to elements of human error. Researching back further through
the Boeing archives to 1940, NASA discovered that four out of five
accidents—80 percent—had an element of human error. Since that workshop,
six generations of CRM have emerged.
In the early ‘80s,
first-generation CRM was very modular in nature and was adapted from
management training courses based heavily on psychology. Then in 1986,
second-generation CRM programs began focusing more on group dynamics and
the name changed from "cockpit" to "crew" resource management. Similar
to first-generation CRM programs, second-generation CRM programs were
also presented in a very modular fashion, covering such topics as
decision-making, team building, briefing strategies, situation
awareness, and stress management. This generation of CRM saw a shift in
attitude towards CRM training and recognition that CRM should be
embedded in all aspects of training and operations.
Then third-generation CRM
programs emerged, advocating a systems approach to training that
broadened the target audience to include other flight crew, dispatchers,
and maintenance personnel. These programs often included discussions
about organizational issues, such as corporate culture. This generation
of CRM resulted in increased efforts to identify specific skills and
behaviors that would enhance team coordination, while also providing
dedicated CRM training to check airman and other personnel responsible
for the training, reinforcement, and evaluation of CRM skills and
behaviors.
The fourth generation of CRM
emerged in the early ‘90s when the FAA initiated the voluntary Advanced
Qualification Program (AQP). While this program gave operators increased
training flexibility to fit the needs of their organizations, it
required them to provide line-oriented flight training (LOFT) and CRM,
with CRM also required to integrate into technical training. As a
result, there was some movement towards including CRM in routine manuals
and checklists, as well as evaluating CRM skills in flight simulators.
Threat and Error Management
A growing concern began to form that the original focus of CRM had been
lost, so a fifth generation of CRM emerged. The International Civil
Aviation Organization (ICAO) states that the fundamental purpose of CRM
training is "to improve flight safety through the effective use of error
management strategies in individual as well as systemic areas of
influence.” Therefore, threat and error management (TEM) was integrated
into CRM.
Fifth-generation CRM represents a return to the traditional aim of
CRM: the reduction of human error, which can be defined as an "action or
inaction that leads to deviation from crew intentions or situational
requirements such as policies, regulations, and standard operating
procedures." Error management, in the context of CRM training, is the
actions taken either to reduce the probability of errors occurring
(error avoidance) or to deal with errors committed either by detecting
and correcting them before they have operational impact (error trapping)
or to contain and reduce the severity of those that become
consequential (error mitigation).
Fifth-generation CRM programs also include instruction on human
performance limitations, and focus on providing strategies to
effectively avoid, trap, or mitigate errors that may be encountered
during a flight. Previous topics from earlier generations of CRM
training are often included in fifth-generation programs; however, the
modules are aligned with the overall theme of error management.
The current sixth generation of CRM continues where fifth-generation
programs left off. Following a series of line operations safety audit
(LOSA) studies where flight crews were observed during routine flights,
the University of Texas Human Factors Crew Resource Project team found
that pilots were often required to manage threats, errors, and undesired
aircraft states. TEM advocates both the careful analysis of potential
hazards and taking the appropriate steps to avoid, trap, or mitigate
threats and errors before they lead to an undesired aircraft state. In
other words, TEM stresses anticipation, recognition, and recovery as the
key principles behind threat and error management. TEM also recognizes
the importance of undesired aircraft state management, as that
management represents the last opportunity for flight crews to prevent
an adverse outcome.
Recent Developments
Research into the field of human factors as it applies to CRM is ongoing
and new initiatives continue to emerge. The integration of CRM into
training and operations via clearly defined standard operating
procedures represents a move towards the establishment of CRM processes,
rather than simply awareness training. Many operators have recognized
the importance of scenario-based training as an effective way of
teaching CRM skills because it allows pilots to practice skills and
receive valuable reinforcement.
In recent years, there has been more focus on decision-making during
CRM training. This approach views effective decision-making as the most
important indicator of flight crew success, and traditional CRM subjects
are presented as processes that assist decision-making.
The U.K.’s Civil Aviation Authority (CAA) and the European Aviation
Safety Agency (EASA) have established a series of stringent
accreditation requirements for CRM Instructors (CRMIs)—which I have
completed—and for CRM Instructor Examiners (CRMIEs). This accreditation
process is designed to help ensure an acceptable standard of CRM
instruction and evaluation, as individuals who receive this
accreditation must meet a number of experience-related prerequisites, as
well as demonstrate that they possess the necessary knowledge and skill
to instruct or evaluate CRM before they are permitted to carry out
those duties. In the U.K. and Europe the accreditation process also
involves a renewal process every three years to ensure that previously
qualified CRMIs and CRMIEs continue to meet the required standard. In
the USA and Canada, there are no experience, training, or qualification
requirements needed to teach CRM.
In my view, there should be.
Fly safely!
About Randy: Randy Mains is an author, public speaker, and a
CRM/AMRM consultant who works in the helicopter industry after a long
career of aviation adventure. He currently serves as chief CRM/AMRM
instructor for Oregon Aero. He may be contacted at [email protected]