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From NASA's Aviation Safety Reporting System
Number 279
December 2002
CRM – Always in Season
“’Tis the season” to celebrate the spirit of communication, cooperation, and sharing – otherwise known as Crew Resource Management. The CRM concept originated in 1979, in response to a NASA workshop that examined the role of human error in aviation. CRM emphasizes the use of cooperative interaction to achieve flight efficiency and safety. And ’tis also the season for birds. While most of the turkeys are accounted for, many other species winter-over near airports. The mix of birds and aircraft can result in emergency scenarios that require good CRM. The flight crews who submitted these reports maintained the right spirit in the midst of “fowl” play. overcast with a mile and three-quarters visibility. We diverted to XXX due to weather and the possibility of hitting more birds (the flock of seagulls was very large, more than 200 birds!). Great CRM and a very helpful Tower Controller turned this emergency into a non-event.
Mitch: They’re amassing out there someplace and they’ll be back. You can count on it...
Alfred Hitchcock – The Birds This B767 crew used CRM to overcome the sudden chaos of a “messy” situation. From the Captain’s Report: s …I was looking at a chart when we had the bird strike… I heard a loud bang and a rush of air, so I immediately put on my oxygen mask… I looked up and saw [bird remains] on my side window and daylight through a hole above the eyeball vent… It was extremely loud and I couldn’t understand the First Officer’s comments to me, but I was satisfied with how he was handling the aircraft. I...declared an emergency, and…requested a return to [Foreign Field]... I took my mask off…at FL090. At that point we all started interacting through normal voice levels… I felt we did a good job allowing information and ideas to circulate during this event... The First Officer and Relief Pilot were outstanding in taking initiative and asking me all the right questions throughout the problem… Benefit was derived from having [been through] a simulated exercise on crew coordination and problem solving in an unscripted environment… From the First Officer’s Report: s ... I noticed four to six large birds. A millisecond later, a loud bang was heard and felt… The Captain was in full command. I was responding to ATC via his requests. Bird debris and insulation was splattered on the Captain and myself. The Captain and the Relief Pilot concentrated on checklists, Flight Attendants, passengers, ATC, and Ops. From the Relief Pilot’s Report s As soon as the aircraft started to depressurize through the hole in the cockpit, the cockpit door flew open. I held it closed until the pressure equalized because the lock wasn’t strong enough. I would like to personally commend the Captain for his immediate command of the situation and the professional manner in which he handled it.
Recipe for Success
Holiday Goose 1. Preheat CFM56 Turbine to 600o C 2. Insert goose 3. Activate CRM and evacuate the kitchen s A large goose was ingested into the Number Two engine causing a flameout immediately following rotation... [We] executed the single-engine procedures and found that the Number Two engine had relit and was providing some power... Indications were normal, but the engine had a loud whining noise and aircraft handling suggested partial power loss... The Captain declared an emergency and notified ATC, the company, and the passengers. All relevant checklists were reviewed... After an uneventful landing...the Number Two engine was shut down, but caught on fire. We proceeded with emergency evacuation procedures. All passengers and crew deplaned without injuries. Good training and excellent Crew Resource Management (CRM) contributed to the successful outcome of this bird strike.
Mrs. Bundy: I hardly think a few birds are going to bring about the end of the world. Melanie: These weren’t a few birds.
Alfred Hitchcock – The Birds A Jetstream 31 encountered an ominous gathering of gulls, but CRM saved the day. s Taking off on Runway 2…we hit nine seagulls at 30 feet AGL, [and] lost our right engine. Weather was 300 feet
ASRS Recently Issued Alerts On…
MD-11 windscreen incident CL-65 APU battery meltdown Foreign airport faded taxiway markings Municipal airport approach obstruction Gulfstream V elevator disconnect incident
A Monthly Safety Bulletin from
The Office of the NASA Aviation Safety Reporting System, P.O. Box 189, Moffett Field, CA 94035-0189 http://asrs.arc.nasa.gov/
November 2002 Report Intake
Air Carrier / Air Taxi Pilots General Aviation Pilots Controllers Cabin/Mechanics/Military/Other TOTAL 1921 689 35 100 2745
飞行翻译公司 www.aviation.cn 本文链接地址：美国ASRS安全公告CALLBACK cb_279.pdf
From NASA's Aviation Safety Reporting System
Number 279
December 2002
CRM – Always in Season
“’Tis the season” to celebrate the spirit of communication, cooperation, and sharing – otherwise known as Crew Resource Management. The CRM concept originated in 1979, in response to a NASA workshop that examined the role of human error in aviation. CRM emphasizes the use of cooperative interaction to achieve flight efficiency and safety. And ’tis also the season for birds. While most of the turkeys are accounted for, many other species winter-over near airports. The mix of birds and aircraft can result in emergency scenarios that require good CRM. The flight crews who submitted these reports maintained the right spirit in the midst of “fowl” play. overcast with a mile and three-quarters visibility. We diverted to XXX due to weather and the possibility of hitting more birds (the flock of seagulls was very large, more than 200 birds!). Great CRM and a very helpful Tower Controller turned this emergency into a non-event.
Mitch: They’re amassing out there someplace and they’ll be back. You can count on it...
Alfred Hitchcock – The Birds This B767 crew used CRM to overcome the sudden chaos of a “messy” situation. From the Captain’s Report: s …I was looking at a chart when we had the bird strike… I heard a loud bang and a rush of air, so I immediately put on my oxygen mask… I looked up and saw [bird remains] on my side window and daylight through a hole above the eyeball vent… It was extremely loud and I couldn’t understand the First Officer’s comments to me, but I was satisfied with how he was handling the aircraft. I...declared an emergency, and…requested a return to [Foreign Field]... I took my mask off…at FL090. At that point we all started interacting through normal voice levels… I felt we did a good job allowing information and ideas to circulate during this event... The First Officer and Relief Pilot were outstanding in taking initiative and asking me all the right questions throughout the problem… Benefit was derived from having [been through] a simulated exercise on crew coordination and problem solving in an unscripted environment… From the First Officer’s Report: s ... I noticed four to six large birds. A millisecond later, a loud bang was heard and felt… The Captain was in full command. I was responding to ATC via his requests. Bird debris and insulation was splattered on the Captain and myself. The Captain and the Relief Pilot concentrated on checklists, Flight Attendants, passengers, ATC, and Ops. From the Relief Pilot’s Report s As soon as the aircraft started to depressurize through the hole in the cockpit, the cockpit door flew open. I held it closed until the pressure equalized because the lock wasn’t strong enough. I would like to personally commend the Captain for his immediate command of the situation and the professional manner in which he handled it.
Recipe for Success
Holiday Goose 1. Preheat CFM56 Turbine to 600o C 2. Insert goose 3. Activate CRM and evacuate the kitchen s A large goose was ingested into the Number Two engine causing a flameout immediately following rotation... [We] executed the single-engine procedures and found that the Number Two engine had relit and was providing some power... Indications were normal, but the engine had a loud whining noise and aircraft handling suggested partial power loss... The Captain declared an emergency and notified ATC, the company, and the passengers. All relevant checklists were reviewed... After an uneventful landing...the Number Two engine was shut down, but caught on fire. We proceeded with emergency evacuation procedures. All passengers and crew deplaned without injuries. Good training and excellent Crew Resource Management (CRM) contributed to the successful outcome of this bird strike.
Mrs. Bundy: I hardly think a few birds are going to bring about the end of the world. Melanie: These weren’t a few birds.
Alfred Hitchcock – The Birds A Jetstream 31 encountered an ominous gathering of gulls, but CRM saved the day. s Taking off on Runway 2…we hit nine seagulls at 30 feet AGL, [and] lost our right engine. Weather was 300 feet
ASRS Recently Issued Alerts On…
MD-11 windscreen incident CL-65 APU battery meltdown Foreign airport faded taxiway markings Municipal airport approach obstruction Gulfstream V elevator disconnect incident
A Monthly Safety Bulletin from
The Office of the NASA Aviation Safety Reporting System, P.O. Box 189, Moffett Field, CA 94035-0189 http://asrs.arc.nasa.gov/
November 2002 Report Intake
Air Carrier / Air Taxi Pilots General Aviation Pilots Controllers Cabin/Mechanics/Military/Other TOTAL 1921 689 35 100 2745
飞行翻译公司 www.aviation.cn 本文链接地址：美国ASRS安全公告CALLBACK cb_279.pdf
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