ALBERT

Description: This report is part of a series of reports that address flight deck design and evaluation, written as a response to loss of control accidents. In particular, this activity is directed at failures in airplane state awareness in which the pilot loses awareness of the airplane's energy state or attitude and enters an upset condition. In a report by the Commercial Aviation Safety Team, an analysis of accidents and incidents related to loss of airplane state awareness determined that hazard alerting was not effective in producing the appropriate pilot response to a hazard (CAST, 2014). In the current report, we take a detailed look at 28 airplane state awareness accidents and incidents to determine how well the hazard alerting worked. We describe a five-step integrated alerting-to-recovery sequence that prescribes how hazard alerting should lead to effective flight crew actions for managing the hazard. Then, for each hazard in each of the 28 events, we determine if that sequence failed and, if so, how it failed. The results show that there was an alerting failure in every one of the 28 safety events, and that the most frequent failure (20/28) was tied to the flight crew not orienting to (not being aware of) the hazard. The discussion section summarizes findings and identifies alerting issues that are being addressed and issues that are not currently being addressed. We identify a few recent upgrades that have addressed certain alerting failures. Two of these upgrades address alerting design, but one response to the safety events is to upgrade training for approach to stall and stall recovery. We also describe issues that are not being addressed adequately: better alert integration for flight path management types of hazards, airplanes in the fleet that do not meet the current alerting regulations, a lack of innovation for addressing cases of channelized attention, and existing vulnerabilities in managing data validity.

Description: We consider how a jet transport airplane interface supports the flight crew in managing airplane system failures (or non-normals) for continued safe flight and landing. The existing state of the art starts with a list of airplane system component failures and asks the flight crew to determine, with the help of non-normal procedures, the operational consequences of those failures. As airplane systems become more complex and interconnected, the flight crew's ability to determine operational consequences will become inadequate. We describe an approach that attempts to translate airplane system failures directly into airplane "capabilities," which is a set of basic airplane functions, such as the ability to stop after landing. This paper describes the overall framework for supporting flight crews in operational decision making and the initial efforts to develop a language and display concepts.

Description: Special display navigation challenges in computer-based display systems for monitoring and controlling dynamic processes are reviewed. Particular attention is given to trends in information technology, workspace design, and paradigmatic cognitive functions related to display navigation.

Description: This report describes an analysis of current transport aircraft system-management displays and the initial development of a set of display concepts for providing information about aircraft system status. The new display concepts are motivated by a shift away from the current approach to aircraft system alerting that reports the status of physical components, and towards displaying the implications for mission capability. Specifically, the proposed display concepts describe transport airplane component failures in terms of operational consequences of aircraft system degradations. The research activity described in this report is an effort to examine the utility of different representations of complex systems and operating environments to support real-time decision making during off-nominal situations. A specific focus is to develop display concepts that provide more highly integrated information to allow pilots to more easily reason about the operational consequences of the off-nominal situations. The work can also serve as a foundational element to autonomy-supported decision making since we are developing ideas for integrating information from the airplane and the operational environment to support decision making.

Description: In 2014, the Commercial Aviation Safety Team produced a report describing the results of an analysis intended to understand and mitigate airplane incidents and accidents associated with flight crew loss of attitude or energy state awareness. That report described several "Safety Enhancements" including a new category of "Research Safety Enhancements". This paper focuses on Safety Enhancement (SE) 210 Output 2, investigating improvements in design methods and guidelines to "assess flight crew performance in situations associated with loss of energy and/or attitude state awareness".

Description: The role of an alerting system is to make the system operator (e.g., pilot) aware of an impending hazard or unsafe state so the hazard can be avoided or managed successfully. A review of 46 commercial aviation accidents (between 1998 and 2014) revealed that, in the vast majority of events, either the hazard was not alerted or relevant hazard alerting occurred but failed to aid the flight crew sufficiently. For this set of events, alerting system failures were placed in one of five phases: Detection, Understanding, Action Selection, Prioritization, and Execution. This study also reviewed the evolution of alerting system schemes in commercial aviation, which revealed naive assumptions about pilot reliability in monitoring flight path parameters; specifically, pilot monitoring was assumed to be more effective than it actually is. Examples are provided of the types of alerting system failures that have occurred, and recommendations are provided for alerting system improvements.

Description: There is a substantial literature on eye-tracking measurement for pilots. These measures offer one method for studying pilot visual attention. This presentation reviews this literature to identify the range of eye-tracking measures used; the primary findings from eye tracking as it relates to commercial transport pilots; and whether we can learn anything from these studies about pilot monitoring. We identify gaps between the process of pilot monitoring and what we can know from studying eye tracking. This is a brief presentation.