Univision Media Inteviews

 

CRM 4 Pilots Accidentes Aereos Porque?

 Porque suceden los accidentes aereos ?

Quiero compartir estas palabras y porque este tema de la seguridad es muy importante en todo momento en esta interesante carrera,  como el volar con criterio y seguridad es clave en todas las fases del vuelo.

La experiencia, tecnologia y el riesgo silencioso de la confianza, porque siguen ocurriendo accidentes que se han podido evitar.

La aviacion moderna opera hoy con niveles de tecnologia, automatizacion y sistemas de seguridad sin precedentes muy avanzados.

Aeronaves altamente confiables, avanzadas ayudas a la navegacion, programas de entrenamiento recurrente y analisis de datos orientados a la prevencion de accidentes forman parte del entorno operacional actual. 

Sin embargo, a pesar de estos avances, continuan ocurriendo accidentes aereos que resultan dificiles de aceptar, especialmente cuando involucran pilotos con miles de horas de vuelo y mas de dos decadas de experiencia.

Esto obliga a plantear una pregunta critica dentro del ambito de la seguridad operacional.

Puede la experiencia, mal gestionada, convertirse en un factor de riesgo?

La experiencia es una barrera de seguridad fundamental, pero solo cuando se acompana de disciplina operacional y una actitud profesional adecuada. 

Cuando la familiaridad con la operacion conduce a la relajacion de procedimientos, a la normalizacion de desviaciones o a la toma de decisiones basada en la intuicion mas que en los SOP, la experiencia deja de proteger y comienza a erosionar los margenes de seguridad.

Numerosos informes de investigacion demuestran que muchos accidentes aereos, no se originan por falta de conocimientos tecnicos, sino por fallas en los factores humanos, entre ellos,ese exceso de confianza y complacencia.

Una deficiente gestion de amenazas y errores (TEM).

Debilidades en el CRM y en la comunicacion de cabina.

Dependencia inapropiada de la automatizacion o resistencia a su uso incumplimiento gradual  de procedimientos establecidos.

Hoy dia la tecnologia, por avanzada que sea, no sustituye la disciplina operacional ni el criterio profesional. 

Los sistemas estan disenados para apoyar al piloto, no para reemplazar la toma de decisiones consciente y el cumplimiento riguroso de los procedimientos. 

Confiar ciegamente en que el sistema resolvera la situacion, reduce la capacidad de anticipacion y respuesta ante escenarios anormales.

La seguridad aerea no se mide unicamente por la cantidad de horas de vuelo acumuladas, en el aviador, sino por la actitud, la humildad profesional y el compromiso permanente con el aprendizaje continuo. 

En un entorno operacional complejo, la experiencia solo es valiosa cuando va acompanada de respeto absoluto por los SOP y de una cultura de seguridad solida.

En aviacion, el verdadero profesional no es quien afirma, esto nunca me ha pasado, sino quien entiende que siempre puede pasar, y por ello opera cada vuelo con el mismo nivel de atencion, preparacion y respeto por el riesgo.

Esta es una reflexion desde mi punto de vista, porque con aviones modernos ultima tecnologia y vemos que siguen ocurriendo accidentes aereos absurdos inaceptables. Porque?

Solo una investigacion final nos traera buenas recomendaciones, para que no se vuelvan a repetir los mismos accidentes.

CRM 4 Pilots Aviation Consulting Inc.

crm4pilot.blogspot.com

1(954) 617-5374

Miami - Florida

CRM 4 Pilots Emergency Response

CRM 4 Pilots Aviation Consulting Inc, we consistently recommend that every airline and aviation organization be prepared to any aviation accident or incident.

Accidents happen in seconds, but the training of the staff, established safety procedures, and organizational culture make the real difference in crisis management, and people protection, and operational.

Being prepared is not an option, it is a professional responsibility.

Safety Information is a free service of :

CRM 4 Pilots Aviation Consulting Inc.

1(954) 617-5374

Miami-Florida

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CRM 4 Pilots Aviation Consulting Inc, siempre recomendamos a cualquier aerolinea y organizacion aeronautica estar debidamente preparada para enfrentar un accidente o incidente aereo.

Los accidentes ocurren en segundos, pero la preparacion del personal, los procedimientos y la cultura organizacional marcan la diferencia en la gestion de la crisis, la proteccion de las personas y la continuidad de la operacion.

Estar preparados no es una opcion, es una responsabilidad profesional.

Safety Information is a free service of :

CRM 4 Pilots Aviation Consulting Inc.

1(954) 617-5374

Miami-Florida

CRM 4 Pilots & CFIT Accidents

CRM 4 Pilots :

What is CFIT? Controlled Flight into Terrain?

Controlled Flight into Terrain (CFIT) occurs when an airplane under the control of a pilot is inadvertently flown into terrain, water, or an obstacle with inadequate awareness on the part of the pilot of the coming disaster.

CFIT accidents occur most frequently in GA operations, comprising 4.7% of all GA accidents and 32% of GA accidents in IMC. 

On average there are 1.4 fatalities per CFIT accident, versus 0.33 fatalities per GA accident overall.

Aircraft Accidents caused by CFIT (Controlled Flight into Terrain), are one of the accidents affecting the world in general aviation, usually is as a result of flying into IMC, on or a visual flight (VFR).

According to the statistics, 80% of all CFIT accidents are involved in general aviation aircraft, with a fatal consequence in 75% of cases.

Generally there are two major accidents profiles after the pilot get in to inadvertent entrance into IMC on VFR flight.

• Loss of Control: the loss of the spatial orientation by the pilot after inadvertently entering into clouds. 

Disoriented without visual references and inexperienced in instrument flight, lose control during the flight.

• Final Unexpected: the pilot inadvertently enters into clouds without following an instrument flight plan, usually after trying to maintain visual below the ceiling until the increasing and the pilot try to stay below the layer cloud. 

The pilot tries to reach an area with higher ceilings regardless of the terrain ahead and just colliding with the mountain in a level flight attitude and high speed.

               17% of all GA fatalities are due to CFIT.

                CFIT accidents are fatal 58% of the time.

                CFIT accidents occur 64% of the time in daytime and 36% at night.

                51% of CFIT accidents occur in IMC, 48% in VMC and 1% unknown.

                Impacted terrain was flat 45% and mountainous 55%.

My best advice to all pilots, be alert when transition from VFR to IFR safety; and avoid equipment problems, air controller error, or your own complacency.

Constantly use all the most effective aviation safety tools available inside the cockpit, also always controlling Pilot Error , the causes of up to 80 % of aviation accidents – are pilot mistakes.

Read and study related CFIT accidents, respected "Save Yourself" techniques and safety tips; and clear and stay away and be concise as a safety pilot all the time.

Keep in mind, most CFIT accidents occur under or adjacent to the intermediate or final approach path.

The importance of GPWS and MSAWS (Minimum Safe Altitude Warning Systems) needs to be clarified. 

Both systems have been designed to provide alerts and warnings.

Training in procedures that include all appropriate points described above will help promote a healthy ‘CFIT Avoidance’ attitude.

Good Crew Co-Operation and development and excellent (CRM) Crew Resource Management.

Crews must then be trained in their use and understand the concept of CFIT.

CFIT accidents and Incidents that might have turned into CFIT accidents continue to occur and remain a cause for concern. 

Always fly safely your airplane.

The risk of CFIT cannot be left to back-up systems such as GPWS and MSAWS to solve the problem , but it can be reduced if all flight crew members are given well thought out the procedures to pay the attention needed , are properly trained in their use, and apply them carefully.

Pilots and operators are refreshed to review their procedures for ‘CFIT Avoidance’ content and explanation  as  I described above writing this words to share with the community and to make sure that, once established as appropriate and review , they are applied in all operations to fly safely all the time , particularly crews who fly in to terrain conditions.(Example South American Region etc.)

My personal observation in this post is only issued for information and the prevention of incidents and accidents in General and Commercial Aviation, leadership it is very important during your flight.

Be Safe all the time, and Do it safely !

Safety Information is a free Service of :

CRM 4 Pilots Aviation Consulting Inc

1(954) 617-5374

Miami-Florida

CRM 4 Pilots Safety Culture & Risk Management

Aviation Safety Culture: Effective Risk Management

Safety Culture is an essential to success and key to accomplishing future goals in your organization to avoid and prevent future incidents and accidents.

Usually, Aviation Safety has been regulated strictly to follow up the Rules, Regulations and Standards Operation Procedures (SOP).

ICAO itself distinguishes between state Safety Programs (SSPs) and Safety Management Systems (SMSs) for air operators and maintenance organizations. 

SMS is a systematic approach to managing safety, including the necessary organizational structure, accountabilities, policies and procedures.

It follows that safety is the state in which the risk of harm to persons or property is maintained at or below an acceptable level. Human error is inevitable, and absolute Safety is First .

These are set as the safety goals for operators to maintain and stay away of accidents.

How important is a Safety Culture for your organization?

Safety Culture is the set of continuing with values and attitudes concerning safety, shared by every member of every level of an organization. 

Safety culture is usually recognized as critical to the success of SMS.

Safety Information is a free service of :

CRM 4 Pilots Aviation Consulting Inc.

CRM 4 Pilots Safety Culture

CRM 4 Pilots Aviation Safety Culture

A Safety Culture is something that is striven for but rarely attained…

The process is more important than the product.”

James Reason, “Managing the Risks of Organizational Accidents.”

Doing the right things, even when no one is watching.

“The safety culture of an organization is the product of the individual and groups values, attitudes, competencies and patterns of behavior that determine the commitment to, and the style of proficiency of, an organization’s health and safety program”  James Reason,

The safest organizations have more effectively committed themselves to controlling the risks that may arise from mechanical or organizational failures, environmental conditions and human error.

The organization collects and analyzes “the right kind of data” to keep it informed of the safety health of the organization – collects, analyzes and disseminates information on incidents and near-misses, as well as proactive safety checks.

James Reason.

How important is a Safety Culture for your organization.

Safety Culture is the set of continuingwws with values and attitudes concerning safety, shared by every member of every level of an organization. Safety culture is usually recognized as critical to the success of SMS.

Always Fly Safely !

CRM & Factor Humano

 

Enfoque del CRM y el Factor Humano :

En aviacion, muchas veces el accidente no nace de una mala intencion, sino de acciones automaticas, omisiones, distracciones o fallas en la comunicacion, realizadas sin plena conciencia del riesgo.

El CRM busca precisamente recuperar el control, aumentar la conciencia situacional y evitar que lo “no intencional” escale a un accidente.

CRM 4 Pilots trabajamos en la aplicacion correcta en investigacion de incidentes y accidentes y su prevencion.

En la mayoria de los accidentes aereos, las causas no son actos deliberados, sino una cadena de eventos no controlados: ejemplos como fatiga, presion operacional, mala gestion de recursos, fallas de comunicacion o exceso de confianza.

El impacto de esas acciones involuntarias suele ser mucho mayor que el de decisiones conscientes evaluadas correctamente.

Prevenir accidentes no es solo evitar malas decisiones, sino identificar y controlar aquellas acciones que ocurren sin darnos cuenta.

Por eso el CRM entrena a las tripulaciones para detectar amenazas, errores y estados no deseados antes de perder el control de la situacion.

En aviacion, los mayores accidentes no provienen de decisiones conscientes, sino de acciones no intencionales que se salen de control. 

El CRM existe para reconocerlas, gestionarlas y detenerlas a tiempo.

El CRM no busca evitar errores humanos, sino evitar que los errores no intencionales se salgan de control y terminen en un accidente.

Las consecuencias de eventos no intencionales y fuera de control pueden ser mas graves que las acciones realizadas de manera consciente.

CRM 4 Pilots Aviation Consulting Inc.

1(954) 617-5374