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8/11/2013

Dangerous Approaches / Keep on Outside / Can be Fatal if you don’t Understand.

Dangerous Approaches / Keep on Outside 

Kai Tak Airport, Hong Kong

The final approach accidents have increased in the final years, according to final reports of incidents and accidents in the development of my own research into this analysis by myself, also I want to write and post here my personal view regarding why accidents happen in this final phase of the flight.

Why didn’t the Flight Crew follow Standard Operating Procedures (SOP)?
Why didn’t they fly their instruments? Why didn’t they hear and respond to the Ground – Proximity Warning System (GPWS). Sometimes, poor decision making in many cases caused by stress overload that resulted in the reduction of crew focus to the point that warnings were not heard, recognized.

A Human Error approach to aviation errors analysis such approaches black hole landings, since they were characterized as occurring leads pilots to fly low approaches .

In another point of my personal analyses, in the course of working with accidents similar to those in this post, I noted that many times the Pilots appeared to lack knowledge of the design criteria for the instrument approach procedures that they were conducting.

In both Standard for Terminal Instrument Procedures (TERPS) and the ICAO (International Civil Aviation Organization) equivalent for Air Navigation Services – Aircraft Operations (PANS – OPS) there are severe and different limitations of which pilots must be aware. Without knowledge of the limitations, pilots may inadvertently wandering outside the protected areas and place themselves and their aircraft in danger.

I have been studied some accidents reports and also working as an Aviation Accident Investigator, when the crew are in the final phases approaching to the airport, occasionally the crew they get lost to the point that they strayed from a protected area and failed to respond properly to GPWS warnings for the last 22 seconds of the flight .

This is many times related accidents by CFIT (Controlled Flight in to Terrain).
On occasion the findings of the accidents investigation show that the flight crew Risk Factor long duty period, reduced alertness likely was involved.  

My best recommendation to all pilots do not assume that all airports in the same Country o Foreign Countries use the same design criteria, always remember that the PIC (Pilot in Command) is the only person responsible to land the aircraft safely all the time.

ICAO provides the following information in the DOC 8168, Aircraft Operations.  

A circling approach is a visual flight maneuver… After initial visual contact, the basic assumption is that the runway environment (i.e, the runway threshold or approach lighting aids or other markings identifiable with the runway) should be kept in sight while at MDA/H (Minimum Decent Altitude / Height) for circling. If visual reference is lost while circling to land from an instrument approach, the Missed Approach Specified for that particular procedure must be followed.

Flying will never be risk free, but is every pilot’s duty to mitigate the risk as well as he or she can. It is the responsibility also the every Flight Safety Department in any organization must follow and do the same.

It is the responsibility of the operator’s, operations Flight Safety Departments to express this kind of Safety Information to pilots , to avoid future accidents similar that are studied in the last accidents reports .
Always keep in mind Fly Safely all the time. Safe Pilots / Safe Skies. Accident Prevention is the Key!!!

DOC 8168.
http://dcaa.trafikstyrelsen.dk:8000/icaodocs/Doc%208168%20-%20Aircraft%20Operations/Volume%201%20Flight%20Procedures,%205th%20ed..pdf



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