TRAINING CENTRE CRM Golden Rules Edition 3 Oct. 2018 CRM Golden Rules Page 3/38 How to efficiently manage the available resources? understanding what is going on managing errors team work communication use of procedures decisions How to optimize your performance : understanding my own performance and limitations CRM Golden Rules Page 4/38 Manage your resources: preparing the flight, anticipating, keeping some resources in reserve Know and respect your own limits Use and trust professional safety nets: o CL, SOP o Synchronization by task sharing, cross check , briefings Never stop training CRM Golden Rules Page 5/38 Team decision-making Key factors for good decision-making Do not rush into action! Anticipate your decisions: Take some time to analyze the situation and review the solutions. Stick to standard procedures! they will help you with the main decision steps Only make decisions that you can implement! The captain makes the decision. The whole crew prepares it! CRM Golden Rules Page 6/38 How to detect a loss of situation awareness ? Signals that you might be missing something important: Unexplained discrepancies between instruments Unusual timing Unexpected results (e.g. abnormal performance) Communication mismatch (“why did he tell this to me ???”) ‘‘Something seems strange, it doesn’t feel right’’ ... CRM Golden Rules Page 7/38 Recovering from a loss of situation awareness Try to recover the ‘big picture’, fly the aircraft, check navigation Go to the nearest stable, simple and safe state Stick to documented procedures if applicable Set a temporal deadline Come back to the last thing you were sure of Use raw data Avoid fixation on a past problem Take over, or change the automation level Communicate: express any doubt, ask for external assistance, ask the ATC CRM Golden Rules Page 8/38 About human errors Errors must be accepted as a normal component of human behavior But we must not let errors threaten safety! ‘Listen’ to your errors: They tell you what are your margins and help you readapt Share experience CRM Golden Rules Page 9/38 The golden rules of communication Prepare your message, be clear and unambiguous Check that you have been understood Use standard communication tools: phraseology, briefings and call outs Protect your task when you receive a message Respect the receiver task when you send a message CRM Golden Rules Page 10/38 Tips for good communication Make sure you share a common context Be clear and unambiguous As a sender: respect your partner Is your message more important than his task? help him resume As a receiver: protect yourself only accept communications when your task is stabilized. CRM Golden Rules Page 11/38 Conflict and conflict management The right attitudes Don’t take it personally Avoid « who is right? » Seek «what is correct? » Accept criticism: We all make mistakes! Listen! Ask open questions and reformulate Be courteous but firm when necessary Allow for cultural influences: the code is perhaps different Focus on the flight, use phraseology, keep on working in a professional way Accept the difference CRM Golden Rules Page 12/38 The golden rules of synergy Synergy is not natural Synergy must be built up at first contact Synergy must be maintained all along the flight Synergy depends on cockpit style Synergy requires a friendly atmosphere CRM Golden Rules Page 13/38 The golden rules of automation Know and understand the system Adhere to SOP’S Don’t do major reprogramming below FL 100 Both crew member should not deal with the FMS at the same time One head up at all times Monitored automation and cross checked with raw data information CRM Golden Rules Page 14/38 Countermeasures - T E M Planning countermeasures: essential for managing anticipated and unexpected threats; Execution countermeasures: essential for error detection and error response; Review countermeasures: essential for managing the changing conditions of a flight. CRM Golden Rules Page 15/38 Planning Countermeasures SOP BRIEFING The required briefing is interactive and operationally thorough - Concise, not rushed, and met SOP requirements - Bottom lines are established PLANS STATED Operational plans and decisions are communicated and acknowledged WORKLOAD ASSIGNMENT Roles and responsibilities are defined for normal and nonnormal situations CONTINGENCY MANAGEMENT Crew members develop - Threats and their effective strategies to manage consequences are anticipated threats to safety - Use of all available resources to manage threats CRM Golden Rules - Shared understanding about plans - “Everybody on the same page” - Workload assignments are communicated and acknowledged Page 16/38 Execution Countermeasures MONITOR / CROSS-CHECK WORKLOAD MANAGEMENT AUTOMATION MANAGEMENT CRM Golden Rules Crew members actively monitor and cross-check systems and other crew members - Aircraft position, settings, and crew actions are verified Operational tasks are prioritized and properly managed to handle primary flight duties - Avoided task fixation - Do not allow work overload Automation is properly managed to balance situational and/or workload requirements - Automation setup is briefed to other members - Effective recovery techniques from automation anomalies Page 17/38 Review Countermeasures EVALUATION/ MODIFICATION OF PLANS INQUIRY ASSERTIVENESS CRM Golden Rules Existing plans are reviewed - Crew decisions and actions and modified when necessary are openly analyzed to make sure the existing plan is a good plan Crew members ask questions - Crew members not afraid to to investigate and/or clarify express a lack of current plans of action knowledge - “Nothing taken for granted” attitude Crew members state critical information and/or solutions with appropriate persistence - Crew members speak up without hesitation Page 18/38 Introduction to the NOTECHS - Behaviour Marker System The NOTECHS project The NOTECHS project was sponsored by EC DGVII and the CAA's of France, Netherland, Germany and UK and ran from March 1997 until March 1998. The central goal of the NOTECHS project was to provide guidance for a feasible and efficient method for assessing an individual pilot's non-technical skills by instructor pilots and examiners during both training and check events in a multi-crew environment. The NOTECHS behavioural marker system The NOTECHS marker system was constructed from an inventory of existing systems. Non-technical skills (NTS) are defined as "those skills that refer to a crew member's attitudes and behaviours in the cockpit, not directly related to aircraft control, system management and Standard Operating Procedures (SOPs)". Components of NTS The review of existing methods exposed a large number of NTS labels and descriptors, each with their own specific meaning. A new framework was therefore created covering the whole range of NTS, based on the descriptors gathered in the review. This framework consists of four Categories: Co-operation Leadership and managerial skills Situation Awareness Decision making Each is subdivided into a number of Elements. Figure 1 shows the Elements in the Co-operation Category and behavioural examples for one Element. The Categories and Elements are formulated to be mutually exclusive but, given the interdependence of the various non-technical Skills required in flight deck operations, this will not always be achievable. The terminology attempts to reflect everyday language for describing behaviour. Although the precise naming and positioning of the words within the framework is not that important, examiners, instructors and flight crew using the framework must all have the same understanding of the NOTECHS concepts. NOTECHS provides behavioural examples that assist in Standardising assessments. Note: Anyone familiar with CRM or NTS will immediately spot the absence of Communication as one of the main Categories. However, good communication is crucial to the performance of all non-technical skills and thus does not receive a separate classification. CRM Golden Rules Page 19/38 Behaviour Marker System Non-technical skills Co-operation Leadership & management skills Team building & maintaining Considering others Supporting Situation awareness Decision making Category Element Behaviour Helps other crew members in demanding situations Figure 1 The NOTECHS descriptive framework consists of Categories, Elements and Behavioural others Offers assistance examples Conflict solving CRM Golden Rules Page 20/38 Within the NOTECHS framework, four Categories of non-technical skills have been identified, each Category containing 3 or 4 skill Elements. A short overview of the Categories and corresponding Elements is given in the following table. Category Elements 1. Co-operation • Team-building and maintaining • Consideration of others • Support of others • Conflict solving • Use of authority and assertiveness • Providing and maintaining standards • Planning and co-ordination • Workload management • Awareness of aircraft systems • Awareness of external environment • Awareness of time • Problem definition and diagnosis • Option generation • Risk assessment and option selection • Outcome review 2. Leadership and/or managerial skills 3. Situation awareness 4. Decision making CRM Golden Rules Page 21/38 Following colors for the last modifications : Good practice Poor practice 1 Co-operation Co-operation is the ability to work effectively in a crew. a) Team-building and maintaining Team-building and maintaining is about the ability to establish positive interpersonal relations between crew members and their active participation in fulfilling the tasks. Examples of poor practice: • Blocks open communication. • Keeps barriers between crew members. • Competes with others. Examples of good practice: • Establishes atmosphere for open communication and participation. • Encourages inputs and feedback from others. • Give and receive criticism, admit mistakes, (lower the barriers) • Does not compete with others. CRM Golden Rules Page 22/38 b) Consideration of others Consideration of others involves the acceptance of others and understanding their personal condition. Examples of poor practice: • Ignores suggestions of other crew members. • Does not take account of the condition of other crew members. • Shows no reaction to other crew members' problems. Examples of good practice: • Takes notice of the suggestions of other crew members even if s/he does not agree. • Takes condition of other crew members into account. • Demonstrate respect and tolerance towards other people • Gives appropriate personal feedback. • Use appropriate body language, eye contact and tone CRM Golden Rules Page 23/38 c) Support of others Support of others relates to giving help to other crew members when they need assistance. Examples of poor practice: • Hesitates to help other crew members in demanding situations. • Does not offer assistance. Examples of good practice: • Helps other crew members in demanding situations. • Ask relevant and effective questions, and offer suggestions • Offers assistance. CRM Golden Rules Page 24/38 d) Conflict solving Conflict solving is about the articulation of different interpersonal positions and giving suggestions for solutions. Examples of poor practice • Overreacts in interpersonal conflicts, sticks to own position without considering a compromise. • Accuses other crew members of making errors. Examples of good practice: • Keeps calm in conflicts. • Open and receptive to other people’s view • Suggests conflict solutions. • Concentrates on what is right rather than who is right. CRM Golden Rules Page 25/38 2 Leadership and Managerial Skills Effective leadership and managerial skills help to achieve joint task completion within a motivated, fullyfunctioning team through co-ordination and persuasiveness. a) Use of authority and assertiveness The use of authority and assertiveness infers the ability to create a proper challenge and response atmosphere. The given command authority of the Captain should be adequately balanced by assertiveness and crew member participation. If a situation requires, decisive actions are expected. Examples of poor practice: • Hinders or withholds crew involvement. • Passive, does not show initiative for decisions, own position not recognisable. • Does not show appreciation for the crew, coaches very little or too much. Examples of good practice: • Advocates own position. • Use initiative, give direction and take responsibility when required • Takes initiative to ensure involvement and task completion. • Takes command if situation requires. • Motivates crew by appreciation and coaches when necessary. • Friendly, enthusiastic, motivating others • Confidently do and say what is important to him or her. CRM Golden Rules Page 26/38 b) Providing and maintaining standards Providing and maintaining standards refers to the compliance with essential standards (SOPs and others) for the task completion. Supervision and intervention in case of deviations from standards by other crew members is also part of this skill. If situation requires, non-standard procedures might be necessary. Such deviations shall be discussed and announced. Examples of poor practice: • Does not comply with SOPs, does not monitor crew for SOP compliance. • Does not intervene in case of deviations. • Applies non-standard procedures without announcement or consultation of crew members. Examples of good practice: • Ensures SOP compliance. • Follow procedures appropriately and consistently • Intervenes if task completion deviates from standards. • Having consulted the crew, deviates from standard procedures if situation requires. CRM Golden Rules Page 27/38 c) Planning and co-ordination Planning and co-ordination refers to applying an appropriate concept for organized task-sharing and delegation in order to achieve top performance and to avoid workload peaks and dips. Communication of plans and intentions leads to coordinated activities within the whole crew. Examples of poor practice: • Plans only for self, does not involve crew. • Intentions not stated or confirmed. • Changes plan without informing crew or follows plans blindly. Examples of good practice: • Encourages crew participation in planning and task completion. • Clearly states intentions and goals. • Open and honest about thoughts, intentions and goals. • Having consulted crew, changes plan if necessary. CRM Golden Rules Page 28/38 d) Workload management Workload management demands clear prioritisation of primary and secondary operational tasks. Based on sound planning, tasks should be distributed appropriately among the crew. Signs of stress and fatigue should be communicated and taken into account. Available external and internal resources (including automation) should be used to accomplish timely task completion. Examples of poor practice: • Flying solo without other crew members involved. • Allowing secondary operational tasks to interfere with primary flight duties. • Inadequate workload planning. • Ignoring signs of stress and fatigue. Examples of good practice: • Calm, relaxed, careful and not impulsive. • Distributes tasks among the crew, checks and corrects appropriately. • Secondary operational tasks are prioritised to retain sufficient resources for primary flight duties. • Allocates enough time to complete tasks. • Use time efficiently to complete tasks. • Offer and accept assistance, delegate when necessary and ask for help early. • Concentrate on one thing at a time, ensure tasks are completed and do not become distracted. CRM Golden Rules Page 29/38 3 Situation Awareness Situation awareness relates to one's ability to accurately perceive what is in the cockpit and outside the aircraft. It is also one's ability to comprehend the meaning of different elements in the environment and the projection of their status in the near future. a) Awareness of aircraft systems The crew needs to be constantly aware of the state of different aircraft systems. Examples of poor practice: • Does not ask for updates. • Does not signal awareness of changing systems. Examples of good practice: • Monitors and reports changes in system states. • Monitor, report changes and cross-check actions. • Acknowledges entries and changes to systems. • Aware of what the aircraft and its systems are doing. CRM Golden Rules Page 30/38 b) Awareness of external environment The crew needs to be aware of their environment (position, weather, air traffic, terrain) Examples of poor practice: • Does not acknowledge - repeat ATC directions. • Does not enquire about environmental changes. • Does not comment on relevant environmental factors, or is surprised by them. Examples of good practice: • Collects information about the environment. • Contacts outside resources when necessary. • Shares information about the environment with others. • Aware of where the aircraft is and its environment • Aware of the condition of people involved in the operation including passengers CRM Golden Rules Page 31/38 c) Awareness of time The crew needs not only to be aware of the present state of the aircraft systems and environment, but must also be able to predict future states in order to anticipate future events. Examples of poor practice: • Does not set priorities with respect to time limits. • Does not discuss relationship between past events and present - future. • Is surprised by outcomes of past events. Examples of good practice: • Discusses contingency strategies. • Identifies possible - future problems. • Keep track of time and fuel • Recognise what is likely to happen, plan and stay ahead of the game CRM Golden Rules Page 32/38 4 Decision Making Decision making is the process of reaching a judgment or choosing an option. a) Problem definition and diagnosis Problem definition and diagnosis is the ability to collect the information needed to define a problem and its causal factors. Examples of poor practice: • Nature of the problem not stated or failure to diagnose. • No discussion of probable causes. • Jump to conclusions (impulsive) Examples of good practice: • Gathers information and identifies problem. • Seek accurate and adequate information fro • Agree essential and desirable criteria and prioritises. • Reviews causal factors with other crew members. • Identify and verify why things have gone wrong and do not jump to conclusions or make assumptions. • Develop what –if scenarios and make pre-decisions. CRM Golden Rules Page 33/38 b) Option generation Option generation refers to the ability of a crew member to generate multiple responses to a problem. Examples of poor practice: • Does not search for information. • Does not ask crew for alternatives. Examples of good practice: • Consider as many options as practicable. • Asks crew members for options. CRM Golden Rules Page 34/38 c) Risk assessment and option selection Risk assessment and option selection refers to the ability of a crew member to successfully assess risks and benefits of different responses to a problem, and to select the best response. Both should be accomplished through discussion with other crew members. Examples of poor practice: • Inadequate discussion of limiting factors with crew. • Failing to inform crew of decision path being taken. Examples of good practice: • Considers and shares risks of alternative courses of action. , but do not take unnecessary risks. • Identify threats to the safety of the aircraft and of the people. • Talks about possible risks for course of action in terms of crew limitations. • Confirms selected course of action. CRM Golden Rules Page 35/38 d) Outcome review Outcome review refers to the crew member's need to check the outcome of a solution against the predefined goal. Examples of poor practice: • Fails to check selected outcome against goal. Examples of good practice: • Checks outcome against plan. • Make decisions when they need to, reviews and changes if required. CRM Golden Rules Page 36/38 CRM Golden Rules Page 37/38 TRAINING CENTRE CRM Golden Rules Page 38/38