Potential Knowledge, Policy, or Training Gaps
Regarding Operation of FMS-Generation Aircraft
SECOND REPORT
Human Factors Committee
Automation Subcommittee
Air Transport Association
The Automation Subcommittee was formed by the Human Factors
Committee to examine potential solutions to issues raised in the FAA Human
Factors Team Report (1996) on Aircraft Automation. The FAA Team identified
vulnerabilities in pilot management of automation and situation awareness. These
included understanding the capabilities, limitations, modes, and operating
principles of automated flightdeck systems, and choosing levels of automation
appropriate to flight situations. This is the second report of the subcommittee.
In the first report, we examined ways to make training for FMS-generation
aircraft more consistent with carrier operating philosophy. In this paper, we
examine potential gaps in the knowledge of pilots or carrier policy guidance
surrounding limitations or design assumptions of FMS-based navigation.
Discussions within the subcommittee led to identification of
six key issues and potential solutions that might be implemented within
carriers. These issues are prioritized as follows:
The need for further guidance in choosing among levels of
automation.
The need for pilots and carriers to detect and correct
anomalous autoflight performance.
Procedural implications of functional differences in FMS
and ground-based navigation.
Requirements to display and cross-check ground-based
navaids
Improving ATC procedure compatibility with FMS-generation
aircraft
The need to maintain underlying skills with extensive FMS
experience.
We recognize that some of these issues ultimately require
design or certification solutions. However, we believe that action is required
in the near term by carriers or their pilots to prevent and correct
commonly-occurring errors. For each issue, we attempt to discuss observed
problems in some detail, provide supporting evidence suggesting a knowledge or
policy gap, assess what pilots operating the aircraft may need to do to
accommodate a limitation, and draft policy guidance member carriers might
publish to their pilots. This paper leads, then, to an expanded statement
of automation policy, covering a range of issues beyond what most member
carriers have already addressed. As emphasized in its first paper,
"Towards a Model Training Program," the subcommittee believes training revision
is necessary to ensure pilots understand and act in accordance with carrier
philosophy.
Issue One: Further Guidance in Choosing Among Levels of
Automation
The FAA team recommended that carriers "provide guidance to
crews concerning circumstances where autoflight should be engaged, disengaged,
or engaged in modes with greater or lesser authority, conditions under which
autoflight systems will not engage, will disengage, or revert to another mode,
and appropriate combinations of automatic and manual control." However, the
subcommittee concurs with the position advocated by most member carriers that
operating manual guidance and initial and recurrent training should lead to
application of pilot judgment rather than provide highly specific guidance on
when to use what level.
The Subcommittee noted two types of guidance provided by
carriers on this issue:
Authorization to choose levels of automation -- Each
carrier has emphasized that proficiency is required in each level of
automation, and has explicitly authorized pilots to choose the most
appropriate level for each flight situation. Statements of this type appear
today in most policy manuals.
Training for choosing among levels -- Some carriers
have begun to offer guidance in training for when to choose what level, and
this is a significant further step beyond simply authorizing such choices.
However, these training statements have not been documented in policy or
operating manuals. Such guidance would include activating versus
deactivating automated systems for specific/special recovery maneuvers. For
example, one member carrier has specified in training to disconnect
autopilot and autothrottles to maintain control and extract maximum aircraft
performance for: unusual attitude recovery, windshear/microburst, high
altitude upset, GPWS terrain warning, engine failure at low altitude/energy
state, flight instrument malfunctions, and mid-air collision avoidance.
Though the subcommittee does not necessarily endorse this specific
statement, we do believe this level of guidance is warranted.
While training has begun to expand guidance regarding levels
of automation, little more has been written into policy or operating manuals as
a part of the carrier’s operating philosophy. Most of these statements remain
limited to authorization to choose levels appropriate to each situation.
Supporting Evidence
Significantly, several member carriers participated in the
research conducted by the FAA Team in 1995. Despite the efforts described above,
the Team found evidence leading to automation management and situation awareness
concerns. Similarly, reports to ASRS and Partnership programs continue to
reflect two tendencies consistent with the Team’s concerns:
Tendency to choose an inappropriate level of automation
-- Even though carriers have explicitly authorized pilots to choose
appropriate levels, pilots often attempt to program when it creates
additional workload, or alternatively, to turn automation completely off
even though some intermediate mode would relieve workload. This is exactly
the issue to which automation philosophy statements were written. Further
documentation to guide these choices is warranted.
Tendency to attempt to correct an "automation-induced"
deviation by manipulating the automated system, rather than the controls of
the aircraft -- a situation where manual control is clearly most
appropriate, yet reports show preference for mode control over manual
control. (The FAA Team pointed out that in some accidents, pilots have
turned to an autoflight system to correct flight attitudes beyond the
capability of the system -- in contrast to guidance in some member carriers’
training that immediate control requires manual control.) Again while
carriers are highlighting this issue in training, publication of more
detailed guidance is warranted.
Policy Guidance for Pilot Action
Application of pilot judgment is the immediate target of
guidance on this issue. The subcommittee offers the following prototypical
statement for publication in policy manuals:
Pilots will be proficient in operating their aircraft in all levels of
automation. However, the level of automation used at any time should be the
most appropriate to enhance safety, passenger comfort, schedule, and economy.
Pilots are specifically authorized to choose what they believe to be an
appropriate level of automation. In general, choices among levels can be
guided by their functionality and the demands of the situation.
Where immediate, decisive, and correct control of aircraft path is
required, the lowest level of automation -- hand-flying without flight
director guidance -- will be necessary. Such instances would include escape
or avoidance maneuvers and recovery from upset or unusual attitudes. With
the exception of visual approaches and deliberate decisions to maintain
flying proficiency, this is essentially a non-normal operation for flight
guidance or FMS-generation aircraft. It should be considered a transitory
mode used when the pilot perceives the aircraft is not responding to urgent
aircraft demands. The pilot can establish a higher level of automation as
soon as conditions permit.
When used with flight director guidance, hand flying is the primary
takeoff and departure mode. It is also the primary mode for landings, except
for autolands.
Where short-range tactical planning is needed (i.e., radar vectors for
separation or course intercept, short-range speed or climb rate control,
etc.), Mode Control or Flight Guidance inputs may be most effective. This
level should be used predominantly in the terminal environment when
responding to clearance changes and restrictions, including in-close
approach/runway changes.
Autoflight coupled to the FMS/GPS is the primary mode for non-terminal
operations and should be established as soon as "resume own navigation" or
similar clearance is received. This level exploits programming accomplished
pre-flight. Where the longer-range strategic plan is changed (i.e., initial
approach and runway assignment, direct clearances, etc), Flight Management
inputs remain appropriate. However, when significant modifications to route
are issued by ATC, the pilot should revert, at least temporarily, to lower
levels of automation.
The subcommittee believes a statement like this represents significant and
needed guidance beyond what appears in carrier manuals today.
Issue Two: Detecting and Correcting Anomalous Autoflight
Performance
Pilots have reported a significant number of situations in which the aircraft
deviated from the pilot’s intended actions following selection of an autopilot
mode. They may occur for a variety of reasons falling into two general
categories -- (1) inadvertent selection of a mode or input of data by the pilot,
and (2) deliberate selection of a mode expecting different performance than the
mode is designed to provide. The former have been referred to as input errors,
and the latter as automation surprises or mode errors. In either case, the
pilots must detect and correct the path of the aircraft, but the latter case
reflects a deeper problem -- the pilot does not understand the logic by which
the mode functions in the reported situation. As a result, carriers must
position their pilots to ensure that mode and data errors are quickly corrected
and must position themselves to ensure that "anomalous functions" are documented
in manuals and communicated in training.
Supporting Evidence
Each member carrier represented on the subcommittee has reported events where
pilots encountered autoflight performance they did not expect, but on review
found these to be characteristic of the underlying software or hardware design.
For example:
Pilots of MD80 aircraft and its variants have reported altitude
deviations following entry of a speed restriction into the Flight Guidance
Control Panel. Typically, the aircraft was operating in Perf Cruise mode
when ATC restricted speed. The PF dialed in the speed or mach setting, then
engaged Speed Select. The autopilot then complied with the speed, but began
a spontaneous climb or descent. These events result from the design
assumptions of the autoflight system software. Exiting Perf Cruise, the
autopilot needs both speed and altitude/vertical speed targets. The pilot
has provided the speed target. The altitude target is obtained by examining
the aircraft’s current vertical speed. Because Perf modes allow 150 ft. of
altitude variance to minimize pitch/power changes, the aircraft is often in
a shallow climb or descent. In these events, the altitude/vertical speed
mode has defaulted to vertical speed. The pilots expected it to default to
altitude hold, as the aircraft had previously been at cruise. The obtained
mode was annunciated on the FMA, but undetected by the pilots for some
period of time. Training pilots to dial in the desired speed/mach, but
selecting altitude hold on the FGCP (MCP) is addressing the particular
problem.
On F100 and A300 aircraft with the autopilot engaged in certain flight
envelopes, pilot elevator input forces are sensed as unwanted inputs and are
trimmed out by the autopilot. No force disconnects are implemented, and
autopilot trim in the opposite direction of input is not inhibited as on
some Boeing aircraft, for example. This has resulted in events that were
perceived or described by pilots as runaway trim. For example, the pilot of
an F100 aircraft did not disengage the autopilot when initiating a visual
approach, but believed he had. Stab trim then moved to both full nose-up and
full nose-down positions in response to elevator inputs and configuration
changes. The autopilot was attempting to maintain the last target selected
on the MCP, which was altitude hold. This sequence ended when torque forces
applied to the manual trim wheel by the PNF were sensed as a fault,
disengaging the autopilot. Importantly, the pilots believed the autopilot to
have been disengaged throughout the maneuver. A similar event resulted in an
A300 accident at Nagoya, Japan, when the FO/PF engaged TOGA mode, but
attempted to stay on the glide slope with forward elevator pressure. Nearly
full nose-up trim was obtained as the autopilot sought go-around pitch. The
aircraft eventually pitched into stall attitude when the autopilot was
disengaged, go-around thrust applied, and flaps retracted. In both of these
events, the pilots expected action counter to the underlying software
design, though the modes engaged were annunciated on the FMA. The A300 has
been modified since the accident so that high control column force will
disconnect the autopilot.
FMS arrivals and approaches may be flown with lateral and vertical
navigation engaged, and the lowest altitude restriction on the profile set
in the altitude window. The VNAV mode honors all intermediate restrictions.
On the B757/767, member carriers have reported events in which the aircraft
was falling behind (above) VNAV path and the pilot selected FLCH or VS to
expedite the descent. Altitude protection is forfeited for the intermediate
restrictions by this action. This is a serious error if the pilots are not
monitoring the performance of the aircraft at the intermediate restriction.
Unsatisfied with the performance of VNAV, the pilot has selected a mode that
meets the descent goals, but removes altitude protection, and does not
recognize that tradeoff in real time.
Other examples can be described for virtually every model of FGS, FMS, or
GFMS-equipped aircraft.
Events of this type represent underlying misunderstandings of the functioning
of particular modes by the pilot, a lack of strategy for confirming modes
engaged or annunciated, or unusual or counter-intuitive entries into a mode or
envelope. Alternatively, they may be viewed as inaccurate design assumptions of
how a pilot would use or encounter a mode, or how an ATC clearance would affect
mode selection. Countermeasures are necessary at three levels:
Pilot strategy – pilots must deliberately scan the FMA to determine
whether autopilot and autothrottles are engaged and in what modes. In a
previous subcommittee paper, "Towards a Model Training Program," the
subcommittee discussed this as analogous to the schedule bidding process. A
mode selection is a bid, which must be compared with its annunciated
award. Then aircraft performance must be continuously scanned for
reassignments -- deviations from selected and annunciated targets. These
actions would catch and correct an overwhelming majority of mode errors
reported to member carriers. The subcommittee found that each carrier has
emphasized in training the need to confirm results of autoflight selections
to prevent mode surprises and confusion. However, autoflight systems can
also change modes autonomously, often with only FMA indications (flashing
the mode a number of times, for example). So, ongoing monitoring is
required, not simply selection and confirmation. A number of data sources
identify situations where pilots failed to monitor or control the actions of
an autoflight system in a timely manner. This may reflect both an
inappropriate level of trust in the autopilot during critical flight modes
such as altitude level-off and a tendency to "fly the aircraft through" a
flight guidance or flight management system. These events often reflect a
failure to continue scanning the performance of the aircraft following
selection and confirmation of an autoflight mode. The subcommittee noted
that policy and procedural guidance on this issue remain limited.
2. Airline reporting – where seemingly anomalous autoflight performance
can be traced to a design assumption or software, it must be documented to
pilots in operating manuals and reviewed in training. Many of these events
reflect a mode functionality expectation by the pilot that is not valid. If
these can be documented and/or highlighted in training, they may be overcome
by changing the expectation. This requires capturing the events though a
reporting program. This is an argument for pursuing Partnership Programs and
deliberately reviewing the reports for mode errors. Additional sources might
include service difficulty reports reviewed by Maintenance management.
3. Manufacturer reporting – where large numbers of similar events are
found to be associated with a particular design assumption or software
implementation, software updates and changes are warranted. Each
manufacturer has implemented such changes through software upgrades. They
can accomplish such corrective actions only to the extent they are made
aware of events by their airline customers. Reliable feedback processes must
be established or existing processes strengthened to assure this type of
action.
Policy Guidance for Pilot Action
The subcommittee recommends that member carriers review their procedures and
training to assess the extent to which they promote a pilot strategy of
autoflight use that confirms the annunciation of selected modes and continues
scanning for anomalous performance. The subcommittee offers the following
prototypical statement for publication in policy manuals:
Pilots must confirm the results of autoflight selections to prevent mode or
course surprises and confusion. A selection on the Mode Control or Flight
Guidance panel must be checked against its result on the Flight Mode
Annunciator. An input into the FMS/GFMS-CDU must be checked against its
resulting course displayed on the Nav Display, and the pilot making the
input must confirm the resulting course with the other pilot prior to
executing the change when feasible. And in all cases, both pilots must
continue their scan to ensure the autopilot performs as directed and
anticipated.
Additional Recommended Actions
The subcommittee recommends that member carriers establish or review existing
pilot reporting systems to ensure they can identify and respond to events
resulting from mode errors. We also recommend that member carriers review their
process of reporting such events to manufacturers to ensure that ongoing
software revision efforts are geared to problems encountered in line operations,
and to their fellow carriers to ensure lessons learned by one carrier’s pilots
are communicated to others’.
Issue Three: Procedural implications of functional differences
in FMS and ground-based navigation.
FMS/GFMS systems navigate in fundamentally different ways from pilot tracking
or autopilot coupling to ground-based navigation signals. The FMS uses inertial,
satellite, and/or ground references to determine its position and navigate to
waypoints defined by latitude and longitude. Pilots and earlier-generation
autopilots track courses, bearings, or radials provided by a ground-based navaid.
An FMS makes use of databases of waypoints, navaid locations, and procedures to
accomplish the ground track for published procedures.
However, charts and databases are not identical on a variety of
measures. Databases do not always correspond with charted fix names, bearings,
or radials, and do not include all charted procedures. In the majority of
situations, these differences are of no consequence -- despite naming or
depiction differences, the FMS navigates the same ground track for an approach,
SID, or STAR as a pilot flying via radio navigation. However, from time to time,
pilots have brought to the attention of their carriers situations where the FMS
did not fly a procedure as defined by radio navigation. Reasons for differences
in approaches were described in a 1997 report by Transport Canada and
include:
· Not all approaches are in the database.
· Waypoint identification may differ from chart to FMS.
· Waypoints may be added to or deleted from a procedure.
· Courses and bearings may differ from chart to FMS.
· Duplicate identifiers require database conventions that may not be
apparent to the pilot.
· Revision cycles for charts and databases are not identical.
Pilots must determine whether they are flying the charted procedure for which
they are cleared. Given the capabilities and limitations of existing nav
databases, pilots will encounter discrepancies, ranging from a simple name
difference that leads to the same ground track to selection/activation or
database errors that result in a substantially different course. Significant
discrepancies more often result from selecting and activating a procedure
incorrectly, but may also signal a database error that needs to be brought to
the airline’s and database provider’s attention and corrected. Detection and
correction requires a thorough briefing and cross-check that is not called for
in most member carrier policies, procedures, or training.
Supporting Evidence
Each member carrier participating on the subcommittee was able to provide
example events.
Pilots have selected an approach other than the one for which they were
cleared. This usually occurs when there are multiple approaches of the same
type to a runway. For example at Reno, Dallas/Fort Worth, and Washington
National, there are multiple ILSs to 16R, ILSs to 13R, and LDAs to 18,
respectively. Except for very-recently introduced Advanced FMSs, navigation
databases are limited to one approach of each type to each runway. The
others simply are not in the database, and pilots have selected and flown
one when cleared for another. Depending on the procedure, this can result in
significant track differences on the approach or missed approach.
Pilots have failed to select a correct transition for a SID, STAR, or
approach. This usually occurs where charting/database convention
incompatibilities, or a failure of the procedure-designer to comply with
conventions, result in a leg that is part of the charted procedure being
labeled a transition in the database. Depending on the procedure, this can
result in track differences such as cutting a corner defined by the
transition waypoints.
Pilots have failed to cross-check step-down fixes on an approach that do
not appear in the database, but are honored through vertical navigation
constraints. This could result in a significant error on a non-precision
approach, because VNAV is not used and the constraints are not depicted.
However, the error has been reported to member carriers to date only for
fixes outside glideslope intercept on precision approaches. In these
cases, pilots have often engaged the approach mode and failed to monitor
crossing altitude on non-depicted fixes outside the depicted ILS "feather."
Pilots have continued on an FMS track or course that deviated from the
track required on an arrival. For example, an arrival into one airport ended
at a waypoint from which a turn to downwind was required. At this point, the
aircraft would revert to heading hold and fail to make the turn. Controllers
at the airport described this as a frequent error, and reports resulted in
the heading off the waypoint being added to the database.
Pilots have entered an incorrect holding pattern after having been
instructed to hold as published at a fix. In these cases, two patterns were
published at the same fix, usually one at high and one at low altitude. Only
one appears on each chart and the database cannot store multiple patterns at
the same fix. Depending upon the traffic pattern in the area, this can
result in loss of separation with other traffic.
A variety of other examples could be provided. Each may be viewed in two
different ways -- as an operator error or as a database problem. The
subcommittee is aware of and supports the activities of the industry working
group pursuing standardization between charts and nav data. However, we believe
that these limitations will always exist in some form and pilots must be
prepared to detect and correct them.
Policy Guidance for Pilot Action
The Subcommittee recommends that member carriers review the extent to which
their pilots need to know the underlying database issues, but more importantly,
the extent to which their procedures emphasize the pilot actions required to
ensure the aircraft flies the track required by a procedure. We offer the
following prototypical statement for publication in policy manuals:
For a variety of reasons, displayed FMS legs making up a departure,
arrival, or approach procedure may not correspond with charted fix names,
bearings, or radials even though the database is designed to follow the same
ground track. However, from time to time, pilots have encountered situations
where the FMS did not fly a procedure as defined by radio navigation or in
compliance with ATC expectations. Therefore, pilots must brief and cross-check
charted procedures against FMS data to ensure they have selected the correct
procedure and will comply with their clearance.
Before departure, thoroughly review your assigned departure and
cross-check the waypoints obtained with your desired course. If you select
or build a transition, verify between pilots that it matches your clearance
and produces the desired track. Ask ATC for clarification if any conflict
exists.
Before arriving in the terminal area, thoroughly brief the arrival and
approach you expect to fly and cross-check fixes presented by the FMS
against fixes depicted on the approach chart. Should the runway or approach
change and you wish to use the FMS for the new approach, that same level of
cross-check is essential. If time constraints or circumstances prevent your
cross-check, decline the clearance or tune and identify radio aids to
navigation and fly the approach in a lower level of automation.
Issue Four: Display and Cross-check of Ground-based Navaids
Against FMS Map Display
Except for those aircraft designed to meet Required
Navigation Performance (RNP) for the Approach Phase (B-737 or B-777 with
Advanced FMS, for example). Flight Management Systems are certified for enroute
and terminal navigation, but not for approaches. Except for special FMS, GPS,
and RNAV procedures, approaches are flown relative to or from ground-based
navaids. So presumably, a pilot may (from an FAR perspective) take off,
accomplish a SID and its transitions, navigate enroute, and accomplish a STAR
and its transitions to the initial approach fix, all in LNAV without direct
reference to ground-based navaids. But by the initial approach fix, the pilot
must tune, identify, and monitor the navaids that define the approach; to ensure
the path flown by the aircraft complies with the required track.
Are those FAR requirements sufficient for ATA member
carriers? A review of procedures across carriers suggests it is not. The
subcommittee encountered the following range of policies:
At least one airline has not published a ground-based
navaid policy.
One requires one pilot to tune, identify, and display
ground-based navaids on any approach where raw data can be displayed on
the EHSI. For an NDB approach, cross-check is required. (This is very
close to the FAR requirement.)
Another requires one pilot to display ground-based
navaids below 25,000 ft. in Latin America, and lists other requirements
specific to the type of approach in aircraft Training and Operating
Manuals.
Another stipulates that the PNF will have ground-based
navaids selected on precision and non-precision approaches prior to final
course interception and the final approach fix, whenever below grid MORA
in Latin America, and during departures or approaches to airports listed
in Company pages (such as European, Mexican, and special US airports).
Another requires the PNF to tune, identify, and monitor
ground-based navaids throughout the flight. The PF may display and use
LNAV guidance. Accuracy of FMS updating is traded for constant pilot
cross-check.
Clearly, no industry standard exists though individual
carriers have established when ground-based navaids must be displayed or
cross-checked. However, other potential requirements have been left undefined by
one or more carriers. When is a cross-check acceptable (i.e., against the RDMI)
and when is a deviation display required (i.e., EHSI)? Who must display
ground-based navaids (CA/FO, PF/PNF)? Do region-specific requirements generalize
to any other International or Domestic operations?
These issues change with the introduction of Advanced FMS
aircraft certified to comply with Required Navigation Performance (RNP) in the
Approach Phase. Example aircraft include B-737 and B-777 with Advanced FMS.
These aircraft are certified to accomplish published RNAV
approaches solely by reference to the FMS. However, for all other approaches,
cross-check against ground-based navaids is required. Pilots transitioning to
and from these aircraft must understand these distinctions. Inappropriately
generalizing RNAV procedures to non-RNAV approaches on these aircraft, or
transferring these procedures to non-RNP aircraft must be prevented.
Supporting Evidence
Each member carrier participating in the subcommittee
reported events that highlight misunderstanding of or absence of guidance
concerning ground-based navaid requirements:
Map shifts have been encountered occasionally at a
variety of locations (for example within the U.S. at BNA, DFW, LAX, and
SAT). These must be detected and corrected by the crew by reference to
ground-based navaids or by ATC advisory. Detection becomes critical in the
approach environment, but is potentially an issue any time the aircraft is
below grid MORA.
Approach deviations have been reported where a crew
followed FMS course guidance that diverged from the localizer or radial
defining the approach segment. The ground track specified by the procedure
must be flown, so ground-based navaids defining the procedure must be at
least cross-checked. Such events are evidence that the cross-check was not
accomplished or properly weighted by the crew.
Similarly, crews have continued approaches in instrument
conditions after the failure of a ground-based navaid when the pilots
persuaded themselves the map display sufficed. It clearly does not.
Terminal area deviations have involved incorrectly flown
SIDs and STARs where the wrong transition has been entered or wrong course
built by one pilot. There is no FAR requirement to cross-check these
procedures against ground-based navaids, though procedures at certain
airports have resulted in company requirements. Only one carrier
specifically requires pilots to cross-check against ground-based navaids
defining all SIDs and STARs, though several have emphasized in procedure
having the chart out and available during the departure and arrival and have
encouraged their pilots to cross-check those courses as a technique.
Most policy requirements beyond those required by FAR appear
to be geared towards protecting pilots against map shifts. If they were written
to support identification and correction of erroneous FMS data or pilot inputs,
would they be any different? The subcommittee is concerned that pilots may not
understand the reasons underlying a company’s ground-based navaid policy and may
not apply it correctly in the critical situations it was designed to resolve.
Policy Guidance for Pilot Action
The Subcommittee recommends that member carriers evaluate and
define their requirements for reference to ground-based navaids. Member carriers
are observing a variety of techniques being carried out by pilots where
procedure might clarify their understanding and prevent or correct error. The
key question is, "Who must tune, identify, and display or cross-check
what ground-based navaids for each phase of flight:"
Takeoff?
Departure Climb including SID and transition?
Enroute navigation including unique requirements of
overwater, European, and Latin American operations?
Arrival including STAR and transition?
Approach including unique requirements of precision and
non-precision approaches?
Published RNAV approaches on RNP aircraft?
A key question surrounds when a CDI display is required --
and this may be one of the best ways to approach decisions about a ground-based
navaid policy.
The subcommittee offers the following prototypical statement
for publication in operating manuals:
Except for those aircraft designed to meet Required Navigation Performance
(RNP) for the Approach Phase (B-737 or B-777 with Advanced FMS, for example),
Flight Management Systems are certified for enroute and terminal navigation,
but not for approaches. Except where prohibited by bulletin or
company-specific pages in the Airway Manual, pilots may accomplish a SID and
its transitions, navigate enroute, and accomplish a STAR and its transitions
to the initial approach fix solely by FMS navigation, but not approaches.
Except for published FMS, GPS, and RNAV instrument approach procedures,
approaches are flown relative to ground-based NAVAIDs.
For all other approaches, prior to the initial approach fix, one pilot
must tune, identify, and monitor (on a CDI display, where available) the
navaids that define the approach. These actions are necessary to ensure the
path flown by the aircraft complies with the ground track required by the
approach procedure. The function of the FMS and Nav display during an approach
is to assist your situation awareness -- not to fly the approach. Any
discrepancy between the Nav Display or Flight Director based on FMS/GFMS
guidance and raw data from navaids defining the approach must be challenged
and resolved immediately. Should the ground based signal be lost, the crew
must abandon that approach if in instrument conditions. On all instrument
approaches inside the final approach fix in IMC weather conditions, a
go-around is required whenever unreliability or full scale deflection of the
ground-based approach navaids is encountered.[Note: this paragraph
describes what is necessary for the pilot to comply with FMS certification.]
Specific autoflight and display modes required for precision and
nonprecision approaches are specified in each aircraft flight manual.
Requirements to accomplish published FMS, GPS, and RNAV instrument approaches
are published in the operating manual of fleets so equipped. In addition,
ground-based navaids defining a course must be tuned, identified, and
monitored where specified by bulletin or company-specific pages in the Airway
Manual, and when operating in Latin America below FL250. [Note: this
paragraph describes additional, company-specific requirements.]
Issue Five: Improving ATC Procedure Compatibility with
FMS-Generation Aircraft
Two issues involving ATC were raised in the FAA Human Factors
Team report or in the deliberations of the subcommittee: Last-minute runway,
departure, or approach changes are a frequent source of increased workload and
error on FMS aircraft. A number of ATC procedures fail to take advantage of FMS
capabilities or are structured in such a way as to interfere with their use.
Supporting Evidence
Regarding last-minute runway, departure, or approach changes,
member carriers represented on the subcommittee provided a number of examples of
errors resulting from pilots attempting to comply. Part of the problem --rushing
to comply -- generalizes to non-FMS aircraft. What is unique is an ambiguity of
how to set up navigation for such a change. Should the pilot attempt to use the
FMS first when a change is issued? It provides course guidance for many
departures and for approaches and missed approaches along with access to the
required navigation frequencies. Alternatively, since reference to ground-based
navigation is required, should it be completed first? The subcommittee noted
several reports where pilots made significant errors, including not tuning the
required navaids in the rush of such a change.
Regarding ATC procedures that are not compatible with FMS
aircraft, there appear to be a number of enhancements possible to existing ATC
procedures that would directly benefit these aircraft without creating special
procedures and without decrement to non-FMS aircraft. In general, the FMS is of
little help for vector SIDs. Selection of the JFK7, for example may result in no
legs appearing on the legs page or on the Map display, depending on the runway
and whether there is a common point for all climbs or transitions from that
runway after takeoff. This results in a very complex departure that must be
built, rather than selected, if the pilots wish to use the FMS. In the short
term, establishment of a standard, or default, vector or radial associated with
each fix from which the departure is exited, would greatly reduce workload in
the departure phase and make navigation errors less likely.
Policy Guidance for Pilot Action
Further guidance to pilots on response to ATC clearance
changes in the terminal area is warranted. The subcommittee offers the following
prototypical statement for publication in policy manuals:
Proper use of automation will reduce your workload, freeing you to complete
other tasks. Improper use will do just the opposite. Whenever possible, avoid
FMS/GFMS programming during critical phases of flight. Complete as much
programming as possible during low workload phases. ATC clearance changes in
the terminal area directly challenge this requirement.
A departure change during taxi for takeoff requires review of the assigned
departure. If the FMS is to be used for navigation during the departure,
pilots must cross-check the waypoints obtained with the desired course.
However, pilots may choose to navigate the departure by ground-based navaids
if update and cross-check of FMS moving map displays would distract from
primary ground and flight duties.
While pilots must tune, identify, and monitor all applicable approach
navaids for every approach and landing, it is not necessary to update FMS
moving map displays close-in to the landing airport where "heads down" data
entry would distract from primary flight duties.
Additional Actions
The Subcommittee recommends that the ATA Air Traffic
Management Committee initiate discussions on developing enhancements to ATC
departure and arrival procedures, especially including vector SIDs, to benefit
operation of FMS aircraft.
Issues Six: Maintenance of Underlying Skills with Extensive
FMS Experience
One final issue discussed by the Subcommittee requires
consideration beyond policy statements. We review it here to encourage member
carriers to consider its broader implications while they discuss setting policy
for operating FMS-generation aircraft. Billings (1997) has spoken of the
potential of operators to become disengaged from the underlying processes that
have been given over to automated systems, and described how that can result in
reduced or in-ability to carry out those processes when the automated system is
disengaged or disabled. To the extent that the operator must be able to carry
out those processes in an abnormal or emergency situation, the underlying skills
must be maintained. Applying that line of thought to pilots, we could expect
those functions that are predominantly carried out by automated systems on an
FMS-generation aircraft to suffer some skill loss. This might include
hand-flying the aircraft in phases of flight were the autopilot is predominantly
used, thrust control when autothrottles are disengaged, calculations of climb or
descent targets or timing without FMS assistance, and continuous navigation by
reference only to ground based navaids.
Supporting Evidence
Evidence of any change in such skills among Part 121 pilots
is limited. What exists is based upon either anecdotal reports by Training
departments or upon accident, incident, or event reporting and analysis. Member
carriers have described possible examples including additional training required
by First Officers with extensive FMS experience upon upgrading to Captain on
less-automated aircraft (instrument scan and descent planning are frequently
cited), activation -- rather than deactivation -- of autoflight systems in
recovering from excursions from controlled flight in at least two accidents, and
events in which pilots have assumed disengaged autothrottles were engaged and
applied no thrust control as the aircraft accelerated or decelerated out of the
desired flight envelope. In fact, whatever the assessment of supporting
evidence, much of the emphasis in recent advanced aircraft maneuvering training
has involved potential loss of flying skills and "automation dependency." It is
clear that many member carriers have concluded that maintaining underlying
skills is a challenge, with or without controlled scientific studies to back
those beliefs.
But perhaps the best evidence for skill loss with extended
use of autoflight and flight guidance/management systems has come from the
recent decertification of Omega Navigation Systems. A surge in navigation
deviations on aircraft formerly equipped with ONS and not yet equipped with GPS
was observed in reports to Partnership Programs and NASA ASRS in late 1997. The
source of these deviations was typically a failure of the pilot flying to tune
and identify a new navaid, or select a new or correct radial on station passage,
resulting in failure to make a required turn. Similar errors involving incorrect
calculation of segment distances resulted in early course turns. These are basic
functions of instrument navigation that were, until recently, assumed by ONS
coupled to the autopilot. When that function was removed, pilots had difficulty
in reapplying a well-learned and understood process they had performed
throughout their careers. This is exactly the phenomenon Billings describes in
more general terms.
Issues Requiring Member Carrier Review
Though the evidence is admittedly mixed, the Subcommittee is
concerned about two issues -- maintaining skills that remain necessary in FMS
aircraft, and skills that are necessary when transitioning to a less-automated
aircraft. Each of the following are potential concerns:
1. Assembly of situation awareness from disparate
instruments rather than only from a map display remains a critical skill, but
can become unexercised operating an FMS aircraft in a non-threatening
environment. Map displays present valuable and key elements of situation
awareness, but not all of them. For example, until the advent of EGPWS, no
terrain information was displayed. Pilots have always been required to
assemble position, course, and terrain information in some form of mental map
described as situation awareness. With map displays, some but not all elements
are automatically displayed or are pilot selectable. Do pilots routinely
practice integrating non-displayed elements in non-threatening environments?
This seems unlikely, and if not, represents a challenge to maintaining these
skills. Such skill is occasionally critical, as in the case of a map shift, or
in recovery from an inadvertent track deviation. Member carriers should look
for opportunities to test and reinforce these skills in training and checking.
2. Instrument cross-check condenses toward the primary
flight display on FMS-generation aircraft; more so with integrated primary
flight displays. Cross-check of other instruments is necessary in certain
phases of flight and this requirement broadens with certain types of
approaches. This a direct challenge as member carriers attempt to resolve the
raw data policy issues discussed above. Member carriers should act to assess
and correct any scan problems during training and checking.
3. Similarly, with the known high reliability of FMS
navigation, PNF monitoring skills may go unchallenged – if deviations are very
rarely detected, the motivation to search for them naturally declines. But,
the PNF must be as alert as the PF, regardless of level of automation
available in the aircraft. A low probability, high criticality error is
exactly the one that must be caught and corrected. Member carriers should
assess and emphasize these skills.
4. Flight path management, though a key function of FMS,
continues to require pilot judgment skill. For example, while calculating
descents is automatic, the pilot must do so quickly in response to ATC-imposed
crossing restrictions. This remains necessary because the validity of these
clearances must often be assessed in less time than is required to set them up
in the FMS. Otherwise, the pilot discovers that the opportunity to make the
restriction passed while he and the FMS were calculating it.
The Subcommittee noted that at least one member carrier makes
simulator time and instructors available to FMS-experienced FOs upgrading to
Captains on analog aircraft, prior to the pilot beginning the scheduled training
footprint. The subcommittee views this as one potential means for tackling this
issue and encourages member carriers to develop alternatives.
Conclusion
The subcommittee sees five of these six issues needing
further published guidance for line pilots. Most member carriers have already
taken the step of publishing automation philosophies or policies authorizing
pilots to choose appropriate levels of automation for each situation. Carrier
and industry experience have reached a point where further policy statements are
possible and warranted. The subcommittee calls on member carriers to review the
following draft policy, customize it to the unique needs of the carrier and its
pilots, and publish it in whole or part in appropriate manuals.
The Subcommittee recommends that the ATA Air Traffic
Management Committee initiate discussions on developing enhancements to ATC
departure and arrival procedures, especially including vector SIDs, to benefit
operation of FMS aircraft.
The Subcommittee also recommends that the Flight Systems
Integration Committee and FMS Task Force review the extent to which these issues
remain or change with next-generation aircraft, and the extent to which design
innovations may resolve them.
References
Billings, C. E. (1997). Aviation Automation: The Search for a
Human-Centered Approach. Mahwah, NJ: Lawrence Erlbaum Associates.
Appendix -- Draft Automation Policy
1. Operating Policy
Pilots will be proficient in operating their aircraft in all
levels of automation. However, the level of automation used at any time should
be the most appropriate to enhance safety, passenger comfort, schedule, and
economy. Pilots are authorized to choose what they believe to be an appropriate
level of automation.
2. Choosing among levels
In general, choices among levels can be guided by their
functionality and the demands of the situation.
Where immediate, decisive, and correct control of
aircraft path is required, the lowest level of automation -- hand-flying
without flight director guidance -- will be necessary. Such instances
would include escape or avoidance maneuvers and recovery from upset or
unusual attitudes. With the exception of visual approaches and deliberate
decisions to maintain flying proficiency, this is essentially a non-normal
operation for flight guidance or FMS-generation aircraft. It should be
considered a transitory mode used when the pilot perceives the aircraft is
not responding to urgent aircraft demands. The pilot can establish a
higher level of automation as soon as conditions permit.
When used with flight director guidance, hand flying is
the primary takeoff and departure mode. It is also the primary mode for
landings, except for autolands.
Where short-range tactical planning is needed (i.e.,
radar vectors for separation or course intercept, short-range speed or
climb rate control, etc.), Mode Control or Flight Guidance inputs may be
most effective. This level should be used predominantly in the terminal
environment when responding to clearance changes and restrictions,
including in-close approach/runway changes.
Autoflight coupled to the FMS/GPS is the primary mode
for non-terminal operations and should be established as soon as "resume
own navigation" or similar clearance is received. This level exploits
programming accomplished pre-flight. Where the longer-range strategic plan
is changed (i.e., initial approach and runway assignment, direct
clearances, etc), Flight Management inputs remain appropriate. However,
when significant modifications to route are issued by ATC, the pilot
should revert, at least temporarily, to lower levels of automation.
3. Confirming inputs to autoflight systems
Pilots must confirm the results of autoflight selections to
prevent mode or course surprises and confusion. A selection on the Mode Control
or Flight Guidance panel must be checked against its result on the Flight Mode
Annunciator. An input into the FMS/GFMS-CDU must be checked against its
resulting course displayed on the Nav Display, and the pilot making the input
must confirm the resulting course with the other pilot prior to executing the
change when feasible. And in all cases, both pilots must continue their scan
to ensure the autopilot performs as directed and anticipated.
4. Cross-checking FMS data against charted procedures
For a variety of reasons, displayed FMS legs making up a
departure, arrival, or approach procedure may not correspond with charted fix
names, bearings, or radials even though the database is designed to follow the
same ground track. However, from time to time, pilots have encountered
situations where the FMS did not fly a procedure as defined by radio navigation
or in compliance with ATC expectations. Therefore, pilots must brief and
cross-check charted procedures against FMS data to ensure they have selected the
correct procedure and will comply with their clearance.
Before departure, thoroughly review your assigned
departure and cross-check the waypoints obtained with your desired course.
If you select or build a transition, verify between pilots that it matches
your clearance and produces the desired track. Ask ATC for clarification if
any conflict exists.
Before arriving in the terminal area, thoroughly brief
the arrival and approach you expect to fly and cross-check fixes presented
by the FMS against fixes depicted on the approach chart. Should the runway
or approach change and you wish to use the FMS for the new approach, that
same level of cross-check is essential. If time constraints or circumstances
prevent your cross-check, decline the clearance or tune and identify radio
aids to navigation and fly the approach in a lower level of automation.
5. Raw data monitoring and cross-check requirements
Except for those aircraft designed to meet Required
Navigation Performance (RNP) for the Approach Phase (B-737 or B-777 with
Advanced FMS, for example). Flight Management Systems are certified for
enroute and terminal navigation, but not for approaches. Except where
prohibited by bulletin or company-specific pages in the Airway Manual,
pilots may accomplish a SID and its transitions, navigate enroute, and
accomplish a STAR and its transitions to the initial approach fix solely by
FMS navigation, but not approaches.
Except for published FMS, GPS, and RNAV instrument
approach procedures, approaches are flown relative to ground-based NAVAIDs.
For all other approaches, prior to the initial approach fix, one
pilot must tune, identify, and monitor (on a CDI display, where available)
the navaids that define the approach. These actions are necessary to ensure
the path flown by the aircraft complies with the ground track required by
the approach procedure. The function of the FMS and Nav display during an
approach is to assist your situation awareness -- not to fly the approach.
Any discrepancy between the Nav Display or Flight Director based on FMS/GFMS
guidance and raw data from navaids defining the approach must be challenged
and resolved immediately. Should the ground based signal be lost, the crew
must abandon that approach if in instrument conditions. On all instrument
approaches inside the final approach fix in IMC weather conditions, a
go-around is required whenever unreliability or full scale deflection of the
ground-based approach navaids is encountered. [Note: this paragraph
describes what is necessary for the pilot to comply with FMS certification.]
Specific autoflight and display modes required for
precision and nonprecision approaches are specified in each aircraft flight
manual. Requirements to accomplish published FMS, GPS, and RNAV instrument
approaches are published in the operating manual of fleets so equipped. In
addition, ground-based navaids defining a course must be tuned, identified,
and monitored where specified by bulletin or company-specific pages in the
Airway Manual, and when operating in Latin America below FL250. [Note:
this paragraph describes additional, company-specific requirements.]
6. Dealing with ATC clearance changes
Proper use of automation will reduce your workload,
freeing you to complete other tasks. Improper use will do just the opposite.
Whenever possible, avoid FMS/GFMS programming during critical phases of
flight. Complete as much programming as possible during low workload phases.
ATC clearance changes in the terminal area directly challenge this
requirement.
A departure change during taxi for takeoff requires
review of the assigned departure. If the FMS is to be used for navigation
during the departure, pilots must cross-check the waypoints obtained with
the desired course. However, pilots may choose to navigate the departure by
ground-based navaids if update and cross-check of FMS moving map displays
would distract from primary ground and flight duties.
While pilots must tune, identify, and monitor all
applicable approach navaids for every approach and landing, it is not
necessary to update FMS moving map displays close-in to the landing airport
where "heads down" data entry would distract from primary flight duties.
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