Evidence-Based Training
Viktor Robeck, Assistant Director, Training
         and Qualification, IATA
    Background
     EBT is an initiative to improve safety in flying
         operations
     To further reduce airline accident rate a review of
         recurrent and type-rating training was necessary
     So far – event based training, … including lessons
         learned from past accidents/incidents into training
         sessions, leading to a systematic form of training, -
         checking off tick boxes
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    Data research process
     Flight ops and training data from the past 20 years has
         been reviewed (i.e. LOSA programs, air safety reports,
         flight data analysis)
     Examination of threats, errors, undesired aircraft states
         and their relationship to unwanted consequences.
     These findings were compared with current training
         practices with the outcome, that the current training
         schema does not factor in the differences of the four
         aircraft generations in use today.
     One size training does NOT fit all aircraft types
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Fatal accidents per million departures
                                      2nd generation:      3rd generation:         4th generation:
                                      2nd jet generation   Glass-cockpit           FBW
                                                           Nav display             Flight Envelope
                                                           FMS                     Protection
                                                     4Q 2011
                 2nd generation
                                                                                         All aircraft
                     4th generation
                                                                  3rd generation
                                        Aircraft by Generation
    Aircraft Generations                        A318/A319/A320/A321,
                                                A330, A340-200/300, A340-
                                                500/600, B777, A380, B787,
                               Generation 4 Jet
                                                A350, Bombardier C Series,
                                                Embraer
                                                E170/E175/E190/E195
                                                A310/A300-600, B737-
                                                300/400/500, B737-
                                                600/700/800 (NG), B757,
                                                B767, B747-400, B747-8,
                               Generation 3 Jet
                                                B717, BAE 146, MD11,
                                                MD80, MD90, F70, F100,
                                                Bombardier CRJ Series,
                                                Embraer ERJ 135/145
                               Generation 3    ATR 42-600, ATR 72-600,
                               Turboprop       Bombardier Dash 8 Q Series
                                                A300 (except A300-600),
                                                BAC111, B727, B737-
                               Generation 2 Jet
                                                100/200, B747-100/200/300,
                                                DC9, DC10, F28, L1011
                                               ATR 42, ATR 72 (all series
                               Generation 2
                                               except -600), Embraer EMB-
                               Turboprop
                                               120
                               Generation 1 Jet DC8, B707
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                          Implementing EBT
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    Publications
                          EBT was developed with
                          industry over 6 years, under
                          ITQI, and jointly agreed by
                          ICAO, IATA, and IFALPA.
                          ICAO doc 9995 was published
                          in May 2013
                           augmented by IATA ITQI doc
                          ‘EBT Implementation Guide’
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    EBT Source Data
     LOSA reports
     Flight Data Analysis studies
     Accident/Incident analyses
     Studies-AQP/ATQP Airline results
     Studies-Skill Decay & Retention
     Flight deck Automation studies
     STEADES
     Airbus Special FDA Reports
     Pilot Survey
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    Evidence from Data
    Data from over 3 million flights over
     multiple aircraft types over multiple airlines
     over several regions
    Use of standardized event set
    Analyzed for event frequency rate and
     clusters (drill down)
    LOSA data:
         -     Over 9,000 observed flights
         -     50+ airlines
         -     90 page report from LOSA Archive
         -     Subsidiary follow up report
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    LOSA:
     4% of all approaches were unstable
     97% of unstable approaches are continued to landing
              10% result in abnormal landings
     Only 3% of unstable approaches lead to a Go-Around
     When a GA occurs – it almost always poorly performed
              Usually a surprise to the crew
              Very rarely occurs at (the briefed) missed approach height
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    Competencies to manage the unforeseen
               Repetitive &                          Unique &
               foreseeable       Operation         unforeseeable
                  Evidence    System Environment   No evidence
                                                   What we don’t
             What we know
                                                      know
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8 Core Competencies
  Application of Procedures
  Communication
  Flight path management - automation
  Flight path management - manual
  Leadership & teamwork
  Problem solving & decision-making
  Situation awareness
  Workload management
  Competencies & related Knowledge, Skills
  and Attitudes
➚Competency
➚Competency Description
➚Performance Criteria – observable behavior –
     Situation Awareness
➚ Is aware of what the aircraft and its systems are doing
➚ Is aware of where the aircraft is and what its environment is
➚ Keeps track of time and fuel
➚ Is aware of the condition of people involved in the operation including
  passengers
➚ Recognizes what is likely to happen, plans and stays ahead of the situation
➚ Develops “what if” scenarios and plans for contingencies
➚ Identifies threats to the safety of the aircraft and people, and takes
  appropriate action
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Competency         Competency Description            Behavioral indicator
Application of     Identifies and applies              Identifies the source of operating instructions
Procedures         procedures in accordance with       Follows SOP’s unless a higher degree of safety dictates an appropriate deviation
                   published operating                 Identifies and follows all operating instructions in a timely manner
                   instructions and applicable         Correctly operates aircraft systems and associated equipment
                   regulations, using the              Complies with applicable regulations.
                   appropriate knowledge.              Applies relevant procedural knowledge
Communication      Demonstrates effective oral,        Ensures the recipient is ready and able to receive the information
                   non-verbal and written              Selects appropriately what, when, how and with whom to communicate
                   communications, in normal and       Conveys messages clearly, accurately and concisely
                   non-normal situations.              Confirms that the recipient correctly understands important information
                                                       Listens actively and demonstrates understanding when receiving information
                                                       Asks relevant and effective questions
                                                       Adheres to standard radiotelephone phraseology and procedures
                                                       Accurately reads and interprets required company and flight documentation
                                                       Accurately reads, interprets, constructs and responds to datalink messages in English
                                                       Completes accurate reports as required by operating procedures
                                                       Correctly interprets non-verbal communication
                                                       Uses eye contact, body movement and gestures that are consistent with and support verbal messages
Aircraft Flight Path Controls the aircraft flight path Controls the aircraft using automation with accuracy and smoothness as appropriate to the situation
Management,          through automation, including Detects deviations from the desired aircraft trajectory and takes appropriate action
automation           appropriate use of flight         Contains the aircraft within the normal flight envelope
                     management system(s) and          Manages the flight path to achieve optimum operational performance
                     guidance.                         Maintains the desired flight path during flight using automation whilst managing other tasks and distractions
                                                       Selects appropriate level and mode of automation in a timely manner considering phase of flight and workload
                                                       Effectively monitors automation, including engagement and automatic mode transitions
Aircraft Flight Path Controls the aircraft flight path Controls the aircraft manually with accuracy and smoothness as appropriate to the situation
Management,          through manual flight, including Detects deviations from the desired aircraft trajectory and takes appropriate action
manual control       appropriate use of flight         Contains the aircraft within the normal flight envelope
                     management system(s) and          Controls the aircraft safely using only the relationship between aircraft attitude, speed and thrust
                     flight guidance systems.          Manages the flight path to achieve optimum operational performance
                                                       Maintains the desired flight path during manual flight whilst managing other tasks and distractions
                                                       Selects appropriate level and mode of flight guidance systems in a timely manner considering phase of flight and
                                                       workload
                                                       Effectively monitors flight guidance systems including engagement and automatic mode transitions
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Leadership and    Demonstrates effective          Understands and agrees with the crew’s roles and objectives.
Teamwork          leadership and team working.    Creates an atmosphere of open communication and encourages team participation
                                                  Uses initiative and gives directions when required
                                                  Admits mistakes and takes responsibility
                                                  Anticipates and responds appropriately to other crew members’ needs
                                                  Carries out instructions when directed
                                                  Communicates relevant concerns and intentions
                                                  Gives and receives feedback constructively
                                                  Confidently intervenes when important for safety
                                                  Demonstrates empathy and shows respect and tolerance for other people.
                                                  Engages others in planning and allocates activities fairly and appropriately according to abilities
                                                  Addresses and resolves conflicts and disagreements in a constructive manner
                                                  Projects self-control in all situations
Problem Solving   Accurately identifies risks and Seeks accurate and adequate information from appropriate sources
and Decision      resolves problems. Uses the     Identifies and verifies what and why things have gone wrong
Making            appropriate decision-making     Employ(s) proper problem-solving strategies
                  processes.                      Perseveres in working through problems without reducing safety
                                                  Uses appropriate and timely decision-making processes
                                                  Sets priorities appropriately
                                                  Identifies and considers options effectively.
                                                  Monitors, reviews, and adapts decisions as required
                                                  Identifies and manages risks effectively
                                                  Improvises when faced with unforeseeable circumstances to achieve the safest outcome
Situation         Perceives and comprehends all Identifies and assesses accurately the state of the aircraft and its systems
Awareness         of the relevant information     Identifies and assesses accurately the aircraft’s vertical and lateral position, and its anticipated flight path.
                  available and anticipates what Identifies and assesses accurately the general environment as it may affect the operation
                  could happen that may affect    Keeps track of time and fuel
                  the operation.                  Maintains awareness of the people involved in or affected by the operation and their capacity to perform as
                                                  expected
                                                  Anticipates accurately what could happen, plans and stays ahead of the situation
                                                  Develops effective contingency plans based upon potential threats
                                                  Identifies and manages threats to the safety of the aircraft and people.
                                                  Recognizes and effectively responds to indications of reduced situation awareness.
Workload          Manages available resources Maintains self-control in all situations
Management        efficiently to prioritize and   Plans, prioritizes and schedules tasks effectively
                  perform tasks in a timely       Manages time efficiently when carrying out tasks
                  manner under all                Offers and accepts assistance, delegates when necessary and asks for help early
                  circumstances.                  Reviews, monitors and cross-checks actions conscientiously
                                                  Verifies that tasks are completed to the expected outcome
                                                  Manages and recovers from interruptions, distractions, variations and failures effectively
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                     EBT - Baseline Program
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    Relative Importance of contributing factors in fatal accidents
    (Source: Civil Aviation Safety Data, 1989-2003)
                  cockpit crew
                          aircraft
                  environment
                    powerplant
                 maintenance
              air traffic control
                          airport
                                     0%   10%   20%   30%   40%   50%
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    Deficient Competencies in Gen4 accidents over last 15 years
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    The problem
      By regulation flight crew training and checking is
       based on events, which may be highly improbable in
       modern aeroplanes
      Training programmes are consequently saturated
       with items that may not necessarily mitigate the real
       risks or enhance safety in modern air transport
       operations
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    Mandatory Training Items
     Flight Preparation
     Before take-off checklist
     Engine failure between V1 and V2
     Rejected take-off before reaching V1
     Instrument departure and arrival procedures
     Engine-out Precision Approach to minima
     Non-Precision approach to MDA
     Go-Around 1 engine-out at DA
     Landing critical engine inoperative
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    Findings for 4th generation aircraft
     Adverse Weather Management
     Automation Management
     Go-Around Management
     Manual Aircraft Control
     Monitoring, cross checking, error detection
     Non – Compliance issues
     Unstable Approach (recognition and management)
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                           EBT baseline program
                               Adverse weather                        Adverse wind                                ATC
                               Automation management                  Aircraft system malfunction                 Engine failure
                               Competencies non-technical (CRM)       Aircraft System management                  Fire and smoke management
Gen4 Jet Training Topics
                               Compliance                             Approach, visibility close to minimum       Loss of communications
                               Error management                       Landing                                     Managing loading, fuel, performance errors
                               Go-Around management                   Runway or taxiway condition                 Navigation
                           A   Manual aircraft control            B   Surprise                                C   Operations or type specific
                               Mismanaged aircraft state              Terrain                                     Pilot incapcitation
                               Monitoring & cross-checking            Workload, distraction, pressure             Traffic
                               Unstable approach                                                                  Upset recovery
                                                                                                                  Windshear recovery
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    Program Implementation
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        Example of recurrent training under EBT
                                                        2                            3
                     Evaluation                Maneuvers                    Scenario Based
                       Phase                 Training Phase                 Training Phase
                                          • Train maneuver skills to   • Manage the critical threats
  Objective
              • Assess competence
              • Identify training needs   proficiency.                   according to evidence
              • Validate training         • Validate system            • Improve competency to
                system performance          performance and skill        manage foreseen &
                                            decay                        unforeseen threats
              • Line orientated           • Sequence of deliberate     • Line orientated flight
  Conduct
              • One or more occurrence      actions to achieve a         scenarios
              • Assessment of one or        prescribed flight path     • One or more predictable
              more Competency             • E.g. RTO, EF V1, OEI         or unpredictable threats
              Elements                    APP, OEI GA, Em..Descent
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    EBT Instructor qualities
                                 Patient and has a positive attitude
                               Shows humility and admits mistakes
                                         Encourages and is honest
                               Non-judgmental and shows empathy
                                 Supportive, respectful and honest
                                                  Good knowledge
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    Summary               Learn from the
                             positive
         Examine the                        Learn by
          evidence                          discovery
             Measure                        Reinforce
            effectively                    Key learning
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                                      Questions?
                                       Thank you!
                          http://www.iata.org/whatwedo/ops-infra/itqi/Pages/index.aspx
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