Managing Startle & Surprise PACDEFF 2016 Edzard Boland. A KLM and NLR project, commissioned by EASA
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1 Managing Startle & Surprise PACDEFF 2016 Edzard Boland A KLM and NLR project, commissioned by EASA
2 Flight operations Making the world of transport safer, more sustainable and efficient NLR Universities The practical application of science Startle & Surprise Effect Management 2
3 Managing Startle & Surprise PACDEFF 2016 Edzard Boland A KLM and NLR project, commissioned by EASA
4 Startle & Surprise Effect Management 4
5 Non-Technical skills have been here for years... Can we expect performance in 3 without training in 1? Startle & Surprise Effect Management 5
6 Do we need this? Did these aircrew perform brilliantly? No. The more important question is: can we blame them? Startle & Surprise Effect Management 6
7 Do not blame the crew Startle & Surprise Effect Management 7
8 Aviation wisdom Remember these...? Enjoy the failure Look at the big picture Sit on your hands No procedure? Use common sense Great tips & tricks but NOT training Startle & Surprise Effect Management 8
9 Startle and Surprise training Startle & Surprise training is NOT... UPRT Scenarios Startling/Surprising pilots Startle & Surprise Effect Management 9
10 Startle and Surprise training Startle & Surprise & training IS is NOT... about... UPRT practicing skills Scenarios that help pilots deal with ANY unexpected situation Startling/Surprising pilots Startle & Surprise Effect Management 10
11 Startle and/or Surprise? Startle An intense, sudden stimulus (bang, flash, shock) Surprise Expectations Reality Not Startle but Surprise is the No. 1 problem in aviation Startle & Surprise Effect Management 11
12 Startle & Surprise Effect Management 12
13 Startle & Surprise - Reactions Physiological Emotional Behavioural Startle & Surprise Effect Management 13
14 Behavioural reactions Startle & Surprise Effect Management 14
15 A Solution Keep your chimp under control Before starting up the computer-brain, we invest some time in consciously controlling the amygdala/chimp brain to prevent performance decrease or jumping to conclusions. Prof. S. Peters Startle & Surprise Effect Management 15
16 Aviation learning from other domains Sport The Military Startle & Surprise Effect Management 16
17 Startle & Surprise Effect Management Training Startle & Surprise Effect Management 17
18 Three step approach Relax Observe Confirm Startle & Surprise Effect Management 18
19 Relax Take physical distance Breathe Relax muscles Check colleague Startle & Surprise Effect Management 19
20 Observe 1. Call out observations What do/did we see, hear, smell, feel? 2. Interpretation Based on our observations the most likely conclusion is... Startle & Surprise Effect Management 20
21 Confirm (current & future situation) Structured desicion making (DODAR, DESIDE) supported by Critical Thinking & TEM. Critical Thinking - Is that true? - How sure are we about this? - Can we back up this single source of information? Now Future projection (TEM) Startle & Surprise Effect Management 21
22 Priorities? Priority 1: - Safe flightpath - Personal safety In all other circumstances or after managing Priority 1: Priority 2: ROC to prevent wrong intuitive behavior Startle & Surprise Effect Management 22
23 Results from the evaluation Startle & Surprise Effect Management 23
24 Training evaluation trials 44 KLM flight crew members - Including 22 Instructors Short-haul: B737-NG Long-haul: B Startle & Surprise Effect Management 24
25 Observations ROC-technique is trainable 70% used full-roc in the simulator Classroom training only is not enough Large delta on calling out observations and checking of colleague Effect on preventing jumping to conclusions Large delta pre-test vs post-test in taking time to observe before interpretation Startle & Surprise Effect Management 25
26 Pilots: Liked the training (average rating: 8/10) Felt that it helped them (average rating: 3/4) Intended to use it in the operation (average rating: 3.5/4) Startle & Surprise Effect Management 26
27 Pilot Follow-up Increased awareness of startle & surprise effects Shared the training experience with colleagues 50% experienced some startle or surprise 5 used the technique in the operation 9 used the technique in training Transfer of Training! Startle & Surprise Effect Management 27
28 Conclusion of research... Trials at KLM positive for Pilots, and effect of training Results presented to EASA, GM published in 2017 KLM intends to include training in the next year Business Case; Safety and Operational costs Startle & Surprise Effect Management 28
29 Summary Many accidents/incidents with Startle/Surprise-factor. If you do not train people to deal with Startle and Surprise, how do you expect them to deal with it? Successful evaluation in research of A solution. Simulator is only used as a ROC training environment, scenario outcome is irrelevant. Invest in instructor training! This is the single most important factor influencing success or failure of a training program. Startle & Surprise Effect Management 29
30 Next? Research: personal stress management techniques used by pilots and athletes Startle & Surprise Effect Management 30
31 Fully engaged Netherlands Aerospace Centre NLR Amsterdam Anthony Fokkerweg CM Amsterdam NLR Marknesse Voorsterweg PR Marknesse p ) f ) e ) info@nlr.nl i ) p ) f ) e ) info@nlr.nl i )
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