Human factors : FAA's guidance and oversight of pilot crew resource management training can be improved
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Human factors : FAA's guidance and oversight of pilot crew resource management training can be improved

Filetype[PDF-1.19 MB]


English
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  • Corporate Creators:
    United States. Government Accountability Office
  • Subject/TRT Terms:
  • Publication/ Report Number:
    GAO/RCED-98-7
  • Resource Type:
    Research Paper
  • Corporate Publisher:
    United States. General Accounting Office
  • NTL Classification:
    NTL-SAFETY AND SECURITY-Aviation Safety/Airworthiness;NTL-SAFETY AND SECURITY-Accidents;NTL-SAFETY AND SECURITY-Human Factors;NTL-SAFETY AND SECURITY-SAFETY AND SECURITY;NTL-AVIATION-Aviation Safety/Airworthiness;NTL-AVIATION-Aviation Human Factors;NTL-AVIATION-AVIATION;
  • Abstract:
    Of the 169 accidents that involved the major airlines and that were

    investigated and reported on in detail by the National Transportation

    Safety Board from 1983 through 1995, about 30 percent were caused in

    part by the pilots’ performance, according to our analysis. In at least

    one-third of these accidents (about 15), we determined that the pilots did

    not correctly use the principles of crew resource management. For

    example, according to the National Transportation Safety Board, just

    before the 1994 crash in Charlotte, North Carolina, which killed 37 people,

    the aircraft had encountered a sudden change in wind direction and the

    captain gave an incorrect order to the first officer, who did not question

    the order, as crew resource management principles would require.

    Furthermore, during the same period, of the nearly 4,000 incidents, we

    found that about one-fifth were caused in part by the pilots’ performance.

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