United States Department of Transportation
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A review and discussion of flight management system incidents reported to the Aviation Safety Reporting System
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1992-02-01
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[PDF-6.53 MB]
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Edition:Final Report October 1990 - July 1991
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Abstract:This report covers the activities related to the description, classification and
analysis of the types and kinds of flight crew errors, incidents and actions, as
reported to the Aviation Safety Reporting System (ASRS) database, that can occur as a
result of the use of Flight Management Systems (FMSs) to fly within the national
Airspace System (NAS).
The analysis of the ASRS FMS-related database reports was conducted for the purpose of
determining the types and kinds of design-induced problems that flight crews are
having with FMSs that can result in the occurrence of errors, incidents and other
operational problems. It was believed that review of these reports would provide a
useful background and understanding of the FMS use domain (i.e., the flight
environment) and offer a window into the cockpit setting, enabling the identification
of categories of difficulties that flight crews appear to have with the FMS and its
subsystems. Those elements of the FMS operational logic that are identified as
potentially problematic will then be investigated in more detail in the Description
and Characterization Study that is also ongoing. Together, thse two documents will
result in a clearer understanding of the design-related FMS contributors to pilot
error.
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