For your information,
6th Generation CRM is Crew Resource Management, a systematic approach to training that promotes non-technical skills, such as teamwork, communication, situational awareness and decision-making among crew members. TEM (Threat and Error Management) is to identify the threats and analyze the errors and prevent undesered states.
Threats – generally defined as events or errors that occur beyond the influence of the line personnel, increase operational complexity, and which must be managed to maintain the margins of safety.
Errors – generally defined as actions or inactions by the line personnel that lead to deviations from organisational or operational intentions or expectations. Unmanaged and/or mis-managed errors frequently lead to undesired states. Errors in the operational context thus tend to reduce the margins of safety and increase the probability of an undesirable event.
Undesired states – generally defined as operational conditions where an unintended situation results in a reduction in margins of safety. Undesired states that result from ineffective threat and/or error management may lead to compromised situations and reduce margins of safety aviation operations. Often considered the last stage before an incident or accident.
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Analyzing the mishap involving Southwest Airlines Flight
1455 in Burbank, CA.
Evaluate the performance of the crew (and other teammates
such as ATC) with respect to this module’s lesson on Risk Management and
Decision-Making.
You are encouraged to discuss other areas of CRM as well but
must at least focus on RM/ADM. Highlight any positive characteristics as well
as areas for improvement.
Use the Risk Management and Decision-Making models you
learned about in this module. Base your analysis on the principles of 6th
Generation CRM/Threat and Error Management. Please do not write a narrative
describing the sequence of events in this mishap.
You can assume your instructor is well-informed about what
happened. Focus on why it happened (threats, errors, CRM breakdowns).
How could the mishap have been avoided? (using TEM and good
CRM).
