smoke gets in your eyes
Transcription
smoke gets in your eyes
Sqn Ldr Tejinder Singh L iterally, pressure is defined as force per unit area. This force is the one exerted from outside. Drawing analogy to humans, pressure is created from the external environment when our body or mind is not harmonised to external conditions. This creates stress on an individual and manifests in poor mental or physical health. The important feature associated with pressure and stress on an individual is the increase in error potential during routine tasks. In everyday life, excess workload creates pressure and consequent stress. The word ‘excess’ is subjective and differs between two individuals 2 Aerospace Safety J u l y depending on one’s mental make-up. This has the potential of creating costly errors in aviation. Pressure and stress are intangibles, i.e they cannot be measured and thus the individual is the sole judge of his threshold limits. The instances of high pressure and stress on an airwarrior are innumerable and some could have disastrous consequences. “I was posted to a Mi-8 unit as an EO. Being the only twin engined helicopter unit under command HQs, the pressure of task completion could be seen on every air warrior. At one point of time, a helicopter which was about to 2 0 10 INDIAN AIR FORCE The helicopter was offered for a ground run once again, but it remained unserviceable. Similarly, a third attempt was made by changing yet another component but the problem remained complete 200 hrs servicing was detected with an autopilot snag. As this helicopter was earmarked for an important commitment the next day, panic spread amongst all technicians to rectify the snag at the earliest. The tradesmen could not analyse the snag thoroughly and suspected one of the components to be faulty. Thus, in their haste they cannibalised this component from an AOG aircraft and offered it for a ground run. During the ground run, the ‘yaw channel’ continued to behave erratically and the aircraft was declared unserviceable. a particular relay was malfunctioning. It took us almost five hours to reach a definite conclusion that one relay was malfunctioning resulting in the unserviceability of the autopilot ‘yaw channel’. By the time, we completed rectification & the other gang completed their servicing, it was close to midnight. Next day, when the aircraft was offered for ground run, no abnormality was observed in the ‘yaw channel’. The aircraft was declared serviceable and the planned commitment went through uneventfully. Lessons Learnt The tradesmen after a brief discussion decided to change the replaced component and cannibalised another part that they suspected to be faulty. The helicopter was offered for a ground run once again, but it remained unserviceable. Similarly, a third attempt was made by changing yet another component but the problem remained unchanged. By now, the sun had set and it had become dark outside. With time, pressure kept mounting on all. The flight commander and the STO deliberated on all available options and finally decided tocontinue rectification at night inside the hangar and check aircraft serviceability in the morning. As an alternative, it was also decided that another aircraft due for 25 hrs servicing would be taken up immediately. Thus, one gang was detailed to carry out 25 hrs servicing, whereas the instrument tradesmen and I got into rectifying the yaw channel snag of the main helicopter. Servicing and rectification commenced in earnest under artificial lighting. We started rectification from scratch, replacing all cannibalised components first and then instead of opening up the helicopter, we sat down with the system manual and circuit diagrams to narrow down to INDIAN AIR FORCE 2 0 1 0 The snag which could have been rectified in the first time took three attempts under pressure from various quarters. The tradesmen followed the wrong practice of carrying out rectification without analysing the snag accurately. The decision to undertake 25 hrs servicing should have been taken much earlier and not at the last moment. Making the tradesmen, undertake 25 hrs servicing at night under artificial light increases the potential of human error. Adhoc decisions taken led to wastage of manpower, in cannibalising various components and for the pilot who gave three unsuccessful ground runs. By analysing this seemingly small occurrence, it is clear that working under pressure deteriorates efficiency. It is up to the supervisors to plan efficiently and not succumb to pressures down the chain. This would go a long way in creating a safe flying environment. - Sqn Ldr Tejinder Singh AE(L). J u l y Aerospace Safety 3 Sqn Ldr B Deb I t was in December 2007, when I was posted to a flying unit in the North- East as the EO of a helicopter unit. My day work used to start with finalising hours available against each aircraft and scrutinising the previous aircraft state. At about 0800 hrs one morning, our DSS was bustling with activity. I was working on the TCR computer & minutely verifying aircraft data, when I heard the hum of an approaching An-32 taxying towards the ‘Igloo Hangar’. This hangar did earn the name typically due to its shape and opening from both sides. Inside the hangar, there were trade rooms laid on either side, & a ground equipment bay. I was disturbed by the aircraft noise since the sound reverberated inside the confines of the hangar. As I walked to the hangar, I saw a helicopter Z-XYZ being towed from the dispersal to this Igloo hangar. As a matter of fact, the level of the dispersal area was not level with the hangar floor. A concrete slope separated the two levels. The slope towards the hangar floor had a marked gradient towards the parking bay area. I clearly remember the sight of the bay closest to the hangar, which was occupied by a helicopter lashed & covered. As the aircraft was towed through the restricted space available between the parked aircraft and the hangar 4 Aerospace Safety J u l y entrance, it had to turn almost 30 degrees, to align itself with the hangar axis. The respective position of the towing gang was correct, since towing in and out of the hangar was a routine practice for them. A tractor pulled the helicopter by a towing arm having attachment points in the nose undercarriage. The tractor was driven over the concrete slope and was about to move inside the hangar when the aircraft’s longitudinal axis tilted to an angle of about 30 degrees with respect to the towing arm. As the tractor moved down the concrete slope, the towed chopper was pulled angularly and from a different plane as the tractor was in the hangar i.e., at a lower level. There was a big noise heard above the staccato of an An-32 engine that was still moving close. Due to a jerk, the towing arm snapped from inside and the tractor just drove away. Meanwhile, the nose wheel which had passed the concrete slope and the helicopter, gained enough speed to roll inside the hangar and cover a distance of 15 feet totally loose. It finally stopped on its own and two of its rotor blades went over the trade room roof, fortunately without touching any of the extended trusses below the hangar. I sure was petrified while all this happened. As soon as I got over the shock, I rushed inside the helicopter to check the pneumatic brake lever that should have 2 0 10 INDIAN AIR FORCE been used in such an emergency. On entering the cockpit, I recollected the aircraft state that morning which had the presence of one aircraft with a “Pneumatic system snag, air pressure not holding” and this was the same machine. This incident had a lasting impression on me and many nights in succession, I dreamt of the same incident with catastrophic results. Finally, one morning I went straight to the Station Commander’s office and explained the entire sequence of events along with suitable measures to avoid recurrence. The only thing he asked was whether I had informed my CO. Since, both the CO & Flt Cdr were out of station for a detachment, the details stayed with me alone. My initiative held good, the usage of igloo hangar was temporarily involvement by all concerned was present. Supervisors, must look into mundane things and analyse all that can go wrong to rectify flaws in time. Regular checks of ground equipment must be done meticulously. This may help in identifying grey areas in time. While towing an aircraft with pneumatic leak, adequate measures must be taken to stop the aircraft in the eventuality of the towing arm snapping. - Sqn Ldr B Deb AE(L). stopped till the concrete slope was flattened and a one time check carried out on the serviceability of the towing arms. Later on, hundreds of unanswered questions flashed through my mind based on the incident which left me wondering, “Had I been doing enough?” and more recently “Am I doing enough?” Lessons Learnt Some of the lessons I learnt were : All air warriors should be proactive towards aviation safety. The slope existing between the hangar and the parking area outside could have been addressed in the design phase itself. If appropriate INDIAN AIR FORCE 2 0 1 0 J u l y Aerospace Safety 5 Wg Cdr (Retd) Sanjiv Sharma This includes learning about the system and its supporting arms i.e. ability for effective resource management. Another development, as evident in ‘Operation Iraqi Freedom’ and Afghanistan operations, is optimal integration of resources with field commanders taking real time decisions based on reconnaissance systems on AWACS. C rew resource management (CRM) is a learned preventive approach, enabling a pilot to make effective utilisation of all available resources, including hardware, software and live ware (personnel), to achieve safe and efficient flight operations. With a major focus of training in the Indian Air Force (IAF) on single pilots in fighter cockpits, the proven multi-crew CRM programme needs to be introduced, albeit with modifications, for the benefit of single cockpit pilots. This is to make them effective military pilots fulfilling objectives and goals, including safe flights. 6 Aerospace Safety Mual yy J 2 20 0 10 10 INDIAN AIR FORCE The present day training programme for the IAF pilots, as elsewhere, continues following the classical principles of demonstration and explanation,with emphasis on developing individual skills and ability. This remains almost the same as started by Major Smith-Berry of the US Army in the early days of aviation. Each pilot pursues his flying skill development under his mentor, the Qualified Flying Instructor (QFI), focusing on individual training and technical proficiency. The ‘Airmanship’ classes have elementary focus on responsibilities of the formation leader in fighter aircraft and the captain in helicopter and transport fleets. On the other hand, rapid progress in aviation and integration of resources justifies the need for dedicated CRM training for fighter pilots. Military aircraft are software laden advanced flying platforms for effective weapon delivery. There has been a sea-change in the role of the pilot from the throttle and stick person to that of the “Airborne Platform Manager”. This change in role from an active performer to a vigilance task administrator intervening appropriately, requires change in mindset and appropriate training. This includes learning about the system and its supporting arms i.e. ability for effective resource management. Another development, as evident in ‘Operation Iraqi Freedom’ and Afghanistan operations, is optimal integration of resources with field commanders taking real time decisions based on reconnaissance systems on AWACS. In future, airborne controllers would guide the combat teams, taking off from several airfields, to launch simultaneous attacks inside enemy territory. Thus each aircrew, despite being alone in the cockpit, would be an integral part of a formation or a combat team. exercises, where formations from different bases participate to fulfill assigned objectives. During such exercises, combat pilots flying in formations require close coordination amongst each other. Human Error Accidents An informal analysis of Human Error (HE) accidents in one of our operational commands had revealed a pattern of errors. The findings were similar to analysis of accidents elsewhere in the world which broadly classified causes of HE accidents into loss of situational awareness; poor decision making, judgement and behavioural traits. Such causes lead to a host of incidents and few unfortunate accidents. This includes disorientation, compromised situational awareness, poor or irrational judgement, violation of SOPs and regulations, aircraft operation beyond one’s own or aircraft capabilities, mid-air collision, flight into terrain, getting lost and running out of fuel, wheels up landing and flight into bad weather. An analysis of aircrew factors leading to incidents and accidents, undertaken by a renowned human factors expert, revealed apparently insignificant or minor factors. The factors are listed as follows: Preoccupation problems with minor mechanical Inadequate leadership Failure to responsibilities delegate tasks and assign Failure to set priorities Therefore, the classic individual proceduralbased training must be supplemented by fullmission training to adequately prepare future pilots for the challenges of modern day aviation technology. Conventionally, pilots undergo realistic mission training during peacetime for operational preparedness. This is carried out at the squadron level and tested during command level INDIAN AIR FORCE Inadequate monitoring Failure to utilise available data Failure to communicate intent and plans 2 0 21 00 1 0 J uM l ya y CONTINUED ON PAGE 11 Aerospace AerospaceSafety Safety 7 Sqn Ldr Manvendra Singh T his happened during night flying at a base where two fighter squadrons were located. ATC operations used to start with sunrise and continue beyond cessation of night flying. This resulted in increased workload for all air warriors involved in ATC operations, as they had to overcome adverse weather, heat and cold. Before I proceed further, a word about our base. Not more than two aircraft were permitted to line up for a formation take off due to poor runway surface conditions. Thus, it doubled the runway occupancy time as well as airspace requirements for executing a pick up orbit in a four aircraft formation. No aircraft was permitted to taxy behind another one on the parallel taxy track (PTT) when 8 Aerospace Safety J u l y there was an aircraft on Operational Readiness Platform (ORP) due to insufficient gap between the runway and PTT that could cause FOD to the following aircraft. One of the squadron is located across the runway and so the runway had to be crossed each time an aircraft left or returned to its dispersal. This had the potential to cause aircraft traffic snarls if taken lightly. Aircraft operating north of base at times reported intermittent RT contact on radar. Thus, frequently they maintained on Tower frequency while flying in sector. The bird menace was acute as the base was located in proximity to a bird sanctuary. This 2 0 10 INDIAN AIR FORCE “ “ A controller’s primary job of separating aircraft and effective utilisation of airspace can only be achieved when he/she knows the exact position of an aircraft that can be ascertained by the base radar. required a controller to look out and implement available methods of bird scaring so that there was no bird in the path of an aircraft in flight. Change of runway due to change in wind direction was also a regular occurrence. Over a period of time, both aircrew and controllers accepted these phenomena and understood the consequences of change. by the base radar. At this base, the job of the controller became more challenging as there was no radar guidance available with them to identify various aircraft flying in circuit, sectors and during rejoins and departures. This incident brings out the importance of such aids as well as the awareness of controllers and pilots in hectic schedules. The Incident Despite these restrictions and local constraints flying was undertaken smoothly by proactive coordination with all support services. A controller’s primary job of separating aircraft and effective utilisation of airspace can only be achieved when he/she knows the exact position of an aircraft that can be ascertained INDIAN AIR FORCE 2 0 1 0 One of the fighter squadrons had planned night flying. Two senior supervisors were airborne with U/T pilots for a general handling sortie in sector followed by circuit flying. Generally, for night flying the runway in use remained 30 but this night it was 12 due to change in surface wind direction. Both the aircraft had got airborne from J u l y Aerospace Safety 9 runway 12 and proceeded to their respective sectors. After while, one of them joined circuit for runway 12 and continued with circuits and overshoots. Soon, the other aircraft also rejoined. I asked the other pilot to report dead side at 1 Km and transmitted him airfield and traffic information that was acknowledged. On dead side, I further cleared him to turn down wind for runway 12 and cleared descent after crossing take off path for 12. Meanwhile, the first aircraft had already reported downwind for 12. Now, the second aircraft reported crossing take off path. I looked at the CADF and to my surprise observed that instead of reducing homings, I could see an increase in homings. I immediately asked the pilot to check position so that I could check indications once more time. When the pilot transmitted again, I realised that he had turned for the wrong runway. I asked him to climb to a height of one km and report dead side again for R/W 12. At this time, the first aircraft was either at the runway end or the beginning of base for 12. Had this gone unnoticed, both aircraft would have flown into each other head on while in circuit. could not convey this mistake in time to his instructor. It is always better to clarify than to wait for disaster to happen. Had there been radar picture in ATC, this situation would have come to notice much earlier. However, a proactive approach by the controller avoided a possible disaster. All controllers and pilots need to be always proactive while on duty even when air traffic is less. - Sqn Ldr Manvendra Singh Adm/A TC. Lessons Learnt: The pilot in the second aircraft was responsible for conduct of operations,training and correspondence in his squadron. It is probable that due to hectic routine in the squadron he may be preoccupied with other thoughts and therefore turned for the incorrect runway. It is also likely that he was busy in the cockpit in correcting the trainee. Thus, one must know ones mental and physical state before planning one’s flying schedule. Seniors should ensure that work is divided evenly and there is no stress in the flying environment. The U/T pilot could have given notice to the instructor while joining the wrong circuit. Probably, the TCAG (trans cockpit authority gradient) factor dominated and the U/T pilot 10 Aerospace Safety J u l y 2 0 10 SMOKE GETS IN YOUR EYES... Loss of night vision is an important but often overlooked problem caused by cigarette smoking. Briefly, the carbon monoxide in cigarette smoke combines with hemoglobin and reduces the blood’s oxygen carrying ability. As you probably remember from your last chamber flight, eyes are one of the first things affected by low oxygen levels. Smoking three cigarettes just before take off can reduce your night vision as much as the effect of 8000 ft of altitude. Compared to a heavy smoker’s other problems, this partial loss of night vision probably isn’t too important - but it does exist and is another reason to kick the habit. If you haven’t done so yet, remember there is one sure way - cancer cures smoking. INDIAN AIR FORCE CONTINUED FROM PAGE 7 Aviator Resource Management (ARM) : Unravelling CRM for the single cockpit pilot. Incidentally a large number of these accidents occur during formation flying by fighter aircraft. It was reported that there were 48 accidents due to Human Error (Aircrew) (HE (A) between 1998 to 2004. Half of those accidents were during formation flying, including 22 involving fighter aircraft in some phase of formation flying or other. This also caused 16 fatalities amongst fighter pilots alone. One such accident was a mid-air collision between two Jaguars in the Valley in May 2004. The probable reason for high number of accidents during formation flying in the fighter fleet is increased workload. This occurs because fighter pilots in formation require close coordination amongst each other. The physical separation of the formation crew increases the need for mutual support, imposing additional requirements of maintaining communication with each other, for safe and effective conduct of the mission. This increases mental workload and requires extra efforts on part of all crew. Such factors in an emergency situation could hamper decision making or may contribute to a major catastrophe. Need for dedicated Management (ARM) Aviator Resource There is a need to strengthen safe flight by adapting a proactive approach for pilots flying single cockpit aircraft. There is a need to ARM them; ARM here stands for Aviator Resource Management, a dedicated CRM training focussed on the necessity for highly trained individual pilots in fighter cockpits to work together as a team without undermining traditional pilot skills and airmanship. ARM is meant to resolve the inherent problems of integrating a collection of technically proficient individuals into an effective team for all situations. This team effort aims at making military aviation safer and more efficient. INDIAN AIR FORCE 2 0 1 0 The premise of ARM is to reduce human error accidents. At individual level, ARM results in positive motivation, learning and changing mental attitudes. The behavioural markers of ARM trained pilots are adequate preparation, good planning, sustained vigilance and effective workload management. This is the aim for each pilot. The long term payoff of ARM based value system is effective training for efficiency and safety. An ARM programme in the IAF is the need of the hour. Such training should include “communicating basic knowledge of human factors that relates to aviation and providing tools necessary to apply these concepts operationally”. Ideally ARM programmes must be implemented as part of trainee-pilot’s learning process during early operational training in phases. Thereafter refreshers shall be required as they progress in their career, for them to apply ARM during operational exercises and live missions, remaining safe and successful, every time. The advocacy for ARM is based on the basic principle that human behaviour is modifiable. Thus once a correct value system is implanted, with appropriate and validated training, it stays for a life time. The objective of ARM is to maintain task attention and situational awareness, to enhance safe and efficient operation of aircraft, for mission accomplishment. The goal of proposed ARM programme shall be “Increased Safety, Enhanced Effectiveness and Improved Efficiency of Operations”. An additional benefit of an individual undergoing behavioural learning, ARM, shall not only be an asset to pilots, but would help in accident reduction and thus benefit the IAF as well. - Wg Cdr (Retd) Sanjiv Sharma (Med). J u l y Aerospace Safety 11 Adapted P ilots depend on ‘see-and-avoid’ as their primary way to avoid collisions. But according to scientific and operational evidence, see-and-avoid is not necessarily the best technique. Instead, safety in visual meteorological conditions (VMC) depends on a pilot’s use of specific, active visual-detection techniques. The evidence suggests that the human eyeball may be more effectively used to avoid mid-air incidents through a conscious search-and-detect-rather than seek-detect-avoid plan. Most pilots know from experience that visually detecting another aircraft in airspace is difficult, and in some circumstances it is virtually 12 Aerospace Safety J u l y impossible. Some studies suggest that the ability to spot another aircraft may be a skill that pilots can develop. The research points to four key elements of successful target acquisition: Ignoring conflicting or distracting close-up and peripheral stimuli Optimizing the eye-brain connection to visually imagine distant targets. “Looking surfaces) through” (or past structured Using a distant object to adjust focus for search 2 0 10 INDIAN AIR FORCE traffic in a clear, featureless sky. Because the eye cannot properly focus on empty space, it remains in a state of unfocused, or blurred, vision. This phenomenon, known as empty-field myopia, hinders effective search and detection. Eye-Brain Connection Scientists have found neurophsiological evidence that establishes the importance of the eye-brain connection in collision avoidance. The evidence indicates that there are two separate and parallel visual channels in the brain, each of which is directly linked to the ability to search and detect. One channel responds to the visual functions of target detection and acquisitions. It contains both rods and cones and allows the brain to interpret peripheral vision. Figure 2 : Saccadic Eye Movement Another aspects of eye functioning that is relevant to visual searching is saccadic eye movement. When they are not tracking a moving target, the eyes do not shift smoothly; they shift in a series of jerky movements or jumps called saccades. As a result of saccadic eye movements, it is not possible to make voluntary, smooth eye movements while scanning featureless space. Figure 1 The second channel originates from the fovea (the area of sharpest acuity), making it possible to identify a target. These two channels converge in a third pathway, which researchers believe may integrate these peripheral and central inputs in a way that enables the eyes simultaneously to focus on and track a moving target. This ability is a key to visual search and detect. Eye Movement In the absence of a visual stimulus (for example, empty airspace), the muscles in the eye relax, preventing the lens from focusing. This creates a problem for a pilot who is attempting to scan for INDIAN AIR FORCE 2 0 1 0 Distant Visual Acuity A study conducted at the U.S Naval Aerospace Medical Research Laboratory (NAMRL) showed that when the eyes are in saccadic movement, visual acuity decreases sharply, leaving large gaps in the distant field of vision. Visual acuity is greatest for objects that are directly in front of the eye. But the fovea is a mere 2 degrees wide, which results in a very narrow high acuity detection area and leaves as much as 178 degrees of the detection area in the realm of peripheral vision. This is one reason that we often tend to spot traffic or obstacles out of the “corner” of our eye. J u l y Aerospace Safety 13 Researchers at NAMRL found that optimizing peripheral-scanning skills is an important element in improving target-detection skills. The visual-detection lobe, as Fig 3 illustrates, reveals the detection range for central vision is narrow but extends relatively far, whereas the detection range for peripheral vision includes a wider area but extends to a much shorter distance. The visual detection lobe represents the range in which detection is probable, not certain. The shaded areas in Fig 2 depict how the visual detection lobe relates to saccadic eye-movement scans. For distant searches using central vision the eyes must scan over a much larger field, compared to near searches, in a relatively short period of time. The spaces between the tips of the coneshaped shaded areas shown in the figure are the visual gaps created by saccadic motion. These gaps cause a significant problem for a pilot who is scanning for traffic because aircraft can easily slip into those transition areas undetected. When searching for aircraft at a closer range, within 2 to 2 ½ miles (approximately 3.7 kilometers), for example, fewer “fixations” (focused scans) are required because of the increased probability of detecting a target through peripheral vision. In Fig 3, the same type of aircraft is shown in three position – A, B and C, in the central field of vision, is likely to be detected. Aircraft B, although it is at the same range as Aircraft A, is outside the visual detection lobe and unlikely to be detected. Aircraft C is the same number of degrees off the direct line of vision as Aircraft B; but because it is within the visual detection lobe, it is likely to be detected through peripheral vision. Depending on closure rate, crossing angle, and routine cockpit distractions, aircraft can seem to appear suddenly, leaving little time to react and avoid a collision. The effectiveness of central and peripheral detection also depends on restrictions in the visual field. In an aircraft, the most common Figure 3 : 14 Aerospace Safety J u l y 2 0 10 INDIAN AIR FORCE restriction is the visual boundary created by the overall structure of the cockpit. The visual field of each eye encompasses about 130 degrees. The visual field of each eye overlaps with that of the other eye, which creates our “binocular” (two-eyed) vision. Because each eye has a different viewing angle, the images formed on the two retinas are not identical. The brain combines the two images into a single, three-dimensional perception of the object. Thus the perception of depth is a particular feature of binocular vision. Conversely, if only one eye is viewing an object (monocular vision), the image is perceived in a single dimension, with no depth perception. Cockpit Creates Monocular Visual Areas The restricted visual field of the cockpit can interfere with a pilot’s ability to detect target. In a study that included nine subjects, each with at least 20/20 corrected or uncorrected vision, a viewing booth was designed to simulate a cockpit windshield; and through this “wind-shield, “ a binocular field 25 degrees high and 38 degrees wide could be seen by the participants. Because of the distance between the observers’ eyes, slightly different fields were seen by the right and left eyes. This created monocular visual borders-areas at the extreme right and extreme left edges of the visual field where an object in that area could be seen only with one eye (the right and left eye, respectively). INDIAN AIR FORCE 2 0 1 0 The target was a dark disk with a diameter of 1.2 meters against a white background screen that had a uniform brightness contrast of nearly 80 percent. There were 45 possible target positions varying from 0, 5, and 10 degrees above and below the visual center; and 0, 5, 10 and 18 degrees left and right of center. The target at 18 degrees appeared within the monocular visual field. Each observer was given a total of 50 timed acquisitions trials. During each 12 second trial, the target disk appeared in one of the 45 possible target positions in random order, and there were five blank screens (trials in which no disk appeared). A target that was not reported within the 12 second search time was recorded as a missed target. All the missed targets in the binocular field of vision (a total of 18 misses) had appeared along the bottom of the visual field. There were fewer missed targets (10 misses) in the monocular field (along the extreme left and right sides of the screen) than in the binocular field. In other words, the presence of a visual boundary can cause a pilot to concentrate the search near the center of the binocular field, or directly out the front window. The results further suggested that if no target is detected, a pilot scans the outer edges of the window structure first because crossing traffic generally presents the greatest potential threat; this scan is followed by a search below the nose. The pilot tends to scan in a relatively small area, which is one reason that other aircraft remain undetected. Because of the limitations of central vision, it is important to search all sectors, especially those around the J u l y Aerospace Safety 15 edges of the cockpit. Aircraft maneuver in three dimensions, so visual scanning above and below the horizon is also important. Effective Scanning Based on Sectors To achieve the most effective coverage, the NAMRL study recommended that scanning be done by horizontal and vertical sectors. Horizontal sectors should be 90 degree segments of the horizon. Depending on the aircraft, these segments may be more easily defined along the lines of the aircraft structure, such as a wing line. Vertical scanning should extend from 45 degrees above the horizon to the lower limit of wing-level cockpit visibility. The pilot should begin by scanning forward above the horizon and move aft. Then, scanning should continue below the horizon, moving forward. Depending on the type of aircraft, scanning the extreme upper and lower sectors may require a slight bank to look around the wing. Enhancing Visual Skills While scanning techniques and suggestions were designed to compensate for visual limitations, there are also ways to enhance overall visual skills. Some studies in U.S Air Force provide clues as to how visual acquisition skills can be developed. As researchers discovered, pilots of high performance aircraft are frequently unaware of how the cockpit environment can be “visually 16 Aerospace Safety J u l y hostile” Dirty, scratched, or fogged windscreens are annoyances with which pilots must routinely contend. Windows should be cleaned before every flight because seemingly benign marks on the window can affect dramatically the pilot’s ability to suppress saccadic eye movement, which prevents the eyes from focusing on a distant object. Pilots have failed to notice aircraft on collision courses because they assumed “that little black smudge on the window” was nothing more than a bug splatter. Perhaps the most insidious visual obstructions in the cockpit are those created by the curved, laminated transparencies in the windscreen itself. The symbology associated with a heads-up display can further impair the search area. As a result, a pilot may experience glare, reflections, haze and optical distortion. These factors can hinder a pilot’s ability to perceive a target by reducing the level of contrast or by producing overlapping and “phantom” (illusory) targets. Despite these obstacles, researchers discovered that test subjects were able to look through such structured surfaces and detect distant targets. After several trials, half of the observers seemed to be able to ignore conflicting peripheral stimuli and concentrate on the target. Researchers believed that the subjects achieved this by simply disregarding nearby obstructions, while concentrating on target acquisition in the far distance. The evidence suggested that ignoring conflicting images (insect’s marks, scratches, windshield frames) to concentrate on target acquisition is a skill that can be developed. 2 0 10 INDIAN AIR FORCE In a related study, researchers found two observers with the apparent ability to focus and defocus on a target at will. The subjects were slightly younger than the participants in the earlier experiments, and each had a far acuity of 20/15 uncorrected. The target was a dark aircraft silhouette viewed against a white background. With minimal practice and no feedback during the sessions, the observers were able to change their accommodation nearly instantaneously. Each subject claimed to have focused on specific objects at various ranges to scan at that range. Locate a sizable, distant object (e.g. a cloud formation, mountain peak, prominent landmark, building, or pier) that is within the range of the anticipated target, and focus your eyes on it as you begin each scan pattern. During a scan in a clear and featureless (except for possible targets) sky the top of the instrument panel and the window posts can easily reduce the ability to accommodate distant targets. Learning to look through those structures makes it possible to concentrate on collision avoidance in the entire environment. Suggested practical methods for using these techniques include the following : Vary distances to ensure a thorough scan and to reduce visual fatigue. Anticipate the target in the location and ranges you are searching. INDIAN AIR FORCE 2 0 1 0 Refocus frequently on a distant point as you begin each new scan. Allow three to five seconds for your saccadic eye movement to suppress before shifting your search to the block of airspace around the object. These focusing techniques offer a significantly more effective visual-detection plan than simply seeing and then avoiding an aircraft whose course represents a threat. Using search-and-detect techniques, the pilot takes a more active role in collision avoidance, and the reward will be a greater margin of safety. - Adapted J u l y Aerospace Safety 17 Wg Cdr N Dhar On a hot and dusty day somewhere in the western sector... I t was close to pack up and the dry bulb temperature was inching close to 40 degrees. I picked up my briefcase and walked into the flight commander’s office for regularising the disappearing act. However, he asked me to carry out an A&E check before I could head home. Rather grouchily, I padded up and reached the aircraft tech flight. The aircraft was ready and I quickly signed the F-700. I wanted to get home fast! The external checks were over in a jiffy and in no time I was at 13 km turning inbound for the supersonic run. Now, this was a long day and I thought I was a little tired because of the hours at work. Soon I started feeling drowsy and that was when the alarm bells rang. A quick glance at the pilot oxygen gauge confirmed my worst fears: the gauge was reading zero. Time of useful consciousness (TUC) being at a premium, I switched off reheat and went into a screaming 18 Aerospace Safety J u l y dive, operated emergency oxygen and levelled off at a height of two kms. The rest was routine as I called off the exercise and landed. I debriefed the flight commander and covered the entire incident in the briefing next morning. 2 0 10 INDIAN AIR FORCE An analysis of the whole situation brings out certain mistakes and lessons. I had mentally switched myself off by the time I walked for the sortie. Sure, with my training I dragged myself out of ‘pack-up’ mode but probably my alertness was nowhere. The oxygen valve in the port undercarriage bay was closed shut and during externals when I checked it, I did so with very little “ “ I padded up and reached the aircraft tech flight. The aircraft was ready and I quickly signed the F-700. I wanted to get home fast! 13 Km - yes , but once again saw no problem with the oxygen gauge; I glanced at it but did not read it. Had I noticed this, I would have investigated further and the subsequent debacle would have been averted. Lessons learnt: When you do something, do it properly. Remember there are no points for second place in aviation. Always look out for mistakes others might make. Same rule as in defensive driving! The technician was supposed to ensure the oxygen valve open but then that is what external checks are meant for; to ensure that such slips are detected in time. Finally, it is your life on the line. Habit interference in the cockpit makes us look but not see. I ‘looked’ at the pilot oxygen gauge but did not ‘see’ that it read zero. This is how when our attention is diverted, we hear but do not listen. It is very important for us to be deliberate with checks and procedures. NEVER let habits carry out your checks in default setting. force. It did not budge so I perceived it was open. After getting in the cockpit and during preflight checks I looked at the pilot oxygen gauge and yet did not notice that it was reading zero. Did I really carry out the HEFOLP checks during the climb to INDIAN AIR FORCE 2 0 1 0 Most importantly we must realise that in aviation “Faux Pas” take place (despite multiple checks and balances) because of “all holes in one line” concept. Think of a ball as a “Faux Pas” and all checks and balances as holes in a flat plate. All holes are at different places on the flat plate. It is only when all these holes are aligned that the ball rolls through. So an aviation “Faux Pas” is the result of a series of lapses. Reason enough for all of us to be alert at all times and stick to checks and procedures like “warts on the skin”. - Wg Cdr N Dhar F(P). J u l y Aerospace Safety 19 Sqn Ldr Pallavi Pandey 20 Aerospace Safety J u l y 2 0 10 INDIAN AIR FORCE On the day of the incident a relay which otherwise in DI mode prevents the electrical supply to reach this cable had also malfunctioned, leading to electrical supply within the naked wire. Also, the oil change activity during the previous night had left traces of oil on the engine bed; another contributing factor to the fire. “Sometimes when you tend to relax and feel comfortable, that’s the time when accidents happen”. I had heard many of my seniors tell this repeatedly but never took it seriously until one such thing happened to me. “I had completed four years as STO in a helicopter unit in the North-East and was posted out. I was glad that I had not witnessed or been part of any incident or accident till then in my service career. It was my last working day in the unit which had something in store for me for the day. The phone rang at 0610hrs and a Sgt called me stating that a helicopter had caught fire while the technicians were carrying out DI on it. I quickly changed and was at the DSS in no time after informing the CEO and CO on the way. The aircraft was a shocking site. The area near the starboard side engine had tell tale signs of the incident that had occurred. SFSIO, MSIO, CEO and all other experienced officers of the fleet gathered at the site in a few minutes. A Court of Inquiry was ordered and all events prior to the incident were being investigated. The investigation revealed that the ac had returned from an outstation commitment the previous evening. Due to shortage of serveciable ac in the unit it was planned for an early morning commitment the next day. However, there was an oil change activity that had to be completed INDIAN AIR FORCE 2 0 1 0 before the aircraft could proceed on the planned commitment. Thus, this activity was planned in the evening/early night hours in the hangar under artificial lighting conditions. The oil change was successfully completed by 2000 h after a long tiring day. A ground run followed by a leak check was planned to declare the ac serveciable before seeing it off for the commitment the next morning. While carrying out the DI in the morning the helicopter had caught fire. A deeper analysis of the cause of the fire revealed that there was an electrical cable which was constantly being pressed by the engine cowling whenever the cowling was opened or closed. This cable was in the most inaccessible, rather remote recesses under the starboard engine on the engine bed. This constant pressure of the cowling had led to insulation breakage over the naked wire. This wire is not live in DI mode. However, on the day of the incident a relay which otherwise in DI mode prevents the electrical supply to reach this cable had also malfunctioned, leading to electrical supply within the naked wire. Also, the oil change activity during the previous night had left traces of oil on the engine bed; another contributing factor to the fire. All these factors combined together led to the oil soaked stokinette catching fire which otherwise was a rare possibility and an unknown story in the fleet. - Sqn Ldr Pallavi Pandey AE(M). J u l y Aerospace Safety 21 Sqn Ldr SP Ghule T he importance of armament in the context of our organisation cannot be overemphasized. Armament provides the cutting edge to an aircraft. At the same time if not handled professionally, it can cause catastrophic damage to the mother aircraft. In one such incident, an aircraft deployed for a live ORP mission was found to be fitted with a missile whose Angle of Attack (AOA) vane had broken and was stuck back on to the missile with the help of adhesive. The Angle of Attack vane (AOA) forms a critical link in the control system of the missile. If launched, the failure of Angle of Attack (AOA) vane will render the missile directionless and pose a threat to the mother aircraft. One can only wonder what would have happened, if the missile had been launched. 22 Aerospace Safety J u l y What Happened The incident took place while shifting of the missile to one of the Danger Building (DB). In the process of shifting, the Angle of Attack (AOA) vane of the missile was damaged due to mishandling. The tradesman were scared to report about the incident and in an attempt to cover the fault, the AOA vane was attached back to the missile without paying attention to the serious consequences it may have in the air. Subsequently, the base was tasked to mount ORP with aircraft in AD (Air Defence) configuration. As luck would have it, this defective missile was positioned by the base armament flight at the ORP and was loaded on the aircraft by the weapon fitters. The ORP was manned with the subject defective missile for 2 0 10 INDIAN AIR FORCE almost a week. The matter was highlighted after a HEVOLREP was raised by one of the air warriors. How it happened The armament flight at any base is responsible for receipt, transportation, storage and dispatch of all the armament stores pertaining to that base. During the transportation of the missile to the Danger Building the Angle of Attack (AOA) vane was damaged due to mishandling. Why it Happened A number of factors contributed to the incident. Firstly, non MTD tradesmen (Wpn fitter) were used for handling/ driving the fork lifter (Specialist vehicle). Secondly, the young tradesman and NC(E)/Casual labour handling the missile took the task lightly and there was little or no supervision. The fear of a CoI (Court of Inquiry) and consequent disciplinary action forced them to not report the matter. The technicians did not understand the serious consequences it might have in air. To err is human and one must appreciate that the Indian Air Force as an organisation realizes this fact. We are in the process of implementing AFSEM (Air Force System of Error Management), wherein we will discriminate between genuine errors and willful violations. The associated repercussions will be different in each case. The idea is to identify the shortcomings in the system that forces an individual to commit errors. Each accident or incident is taken as a window of opportunity to look deeper in the system to identify pathogens that are waiting for right conditions to manifest themselves in terms of mishaps. Towards this, it should be our endeavour to report even the smallest of the occurrences that may hamper aviation safety. All the air warriors must be educated and encouraged to report any problem that they are facing rather that live with it. The practice of SDL (Service Driving Licence) holders driving the specialist vehicles should be discouraged at all levels. Following these little tips we can contribute positively to flight and armament safety. - Sqn Ldr SP Ghule AE(M). Problem Areas Besides poor supervision, the point that stands out is the willful suppression of the fact due to the fear of disciplinary action and wrong practice of employing non MTD tradesman (Wpn fitters) for driving of specialist vehicles. If we go little deeper into the problem, we will realise that in most of our bases the armament flight does not have any MTD for handling specialist vehicles like fork lifters, tractors etc. As a result, weapon fitter with or without Service Driving Licence (SDL) are utilized for this purpose and this fact is overlooked by all. It is incorrect to assume that any air warrior with a SDL can drive any vehicle. In some squadrons the SDL holders are blindly authorized for driving vehicles like Air Chargers, tractors etc until a incident/accident takes place. In some cases these incidents/accidents are not reported. INDIAN AIR FORCE 2 0 1 0 He didn’t bother with the “Amendments to Pilot’s Notes” J u l y Aerospace Safety 23 Wg Cdr P Pant A ir Warriors posted to the strength of a squadron have a strong bonding amongst themselves. Be it the air warrior himself or his/her family, all are attached to the squadron in some way or the other. Amongst the officers, whether he/she is an aircrew, technical officer or a doctor, each one is closely associated with the squadron activities. This close bonding helps in building up a healthy relationship among the squadron crowd. Though, as far as the working environment and the work place is concerned, all 24 Aerospace Safety J u l y the air warriors posted in a squadron are by and large working and interacting every day. The squadron doctor is the only person who works at the station medical centre which is usually away from the squadron. Despite being away from the squadron work environment, the doc has a very major role to play as far as the health of the air warrior and their families is concerned. It is not only the health of the squadron personnel which is important but the health of their families 2 0 10 INDIAN AIR FORCE as well. It is just as important, because if the health problems of the families are dealt appropriately, then automatically the air warriors would give their best output, on work assigned to them. I recall an incident, which was once mentioned by one of the senior doctor’s amongst us when he was posted to a squadron as a doc. One day in the wee hours of the morning, he received a call from one squadron pilot that his son, aged three years, had developed high fever. The doctor knew that the pilot was to leave early in the morning for a two week detachment. Before the squadron doctor could say a word, the pilot himself showed his faith in the doctor by announcing that ‘though I am leaving for a detachment yet I am not worried about my son’s illness because you are there to take care of him’. Such a statement itself reflects how much faith and what relationship existed among us. This can only come if there is a strong bonding between the squadron personnel, irrespective of branch or trade. The squadron doctor is generally considered a friend. This is because, many health related queries are discussed and clarified albeit informally. In our day to day lives, we continue to face minor health related problems. If these medical problems are not addressed at an appropriate time, they may lead to bigger problems which may result into serious manifestations and take longer than required time in getting cured. Such a situation,especially in aircrew,would be encountered only when they are not open to the squadron doc or for that matter any doctor who is posted or attached. The squadron doctor has a close interaction with the families as well. This is due to regular interaction with the families both at SMC/MI Room as well as during social functions and personal interaction during informal visits at homes. Such an interaction actually helps in INDIAN AIR FORCE 2 0 1 0 handling difficult situations concerned with the health as well with the performance of the pilot in his career. There have been various instances in the past, where the apprehension of being downgraded due to some ailment has resulted in self medication which later had caused unavoidable aggravations. Such a situation would only arise when there is a feeling of distrust amongst personnel. Here, I would like to emphasise that being a doctor; our primary aim is to help the individual overcome his problem to the best of our ability. As a doctor, it is always our endeavour to help any individual get back to his primary duty, as early as possible. In the case of an aircrew, it is to clear him for flying duties as early as possible. At the same time, we also have to ensure that it does not compromise aviation safety in terms of either aircrew or aircraft safety. So, any actions initiated depends entirely on the situation keeping in mind avaition safety issues as well as the interest of the organisation and the health of the aircrew. A squadron doctor will always give the best of his/her advise because he/she is looking at any situation as a neutral person. More importantly, being so close and maintaining such a close relationship with the air warriors and their families, the squadron doctor will always think and advice giving it a personal touch and not merely in terms of a doctor-patient relationship’. In broader terms, the role of a squadron doctor can be compared with that of a family physician, a concept which was very popular in the past. It is advantageous because many health problems that can aggravate mental stress of a person are tackled at a personal level itself by the doctor. So the concept of a squadron doctor is definitely of great help in building up a team of healthy air warriors and their families. - Wg Cdr P Pant (Med). J u l y Aerospace Safety 25 FIt Lt SD Chavala 26 Aerospace Safety J u l y 2 0 10 INDIAN AIR FORCE “ The following day, I went on liber ty and spent the whole day with my family. My parents were due to catch a flight out of town on monday morning. The same morning, I was scheduled for my PN (Pilot Navigation) solo check. I had prepared my map meticulously and marked both repor ting points, making a neat triangle with all necessar y information. I was undergoing my basic flying training at Air Force Academy(AFA) in 2002. The training schedule was very tiring and stressful. We hardly got time during weekdays. The weekends were another story altogether. I belong to Hyderabad and AFA was like a home posting for me, especially after the National Defence Academy! We were almost halfway through the course and I was getting comfortable in the HPT cockpit. I had done well in all my check sorties. I guess, I was not giving my instructor much trouble. It all changed one monday. My parents had visited me at AFA on a saturday along with my grandparents. I showed them the trainees mess and enjoyed some home cooked food along with a few of my friends. The following day, I went on liberty and spent the whole day with my family. My parents were due to catch a flight out of town on monday morning. The same morning, I was scheduled for my pilot navigation (PN) solo check. I had prepared my map meticulously and marked both reporting points, making a neat triangle with all the necessary information. Then I proceeded to fold the map neatly into a triangle (or ‘Samosa’ as we lovingly called them). I had made two copies, one for me and one for the examiner. I went through the pre-flight briefing with the examiner and walked to the aircraft with him. We got airborne and carried out the navigation INDIAN AIR FORCE 2 0 1 0 uneventfully. The examiner even gave me some tests to judge my navigation prowess. Once we landed back, the examiner told me that I had cleared my solo check. I guess he was satisfied with my performance. I was fourth in the queue for takeoff, after three other course mates who had cleared their solo checks as well. I was given an altitude of 1.2 Km for my route, as my other course mates were stacked at 1.8, 1.6, and 1.4 Km. After leaving circuit, I calculated my Estimated Time of Arrivals (ETA’s) and passed them to the AFA radar. I reported at the first waypoint on time, and turned right towards the second way point. I re-calculated the ETsA and noted the difference. The difference was not more than two minutes, so I did not have to report them to radar. The second leg was a long one, so I started thinking about my parents and their flight from Hyderabad around the same time as then. Suddenly, I heard a course mate of mine passing his ETsA, and though he had taken off before me, his ETA was a good minute behind mine for the second reporting point. As all of us were flying the same route, I got worried that I had probably made some mistake with my calculation, and started recalculating the ETAs. While I was re-calculating my ETAs, the second way point came in view. After reaching overhead, I checked my time and found that I had been correct in my assessment. I continued with the turn and reported my position over the second point to base Radar. J u l y Aerospace Safety 27 by glowing carbon and asbestos particles carried by the exhaust gases. What Happened? On 24 Dec 96, a Flt Lt, Fg Offr and a Sqn Ldr were authorised to fly a cross country flight from Hyderabad to Tambaram in a Avro. The task was to airlift the Air Force band along with their equipment from Tambaram to Hyderabad. The aircraft departed Tambaram for Hyderabad at 1447 hrs with a total of 22 persons on board. It reported its position over BODEL at Flight level 140 at 1531hrs. Thereafter at approximately 1533hrs it reported single engine failure and requested for a descent to FL 125 which was cleared by Madras control. Subsequently, it lost radio contact and crashed. How and Why it Happened? Cracks had developed on the starboard jet pipe manifold which progressed due to flying and uneven stresses on the retaining plates due to disengagement of RH jet pipe swing link. Consequently uneven loading of the retaining plates had led to retaining plates bending rearwards and the jet pipe dislodging from the retaining plates. This probably had led to exhaust gas leakage and burning of the fuel soaked asbestos seals inside the joint strap sealing the junction of the jet pipe manifold and the jet pipe. With the seals burning, exhaust gases at a temperature of 500-600 deg C could have begun to leak into the starboard undercarriage bay. Excessive rise in temperature and impinging exhaust gases would have heated and ultimately ignited the oil smeared insulating material of the flexible LP fuel pipe located in the forward section of the starboard undercarriage bay just below the joint strap. The ignition may have been initiated 30 Aerospace Safety J u l y This could have resulted in excessive heating of the fuel flowing through the LP line. Burning of the flexible hose pipe would have ignited the fuel flowing through it at 6-9 psi under booster pump pressure. Consequently disruption in fuel supply probably caused a fluctuation in TGT as noticed by the co-pilot. Subsequently, the engine auto feathered, due to drop in engine torque on account of fuel starvation. The crew was oblivious of the fire in the wheel bay as no fire warning was available in zone-III. The Captain delayed the engine auto feather emergency drill and as the fuel LP cock remained open, fuel continued to feed the fire in the undercarriage bay. Verbal warning of fire received from the navigator was not monitored by the Captain and co-pilot who were preoccupied with radio communication with Madras control. The starboard wing main spar melted and twisted due to aerodynamic load. Consequent increase in lift on the starboard wing caused a roll to the left. This confused the Captain about the side on which the engine was feathered, as with the starboard engine off and propeller feathered, he normally expected a tendency to roll to the right. The starboard wing continued to twist and reached the stalling angle. The Captain experienced a stall warning in the cockpit, resulting in further confusion. This distracted the Captain and further delayed the actions for recovery. Large twist of the wing had damaged the FRP coupling on aluminium fuel pipe lines 2 0 10 INDIAN AIR FORCE from inboard fuel tank to collector tank, leading to fuel leak in the space between the undercarriage bay and the fuel tank. Fire thus travelled to this area and very rapidly spread along the fuel tank up to the wing tip. The torsion box weakened and the engine drooped as observed by the co-pilot and possibly began to separate. In the next instant there was an explosion on the starboard wing and the aircraft went out of the control probably into a spin or spiral to the right as evident by desperate calls for more rudder. The aircraft disintegrated at this point or soon after with the starboard wing and engine separating at the attachments around the undercarriage bay. Human Factors Analysis and classification System Unsafe Acts/ Errors Decision Making Errors/ Necessary Actions Delayed. The Captain delayed the completion of subsequent actions after the engine auto feathered. Closing the LP cock in time may have arrested the fire. Skill Based Error/ Checklist Error Subsequent actions with checklist were not carried out using challenge and response method, after the engine had feathered. The navigator did not repeat the warning to ensure that the Captain was actually aware of the fire that was present. INDIAN AIR FORCE Preconditions for Unsafe Acts Cognitive Factors/ Channelised Attention The Captain was preoccupied with the stall warning and the co-pilot with radio communication and therefore failed to monitor the verbal warning of fire given by the navigator. Crew Resource Management The Captain did not delegate tasks to other crew members, showing lack of CRM on his part. It was also observed that there was absence of standard terminologies used by the crew while communicating with each other which might have caused miscommunication. Supervision Leadership/Supervision/Oversight Inadequate No action was taken by the BRD when a similar crack was reported in an Avro. Non compliance to Mod 1417 on the aircraft. Due to shortfalls in third line servicing, the cracks in the jet pipe manifold were not detected in time. Local Training Programs The conversion policy for re-streamed pilots (captain in this case) did not cover CRM aspect of training. He had not flown any con training for the last four months. Also, the navigator even though a A2 CNI had not flown any con trg sortie for the past six months and had just upgraded from a low medical category. Organisational Resource/Acquisition management/ Design Processes Zone III of the engine nacelle did not have a fire detection and warning system. 2 0 1 0 J u l y Aerospace Safety 31 O N 12 Jan 10, Sqn Ldr Ashutosh (26195-L) Adm/ ATC was the DATCO assisted by his Ops Clk, 734946-L Sgt R Rajkamal AFSO. A Jaguar was rejoining from sector for a descending circuit. At this stage, the GCA controller informed the DATCO of a possible emergency, though the pilot had not declared any. On enquiry, the pilot clarified that he had switched off his second engine due to a fire warning light and was coming for a direct landing. Since there was no SFS in the ATC, the Ops Clk coordinated for an experienced aircrew to man RT from the DSS and the DATCO liaisoned for an ACP. The crippled aircraft was safely recovered and switched off on the runway. Thereafter, they executed prompt action for runway clearance and restoration of facilities as three ferry aircraft were airborne for the base. Sqn Ldr Ashutosh and Sgt R Rajkamal demonstrated a high degree of professionalism and situational awareness in responding to a grave situation. Good Show Sqn Ldr Ashutosh &Sgt R Rajkamal (TP Singh) Air Cmde PDAS O N 12 Jan 10, Flt Lt KN Sajith (28044-L) Adm/ATC was on GCA watch. A Jaguar was rejoining from sector for a descending circuit. Even though no emergency was declared, he sensed something unusual from the pilot’s RT and advised the DATCO to reconfirm. On enquiry, the pilot clarified that he had switched off his second engine due to fire warning indications in the cockpit and requested for a priority landing. Flt Lt KN Sajith provided critical advice and support to the aircraft and advised the pilot for a single engine GCA. The aircraft was subsequently safely recovered. Flt Lt KN Sajith demonstrated keen observation and a high degree of situational awareness. Good Show Flt Lt Sajith (TP Singh) Air Cmde PDAS 32 Aerospace Safety J u l y 2 0 10 INDIAN AIR FORCE O N 17 Nov 09, 769240-G Sgt RA Perachi Eng Fit was detailed for scheduled servicing on a MiG-29 trainer which included endoscopic checks on Burner N 22 the Oct 09, 776503-L Sgt Vipin Kumar Flt Gun was detailed for acheck live rocket sortie at range No-5 of combustion chamber. While carrying out this on the starboard on a Mi-8 helicopter. During change over, (after four live circuits at the range) the air warrior engine he observed a few black spots near the burner. Additional checks on the noticed that one of the fuses of a rocket was unscrewed and hanging from the mouth of the tube. flame secondary baffles revealed rupture and tear on the flame tube, which was He immediately informed the pilot and checked the same. Further investigation revealed that beyond permissible limit. Had it gone unnoticed it would have had a detrimental some of the other rocket fuses had also come loose. The rockets were offloaded, tightened and effect onwith thethe engine in further damage andatultimately its failure. reloaded help ofresulting an armament tradesman available range. Had this gone unnoticed it O could have resulted in a potential accident/incident. Sgt RA Perachi displayed keen sense of observation and a high degree of Sgt Vipin Kumar displayed observation, high degree of professionalism to averted a professionalism and avertedgood a possible incident/accident. potential incident. Good Show SgtSgt RAVipin Perachi Good Show Kumar (TP Singh) Air Cmde PDAS On 24 Nov 09, 912428-G LAC Vinod Bhatt Air Frame Fitter was detailed for 200 Hrs servicing on a MiG-29 aircraft. During canopy mechanical indicator pin check, he noticed that the canopy N 30 Sep 09, 913515-G LAC PS Jatav Prop Fit was detailed for Ch-A inspection on the engine lifting cylinder movement was abnormal. He also observed a crack near the canopy actuating installation of an Avro. While inspecting the starboard engine, he found a crack on the inner cylinder bracket. This check was not included in the day’s activity and the location of the cone. This was detected when LAC Jatav crawled 15 ft inside the jet pipe. Had this crack gone crack was difficult to observe. Had this crack on the bracket gone unnoticed, it would have unnoticed, the inner cone of the exhaust unit could have caused a major aircraft accident. aggravated and resulted in non-positive locking of the canopy. O LAC PS Jatav, despite his limited experience displayed professionalism to avert a possible aircraft accident. LAC Vinod Bhatt displayed keen observation and a high degree of professionalism and averted a possible incident. GoodShow ShowLAC LACPS Vinod Bhatt Good Jatav (TP Singh) Air Cmde PDAS INDIAN AIR FORCE 2 0 1 0 J u l y Aerospace Safety 33 O N 10 and 11 Nov 09, in the aftermath of Cyclone ‘Phyan’, Air Force Station Pune witnessed unprecedented heavy rains, visibility as low as 800 m, strong surface winds and low clouds. The weather conditions precluded any fighter flying however, civil scheduled operations continued. In the absence of ILS, the civil aircraft were provided precision radar approaches and barring two aircraft that had to divert as the weather fell below their minima, all civil aircraft safely operated from Pune on these days, with the least possible delay. This achievement is attributed to the meticulous and professional handling of the situation by Pune ATC. Well Done Pune ATC Team (TP Singh) Air Cmde PDAS O N 17 Oct 09, Flt Cdt Vijay Tiwari (175281-F) of Stage –I training was detailed for his fifth syllabus sortie. The trainee was tasked by an instructor to carry out independent external checks. During the external checks he noticed two minute drops of hydraulic oil on the sense aerial of the aircraft which had gone unnoticed by the ground crew as well. Subsequently, on checking the plenum chamber it was found that there was a leak from a connection to the hydraulic pump. Flt Cdt Vijay Tiwari displayed good observation and alertness despite his limited experience and averted a hazardous situation. Well Done Flt Cdt Vijay Tiwari (TP Singh) Air Cmde PDAS 34 Aerospace Safety J u l y 2 0 10 INDIAN AIR FORCE O N 31 Aug 09, 768413-G, Sgt G Singh AF/Fit was detailed for out of phase servicing (OOPS) on MiG-21. While carrying out checks, he noticed soot marks in the N 28 Oct 07, 913486-L LAC Anilover Kumar Koli PropofFitter wassystem. detailed toSubsequent perform TRS on a SuRF region that demonstrated heating some checks 30 MKI. During TRS, the airwarrior noticed an oil leak from the fuel vent. He immediately revealed possible gas leakage from the fuel system that led to the removal of RF for informed the desk in-charge and further investigation revealed that the seal of the flexible shaft further rectification. bearing assembly in the engine accessory gear box (EAGB) had completely worn out. O LAC Anil Kumar displayed Koli despite ahishigh limited experience displayed a keen sense observation Sgt G Singh degree of professionalism and of prevented a which helped in averting a hazardous situation. potential incident. Well Done Sgt G Singh Well Done LAC Anil Kumar Koli (TP Singh) Air Cmde PDAS O N 07 Jan 10, 913046-B LAC Mukund Ranjan Airframe Fitter was detailed to undertake Last Flight LAC servicing SU-30. During visual checks, he N 08 Oct 09, 914886-N Ashish (LFS) Kumar on RoyaProp fit was detailed for ‘Out of phase’ noticed a crack on the surface of the port side canard. The crack on the canard is servicing on the compressor shim of an Avro. During checks, he observed a small metal unusual not easily Had goneOn unnoticed it would have ledfound to a piece in and the engine petaldetectable. cowling of the portthis engine. further investigations, it was that the compressor hazardous situation shim in air.between intermediate and rear compressor casing was broken at O three places at 10 ‘O’ clock position. The breakage of the shim could have caused hot gas leakage from the compressor on the adjacent fuel manifold and water methanol pipeline. Had LAC Mukund Ranjan despite his limited experience, displayed keen observation this gone unnoticed, it could have resulted in an engine fire in the air. and averted an accident. LAC Ashish Kumar Roy despite his limited experience displayed keen observation and a high degree of professionalism which averted a potential accident. Well Done LAC Mukund Ranjan Well Done LAC Ashish Kumar Roy (TP Singh) Air Cmde PDAS INDIAN AIR FORCE 2 0 1 0 J u l y Aerospace Safety 35 FOOD FOR THOUGHT DO NOT FOLLOW BLINDLY A novice monk was walking by the riverbank when he saw three monks sitting and meditating. He too, sat beside them, closed his eyes and started meditating. A little later, the first monk got up and walked to the river. He folded his hands in prayer before the river and walked on the water. He walked across to the other side and after a short while, walked back the same way. A little later, the second and then the third monk did the same. The apprentice monk was impressed. He too, walked to the flowing river and folded his hands in prayer. He too attempted to walk across the river but was washed away. The three monks looked at each other and murmured softly, “Maybe we should have told him the location of the submerged stepping stones!” Lessons learnt In flying do not imitate others blindly. Have good knowledge of the area/aircraft you are flying in. Maj Rajat Kumar 12(1) R&O Fit Army Aviation 36 Aerospace Safety J u l y 2 0 10 INDIAN AIR FORCE