240411-Aura_QA-Loss_of_Control_During_Landing_/_Take-off

• Site conducted

• Conducted on

  Date

• Prepared by

T - Challenging airfield / flight conditions

• Airfields listed in OM Part C & Currently Licensed

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• Monthly Review of the OM C Landing Sites

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• Airfield Risk Assessment for Unprepared / Non-Compliant Locations

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E - Airfield in Unlicensed

• OM A Section xx - EOCs

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• OM A Section xx - Special Ops

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• Additional specialised training - eg deck landings

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T - Flight Crew land significantly outside the TD/PM touchdown criteria

• Flight Crew maintain aircraft within stable approach criteria

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• Flight Crew perform a go-around if approach is destabilised

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• Flight Crew perform accurate flare and TD/PM touchdown

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• Flight Crew perform a go-around if the approach and flare will carry the aircraft outside the FATO

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T - Incorrect; Passenger Weight, Cargo Weight or CofG Limits Exceeded

• All passengers, baggage and cargo weighed and manifested

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• Dispatch Staff are trained in the compilation of Cargo and Passenger Manifest

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• PIC must be satisfied with manifest and conduct CofG calculations before take-off

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• All cargo and baggage appropriately loaded and secured before take-off

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• Passengers supervised and required to secure themselves before take-off

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• XBR Passengers are handled iaw requirements

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• Flight Crew detect overload on take-off and set back down

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T - Consolidated Loss of Control In-flight (LoCI) Threats

• Inadequate Performance and/or Mismanagement of Automation

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• Malfunction of Flight Safety Critical; Component, Instrumentation or Automation

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• Severe Meteorological Conditions

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• Birdstrike; Resulting in Cockpit Incursion

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T - Consolidated Loss of Separation (Airprox) Threats

• Loss of SA

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• Flight Crew do not correctly manage aircraft to maintain clearance

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T - Release of an Unairworthy Aircraft to Service

• See - Continuing Airworthiness / MCM - Release of an Unairworthy Aircraft to Service BowTie

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• See - Maintenance / AMO PM - Release of an Unairworthy Aircraft to Service BowTie

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Section Break - Top Event - Loss of Control During Landing / Take-off

C - Ineffective BowTie / HRM

• QA Mgnt System - Threat Line Audit

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C - Mid-Air Collision

• HLO/ATC recognise the incursion and issues avoiding action

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• Flight Crew of both aircraft receiving TCAS RA

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• Flight Crew responds appropriately to instructions and/ or TCAS RA

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• Flight Crew of either aircraft detects and recognizes the conflict and takes emergency avoiding action

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C - Unrecovered LoCI; leading to uncontrolled collision with terrain or in-flight structural failure

• Automated systems that assist in aircraft recovery

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• Flight Crew performs Undesired Aircraft State (UAS) recovery procedures

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• Aircraft protection systems limit certain manoeuvres (e.g.TQ_limiter)

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• Aircraft Type Certification (TC) margin between envelope and structural failure

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• Emergency Response Plan (ERP) (See ERCM Manual)

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C - Aircraft Ditching

• Flight Crew responds appropriately to LoCI (above)

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• Aircraft meet requirements for over water operations

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• Flight Crew and pax provided with life jacket and PPE

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• Flight Crew and pax HUET and survival training

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C - Abrupt avoidance manoeuvre resulting in injuries

• Flight Crew responds appropriately to LoCI (above)

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• Aircraft protection systems limit certain manoeuvres (e.g.TQ_limiter)

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• Cabin secured for flight by SOPs

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• Cabin design features to minimise injuries (e.g FAK strapped down)

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