ASRS CALLBACK includes excerpts from ASRS incident reports with supporting commentary. In addition, CALLBACK may contain summaries of ASRS research studies and related aviation safety information. CALLBACK is one of the ASRS's most effective tools for improving the quality of human performance in the National Aviation System (NAS) at the grass roots level.

Wednesday, July 18, 2018

CALLBACK 457 - February 2018


CALLBACK From the NASA Aviation Safety Reporting System
Issue 457
February 2018
Crew Management of Passenger Circumstances
Perplexing passenger circumstances can exist in all shapes and sizes and may develop quickly during flight operations. While many passenger situations are routine, some may be uncommon or even unique. Many pilots and flight attendants have encountered unusual passenger situations that they never would have imagined. Passenger incidents could include illness, injury, misconduct, medical problems, baggage issues, intoxication, confrontation, threatening behavior, or other rare conditions.

Dealing with distinct passenger events may require creative problem solving techniques, clear judgment, quick decisions, and exceptional Crew Resource Management (CRM) by everyone involved, especially if a situation is not addressed by FAR, company policy, or the Quick Reference Handbook (QRH). Teamwork is a must.

This month CALLBACK shares six perspectives on one passenger incident and the responsive actions the crew took. Each reporter’s individual account and actions during this single incident may stimulate strong and differing opinions. The ability of ASRS to capture and portray an event from multiple perspectives may, however, provide more clarity to the event than the view perceived through any single lens. Our intent is to illustrate the complexity and urgency that a passenger situation may present to a crew and to stimulate constructive discussion regarding crew actions when dealing with passenger circumstances.
The Crew Debriefing
This air carrier crew was caught off-guard by a passenger situation just prior to initiating the takeoff. Ensuing communications, misinformation, confusion, assumptions, and decisions at a critical time resulted in a less than desirable outcome that had the potential to become much worse.
From the First Officer’s Report:
The aircraft was in position on the runway for takeoff. A Flight Attendant called and said that they had a problem with a passenger and that they would get back to us. The Flight Attendant then called a second time shortly thereafter saying that they had a passenger who was afraid to fly and wanted to get off the aircraft, and that we needed to go back to the gate.… Flight Attendant B was on the phone relaying information to the Captain. I was monitoring Tower as we were awaiting takeoff clearance and was not in on this phone conversation. I asked the Captain if [the Captain] wanted me to get clearance to clear the runway. [The Captain] said, “No, stay on the runway and see how long it takes to get our takeoff clearance.” Our takeoff clearance came quickly from the Tower, and the Captain said that we were going and pushed the throttles up for takeoff. We found out later in flight that the passenger in question and two or three Flight Attendants were standing in the cabin during takeoff.

This event occurred because sufficient time was not taken to address the Flight Attendants’ concerns about this passenger. Adherence to Cockpit Resource Management (CRM) procedures and taking time to address problems on the ground would have prevented this issue.
From the Captain’s Report:
While on the runway waiting for takeoff clearance from Tower, the [Purser] called the cockpit and reported to the [Relief Pilot] that they had a panicking passenger who wanted to get off the airplane. I told the Flight Attendant B to tell them that we were on the runway and that it’s too late to get off. [I said,] “We are taking off now.”

After takeoff, the Flight Attendant notified me that they were in the aisle still standing when the takeoff was initiated. I informed them that I was unaware that anyone was standing at the time and that they should have been more specific as to the situation. I believe that, [because]…Flight Attendant B was on the phone relaying the message,…the communication may have been confused or omitted.

The specifics of the situation were not properly communicated, or the specifics did not get communicated because…the [Relief Pilot] was taking the call and transferring the information to me. The [Relief Pilot] also told me that [the Relief Pilot] was unaware of people standing at the time.
From the Relief Pilot’s Report:
I was the [Relief Pilot] and was sitting in the First Observer’s seat. In the takeoff position shortly after being cleared for takeoff, the Purser called the cockpit. The First Officer (FO) took [that] call and reported that there was a problem with a passenger and that they’d call back. I answered the next call. The Flight Attendant reported that a passenger wanted to get off the plane immediately and was very upset. I reported this to the Captain after I told the Flight Attendant that I’d call back in a moment. There was very little cockpit discussion before I called to the back to get a status on the passenger. I was informed, I believe, by the Purser that the passenger was adamant about getting off the airplane.

The Purser stated that we needed to go back to the gate and remove the passenger. I hung up the phone and related verbatim what was said to me by the Purser. At that point, the Captain stated that we weren’t going back to the gate for that and, without hesitation or further discussion, pushed up the power, [engaged the autothrottles], and off we went.
From the Purser’s Report:
During taxi a passenger approached [the door] and stated that [the passenger] must deplane. The passenger was suffering and showing signs of anxiety and panic attack. The passenger continued to insist [that the passenger] must deplane and could not travel. [I] made a call to the cockpit to advise [the Captain] of the situation. [I] advised that I was experiencing a situation in the cabin with a passenger unable to go through with travel who was experiencing and exhibiting extreme anxiety and panic. I further advised my assessment that we needed to return to the gate. The response was affirmative. Thinking that arrangements were being made to return to the gate, I and two other Flight Attendants continued to calm the passenger in efforts to get [the passenger] back to a seat as we taxied to the gate. The next thing I knew, the engines were revving, and we were speeding down the runway for takeoff while I, the passenger, and two other Flight Attendants were standing in the galley in total shock…and attempting to secure ourselves. As soon as we were able, [we] assisted the passenger to the closest empty passenger seat, and I took my jumpseat.

What could prevent this from occurring in the future, in my opinion, would be better communication coming from the cockpit in determining the current condition of a special situation occurring in the cabin before forging ahead with the decision to take off.
From the B Flight Attendant’s Report:
As we were taxiing out for takeoff,…a passenger was emotionally distressed and approached Flight Attendant A at Door 2L. [The passenger] told [Flight Attendant A] that [the passenger] wanted to get off the aircraft and was having a panic attack. I was Flight Attendant B.… I went to [the Purser] and informed [the Purser] of the situation. [The Purser] then called the Captain to inform [the Captain]. I went back to Door 2L and tried to calm [the passenger]…down. [The passenger] was trembling and crying. The [Purser] was with me in the mid-galley when Flight Attendant [E] came and told us that the Captain informed them [that] we were taking off. We instantly took off! We seated the passenger in the nearest available seat. We didn’t have time to sit in our jumpseats.
From the E Flight Attendant’s Report:
A passenger suffered an extreme panic attack during the takeoff phase and wanted to get off the airplane. The passenger was standing in the business class galley assisted by Flight Attendant A and the Purser. The passenger did not speak any English, and I assisted with translation. The Pilots were advised of the situation, but the takeoff went on with the three Flight Attendants and the passenger standing in the business class galley. Quickly we moved the passenger to the nearest open seat.
NASA ASRS Director’s Retirement
After 37 years at NASA Ames Research Center and 21 years as NASA ASRS Director, I have decided to retire from government civil service at the end of February. It has been my distinct honor and pleasure to work with the amazing aviation safety community that includes so many colleagues and friends from the FAA, the NTSB, and the numerous organizations that represent all of you who report to the ASRS. It has been my privilege to work with the dedicated staff of the ASRS, who commit themselves each day to discovering the safety gems hidden in the multitude of reports sent to the ASRS from pilots, controllers, dispatchers, flight attendants, maintenance technicians, ground workers, and others. I have been fortunate to convey the concept of confidential safety reporting to aviation organizations both in this nation and in other countries and industries. To all of you everywhere with whom I have crossed paths, I will miss you dearly. I thank each and every one of you for your tireless contributions to the process of improving aviation safety, and I support you and your efforts to continue the important work of transforming safety information into safety changes that will prevent accidents.

My sincerest regards,
Linda Connell
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CALLBACK Issue 457
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Special Studies
Meteorlogical and Aeronautical Information Services Data Link and Application Study
ASRS, in cooperation with the FAA, is gathering reports of incidents that occurred while pilots were utilizing weather or AIS information in the cockpit obtained via data link on the ground or in the air. Learn more » Read the Interim Report »
Wake Vortex Encounter Study
In cooperation with the FAA, ASRS is conducting an ongoing study on wake vortex incidents, enroute and terminal, that occurred within the United States.
December 2017
Report Intake:
Air Carrier/Air Taxi Pilots 4,617
General Aviation Pilots 1,042
Controllers 476
Flight Attendants 409
Military/Other 306
Dispatchers 193
Mechanics 145
TOTAL 7,188
2017
ASRS Alerts Issued:
Subject No. of Alerts
Aircraft or Aircraft Equipment 19
Airport Facility or Procedure 10
ATC Equipment or Procedure 16
Company Policy 2
Hazard to Flight 2
Other 2
TOTAL 51
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NOTE TO READERS:     Indicates an ASRS report narrative    [   ]  Indicates clarification made by ASRS
A Monthly Safety Newsletter from The Office of the NASA Aviation Safety Reporting System
Issue 457



NASA Aviation Safety Reporting System | P.O. Box 189 | Moffett Field | CA | 94035-0189

CALLBACK 458 - March 2018


CALLBACK From the NASA Aviation Safety Reporting System
Issue 458
March 2018
What Would You Have Done?
This month, CALLBACK again offers the reader a chance to “interact” with the information given in a selection of ASRS reports. In “The First Half of the Story,” you will find report excerpts describing an event up to a point where a specific decision must be made or some immediate action must be taken. You may then exercise your own judgment to make a decision or determine a possible course of action that would best resolve the situation.

The selected ASRS reports may not give all the information you want, and you may not be experienced in the type of aircraft involved, but each incident should give you a chance to refine your aviation judgment and decision-making skills. In “The Rest of the Story…” you will find the actions that were taken by reporters in response to each situation. Bear in mind that their decisions may not necessarily represent the best course of action, and there may not be a “right” answer. Our intent is to stimulate thought, training, and discussion related to the type of incidents that were reported.
The First Half of the Story
Get out of My Way  C152 Pilot’s Report
While cruising at a VFR altitude of 4,500 feet, the engine experienced a sudden, rapid, and unusual 500 RPM drop in power without input.… I made the decision to land at the nearest airport. Center was providing VFR flight following and was notified of my situation. The procedure of verifying…correct engine control positions failed to increase RPM. The remaining engine output was sufficient to maintain altitude, but I judged it to be unreliable and opted to not reduce power for fear it would cause further undesirable operation. I was cleared to switch to CTAF and announced my intentions to land on the active runway. After slipping to lose excess altitude, it became apparent that a helicopter was on the [approach] end of the runway. I requested that he please move, [but I received] no response.

I had never experienced conditions [like this] in my life. It was CAVU, but due to the snowfall the night prior and gusty winds of 30+ knots, the blowing snow created visibility problems…on the surface.… As I lined up [for takeoff], I was told that the RVR at…the [touchdown] end was around 2,400 feet and, at the rollout area, 4,000 feet. I asked how far down the runway I needed to obtain the better RVR and was told, “All the way to the end.”

I was holding in position on the runway and was cleared for takeoff, but I decided to delay takeoff due to the visibility, so I told the Tower. Visibility was so poor on the ground that [Tower] had zero ability to tell where I was. I was told that I could hold in place, but that there was a Learjet on a 5-mile final, indicating that there was some urgency for my departure.

I [then] had a “break” in the weather and decided to give it a shot. As I accelerated, I lost visual [references] due to snow on the runway, [and] also lost my bearings.

I was training a student who has approximately 30 hours and has soloed three times. We were doing a training flight in the traffic pattern working on short and soft field takeoffs and landings. For the short field landings, I was giving the scenario that a previous student of mine had received during his private pilot checkride. [His] examiner had wanted him to land on the threshold, so that is the same scenario that my student and I were practicing. We had performed nine takeoffs and landings, and he was doing very well with the spot landings and short field procedures.

In the beginning, I was following…closely on the controls to ensure the proper threshold crossing height for the point where we were landing. As the lesson progressed, I eased off of the controls to allow him to be more in control. After the ninth landing, I knew it was about time to finish up for the evening. My student asked if we could do just one more takeoff and landing.

The ATIS wind was reported at 280/11G19. The approach was normal and uneventful. At around 800 or 900 feet we had a little bit of a tailwind, but the wind was shifting in both direction and speed. The last wind that I saw was out of the west at maybe 6 to 8 knots. At less than 40 feet, somewhere around 30 feet, both the First Officer and I felt the plane start to sink a little. Not unusual…for the spring and summer. I increased the angle of attack to slow the sink rate and left the thrust in the climb detent to ensure an increase in thrust as I increased back pressure. At 20 feet the airplane was still sinking. I continued to increase back pressure and left the thrust in all the way to landing. The airplane was not responding to my control inputs, and…I felt the side stick hit the aft stop.
The Rest of the Story

The Reporter's Action:
Unsure of the plane’s ability to climb during a go-around, I decided to land on the parallel taxiway that was clear of traffic and obstructions. I made an announcement on CTAF that we would land on the taxiway. Unsure of the helicopter’s intentions on the runway, I asked that he depart to the right and away from the taxiway. A slightly faster than normal landing was made without aircraft damage.

Contacting CTAF [had been] delayed by a few seconds because we did not have the CTAF frequency.… My passenger was another pilot and was trying to tune [CTAF] while I…looked for the airport and possible alternative landing sites. This delay might have caused the near conflict on the runway. The solution of landing at the nearest airport was complicated by lack of time to communicate with traffic in the area, and the only clear landing spot was the taxiway.

The Reporter's Action:
I could tell that I had slid off the side of the runway but had not hit anything. I cut power and contacted the Tower. I asked for a tug from the FBO. After inspection of my plane in the hangar, it was confirmed that I had not hit anything, nor had I done any damage to my propeller, landing gear, or airplane.

In hindsight, I allowed the fact that planes were departing from another runway to influence my decision to attempt a departure, and I allowed ATC comments about an approaching Learjet to rush me. I should have recognized that [it] was not safe to depart.… This was clearly my error as PIC, but…communicating that a Learjet was approaching helped create an environment where there was a “call-to-action.”

The Reporter's Action:
I agreed. The sun had set and we were beginning to lose some of our light.… As we turned onto final, the lighting system was not turned on.… When we approached short final I heard him keying on the lights.… He had turned them on high intensity.… I began reaching for the hand held microphone to turn down the lights.… When I got the microphone and got them keyed down,…I made a quick glance over to his airspeed indicator to verify that he was at the proper speed, and then I put the microphone back so my hands were free. When I looked back,… I knew we had gotten a little lower than I would have liked, and we then felt the right tire hit the threshold light.… We were able to touch down straight, on the main wheels, and in the center of the runway.… I should have stuck with my instinct that we had done enough takeoffs and landings and that any more could be detrimental to the progress made.

The Reporter's Action:
The last 10 feet or so…just felt like the bottom fell out. The airplane landed hard and bounced back into the air.… I heard the auto “PITCH” call and lowered the nose to allow the plane to land firmly on the runway. The First Officer quickly reported a loss of 30 knots over the runway to the Tower. Taxi in was normal. As we taxied in I looked at the G-meter on the systems display, and no indication was observed.… I asked [the Flight Attendants] if they needed the paramedics, and they said, “No.”…

[After] the First Officer…returned from the post flight walk around [inspection], he informed me of a scrape on the bottom of the fuselage just before the tail. I went downstairs with the maintenance folks to inspect the damage.… The aft lavatory drain mast had a scrape as well.
Check Out
ASRS Safety Topics!
ASRS Database Report Sets each consist of 50 de-identified ASRS Database records relevant to topics of interest to the aviation community.  View/Download Report Sets »
CALLBACK Issue 458
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ASRS Online Resources
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Special Studies
Wake Vortex Encounter Study
In cooperation with the FAA, ASRS is conducting an ongoing study on wake vortex incidents, enroute and terminal, that occurred within the United States. Learn more »
Meteorlogical and Aeronautical Information Services Data Link and Application Study
ASRS, in cooperation with the FAA, is gathering reports of incidents that occurred while pilots were utilizing weather or AIS information in the cockpit obtained via data link on the ground or in the air. Learn more » Read the Interim Report »
January 2018
Report Intake:
Air Carrier/Air Taxi Pilots 5,003
General Aviation Pilots 1,060
Controllers 467
Flight Attendants 442
Military/Other 310
Mechanics 238
Dispatchers 148
TOTAL 7,668
ASRS Alerts Issued:
Subject No. of Alerts
Aircraft or Aircraft Equipment 6
Airport Facility or Procedure 4
ATC Equipment or Procedure 9
Hazard to Flight 6
Other 7
TOTAL 32
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NOTE TO READERS or  Indicates an ASRS report narrative    [   ]  Indicates clarification made by ASRS
A Monthly Safety Newsletter from The Office of the NASA Aviation Safety Reporting System
Issue 458


NASA Aviation Safety Reporting System | P.O. Box 189 | Moffett Field | CA | 94035-0189

CALLBACK 459 - April 2018


CALLBACK From the NASA Aviation Safety Reporting System
Issue 459
April 2018
Electing the Electronic Flight Bag
The Electronic Flight Bag (EFB) is the electronic equivalent to the pilot’s traditional flight bag. It contains electronic data and hosts EFB applications, and it is generally replacing the pilots’ conventional paper products in the cockpit. The EFB has demonstrated improved capability to display aviation information such as airport charts, weather, NOTAMs, performance data, flight releases, and weight and balance.

The EFB platform, frequently a tablet device, introduces a relatively new human-machine interface into the cockpit. While the EFB provides many advantages and extensive improvements for the aviation community in general and for pilots specifically, some unexpected operational threats have surfaced during its early years.

ASRS has received reports that describe various kinds of EFB anomalies. One typical problem occurs when a pilot “zooms,” or expands the screen to enlarge a detail and thereby unknowingly “slides” important information off the screen, making it no longer visible. A second type of problem manifests itself in difficulty operating the EFB in specific flight or lighting conditions, while yet another relates to EFB operation in a particular phase of flight. This month CALLBACK addresses some common problems that pilots have experienced during the EFB’s adolescence.
The Disappearing Departure Course
This A320 crew was given a vector to intercept course and resume the departure procedure, but the advantage that the EFB provided in one area generated a threat in another.
From the Captain’s Report:
Air Traffic Control (ATC) cleared us to fly a 030 heading to join the GABRE1 [Departure]. I had never flown this Standard Instrument Departure (SID). I had my [tablet] zoomed in on the Runway 6L/R departure side so I wouldn’t miss the charted headings. This put Seal Beach [VOR] out of view on the [tablet]. I mistakenly asked the First Officer to sequence the Flight Management Guidance Computer (FMGC) between GABRE and FOGEX.
From the First Officer’s Report:
During departure off Runway 6R at LAX [while flying the] GABRE1 Departure, ATC issued, “Turn left 030 and join the GABRE1 Departure.” This was the first time for both pilots performing this SID and the first time departing this runway for the FO.… Once instructed to join the departure on the 030 heading, I extended the inbound radial to FOGEX and inserted it into the FMGC. With concurrence from the Captain, I executed it. ATC queried our course and advised us that we were supposed to intercept the Seal Beach VOR 346 radial northbound. Upon review, both pilots had the departure zoomed in on [our tablets] and did not have the Seal Beach [VOR] displayed.
Hidden Holding Patterns
This B757 Captain received holding instructions during heavy traffic. While manipulating his EFB for clarification, he inadvertently contributed to an incorrect holding entry.
[We were] asked to hold at SHAFF intersection due to unexpected traffic saturation.… While setting up the FMC and consulting the arrival chart, I expanded the view on my [tablet] to find any depicted hold along the airway at SHAFF intersection. In doing so, I inadvertently moved the actual hold depiction…out of view and [off] the screen.

The First Officer and I only recall holding instructions that said to hold northeast of SHAFF, 10 mile legs. I asked the First Officer if he saw any depicted hold, and he said, “No.” We don’t recall instructions to hold as depicted, so not seeing a depicted hold along the airway at SHAFF, we entered a right hand turn. I had intended to clarify the holding side with ATC, however there was extreme radio congestion and we were very close to SHAFF, so the hold was entered in a right hand turn.

After completing our first 180 degree turn, the controller informed us that the hold at SHAFF was left turns. We said that we would correct our holding side on the next turn. Before we got back to SHAFF for the next turn, we were cleared to [the airport].
Name that Taxiway
This B737 Captain has obviously encountered frustration while using his moving map. Although the specific incident is not cited, the Captain clearly identifies an EFB operational problem and offers a practical solution for the threat.
In [our] new version of [our EFB chart manager App],… a setting under Airport Moving Map (AMM)…says, “Set as default on landing,” [and I cannot]…turn it off. If [I] turn it off, it turns itself back on. This is bad.… It should be the pilot’s choice whether or not to display it at certain times—particularly after landing. Here’s the problem with the AMM: When you zoom out, the taxiway names disappear.

Consider this scenario: As you turn off of the runway at a large airport, you look down at the map (which is the AMM, not the standard taxi chart, because the AMM comes on automatically, and [I] cannot turn that feature off). You get some complicated taxi instructions and then zoom out the AMM [to] get a general, big-picture idea of where you’re supposed to go. But when [I] zoom out the AMM, taxiway names disappear.… [I] have to switch back to the standard taxi chart and zoom and position that chart to get the needed information. That’s a lot of heads-down [tablet] manipulation immediately after exiting the runway, and it’s not safe.

[Pilots should have] control over whether or not to automatically display the AMM after landing. The AMM may work fine at a small airport, but at a large airport when given taxi instructions that are multiple miles long, the AMM is useless for big-picture situational awareness.
Subtle and Sobering
This A319 crew had to manage multiple distractions prior to departure. An oversight, a technique, and a subtle EFB characteristic subsequently combined to produce the unrecognized controlled flight toward terrain.
We received clearance from Billings Ground, “Cleared…via the Billings 4 Departure, climb via the SID.…” During takeoff on Runway 10L from Billings, we entered IMC. The Pilot Flying (PF) leveled off at approximately 4,600 feet MSL, heading 098 [degrees]. We received clearance for a turn to the southeast…to join J136. We initiated the turn and then requested a climb from ATC. ATC cleared us up to 15,000 feet. As I was inputting the altitude, we received the GPWS alert, “TOO LOW TERRAIN.” Immediately the PF went to Take Off/Go Around (TO/GA) Thrust and pitched the nose up. The Pilot Monitoring (PM) confirmed TO/GA Thrust and hit the Speed Brake handle…to ensure the Speed Brakes were stowed. Passing 7,000 feet MSL, the PM announced that the Minimum Sector Altitude (MSA) was 6,500 feet within 10 nautical miles of the Billings VOR. The PF reduced the pitch, then the power, and we began an open climb up to 15,000 feet MSL. The rest of the flight was uneventful.

On the inbound leg [to Billings], the aircraft had experienced three APU auto shutdowns. This drove the Captain to start working with Maintenance Control.… During the turn, after completion of the walkaround, I started referencing multiple checklists…to prepare for the non-normal, first deicing of the year. I then started looking at the standard items.… It was during this time that I looked at the BILLINGS 4 Departure, [pages] 10-3 and 10-3-1.… There are no altitudes on…page [10-3], so I referenced [page] 10-3-1. On [page] 10-3-1 for the BILLINGS 4 Departure at the bottom, I saw RWY 10L, so I zoomed in to read this line. When I did the zoom, it cut off the bottom of the page, which is the ROUTING. Here it clearly states, “Maintain 15,000 or assigned lower.” I never saw this line. When we briefed prior to push, the departure was briefed as, “Heading 098, climb to 4,600 feet MSL,” so neither the PF nor the PM saw the number 15,000 feet MSL. The 45 minute turn was busy with multiple non-standard events. The weather was not great. However, that is no excuse for missing the 15,000 foot altitude on the SID.
Turbulent Expansion
This ERJ175 pilot attempted to expand the EFB display during light turbulence. Difficulties stemming from the turbulence and marginal EFB location rendered the EFB unusable, so the pilot chose to disregard the EFB entirely.
We were on short final, perhaps 2,000 feet above field elevation. [It had been a] short and busy flight. I attempted to zoom in to the Jepp Chart currently displayed on my EFB to reference some information. The EFB would not respond to my zooming gestures. After multiple attempts, the device swapped pages to a different chart. I was able to get back to the approach page but could not read it without zooming. I attempted to zoom again, but with the light turbulence, I could not hold my arm steady enough to zoom. [There is] no place to rest your arm to steady your hand because of the poor mounting location on the ERJ175.

After several seconds of getting distracted by…this EFB device, I realized that I was…heads-down for way too long and not paying enough attention to the more important things (e.g., acting as PM). I did not have the information I needed from the EFB. I had inadvertently gotten the EFB onto a company information page, which is bright white rather than the dark nighttime pages, so I turned off my EFB and continued the landing in VMC without the use of my EFB. I asked the PF to go extra slowly clearing the runway to allow me some time to get the taxi chart up after landing.

…I understand that the EFB is new and there are bugs... This goes way beyond the growing pains. The basic usability is unreliable and distracting.… In the cockpit, the device is nearly three feet away from the pilot’s face, mounted almost vertically…at a height level to your knees. All [EFB] gestures in the airplane must be made from the shoulder, not the wrist. Add some turbulence to that, and you have a significant heads-down distraction in the cockpit.
Check Out
ASRS Safety Topics!
ASRS Database Report Sets each consist of 50 de-identified ASRS Database records relevant to topics of interest to the aviation community.  View/Download Report Sets »
CALLBACK Issue 459
 Download PDF & Print
 View HTML
ASRS Online Resources
 CALLBACK Previous Issues
 Report to ASRS
 Search ASRS Database
 ASRS Homepage
Subscribe to CALLBACK for FREE!
Forward to a Friend
Contact the Editor
Special Studies
Meteorlogical and Aeronautical Information Services Data Link and Application Study
ASRS, in cooperation with the FAA, is gathering reports of incidents that occurred while pilots were utilizing weather or AIS information in the cockpit obtained via data link on the ground or in the air. Learn more » Read the Interim Report »
Wake Vortex Encounter Study
In cooperation with the FAA, ASRS is conducting an ongoing study on wake vortex incidents, enroute and terminal, that occurred within the United States.
February 2018
Report Intake:
Air Carrier/Air Taxi Pilots 4,651
General Aviation Pilots 1,065
Controllers 440
Flight Attendants 420
Military/Other 298
Dispatchers 231
Mechanics 117
TOTAL 7,222
ASRS Alerts Issued:
Subject No. of Alerts
Aircraft or Aircraft Equipment 2
Airport Facility or Procedure 11
ATC Equipment or Procedure 5
Hazard to Flight 1
Other 1
TOTAL 20
Subscribe to CALLBACK for FREE!
Forward to a Friend
Contact the Editor
NOTE TO READERS:     Indicates an ASRS report narrative    [   ]  Indicates clarification made by ASRS
A Monthly Safety Newsletter from The Office of the NASA Aviation Safety Reporting System
Issue 459


NASA Aviation Safety Reporting System | P.O. Box 189 | Moffett Field | CA | 94035-0189

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