Discussion: Asiana Flight 214 Analysis Methods Peers Review 2

Provide a classmate review on their discussion topic :

provide your response to the following:

Based on the report you compiled for your boss, describe the Asiana Flight 214 malfunction you analyzed and which method you selected to complete your assessment. Include why you decided this was the most applicable method for the malfunction and your primary recommendation for correcting this malfunction.


Classmate post that you need to post comment/ review on:

For the Asiana Flight 214 crash, I opted to use the Management Oversight Risk Tree (MORT) analysis. The MORT is a reactive tool to investigate an undesired event once it has already happened. Some of the other methods, such as Software Hazard Analysis (SwHA) or Sneak Circuit Analysis (SCA) could have been used in the design phases to identify automation hazards preemptively (Ericson, 2015). After reading the investigative reports, automation confusion was a contributing factor, but the crash was not software or circuit malfunction, leading me to believe SwHA or SCA are not appropriate.

This tragic accident could have been prevented with better CRM and understanding of the roles/responsibilities of each individual, and a better understanding of the automation characteristics. Many errors become obvious in analyzing this crash after its occurrence. The pilot flying not vocalizing their mode selection, the training captain not guarding controls close enough, automation confusion with the engines idled, pilot under training not vocalizing their unfamiliarity with a visual approach using the PAPI system, etc. (Ilbay, 2018).

I am currently two months into flying a new model of the MH65 helicopter and this crash resonates with current learning curves at the unit. Going from the D to E models saw significant differences in the automation that are confusing. As with this crash’s new captain, it has been challenging to remember the differences in how the old autopilot acted compared to the new. I do not fully grasp some of the modes and have even overridden the autopilot and hand flew the aircraft when it did something unexpected. Pilots need to monitor and backup automation and not give it overreliance. When something does not go as expected, use the rudimentary stick and rudder skills to get the aircraft back into a safe profile.

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