VISION AND AIRCRAFT ACCIDENTS
VISION AND AIRCRAFT
ACCIDENTS
INTRODUCTION
(In the recently
released film Drishyam the hero’s family murders a boy inadvertently. To
deceive the Police the family plants a visual image in the mind of potential
witnesses to show that he and his family were in a different place on the date
of the crime. He manages to create this illusion by repeatedly narrating
certain incidents which had actually taken place and cleverly juxtaposing them
with certain imaginary happenings on falsified dates. The listeners mind is
thus tricked into amalgamating both the fact and fiction and made to supply the
end product i.e. the family is at a different place on the day of the crime.
The witnesses testify for the family without realising that their brains have
been tricked into creating a picture which was only partly true. The science of
vision supports the possibility of such a deception. The brain subconsciously
supplies details based on the experience thus filling in the gaps which could
have been missed by the eyes or might not have been present altogether to make a
complete story of what has been projected in front of the eyes. It is possible
not to see things which are directly in front of the eyes and also possible to
see things which are never there. The first school lesson on vision comparing
our eyes with camera after all may not be totally true. The truth is that we do
not see by our eyes, we see by our brain.)
1. It was the year 1995 when I was part of
the COI constituted to look into the incident of wheels up landing. It was a
multi crew aircraft with five people in the cockpit and apparently all failed
to see the lever right in front of them which was in up position. Of course,
everyone missed out on many other visual and aural alerts which blared in the
form of beeps, horns and flashing warning lights. But missing out on so many
clues did not come as a surprise, for such ignoring of obvious clues has been
happening in the field of aviation since long. Crew mistaking airfields and
towns in spite of huge differences in their appearance, misreading the
instruments, confusing switches, misinterpreting approach charts etc. have been
so regular that its occurrence ceases to surprise the aviators. What surprised
me though and set me thinking was the insistence of the Captain that he was
sure that on finals he had glanced at the lever and remember clearly seeing it
down. It had been conclusively established that not only the wheels but the
lever too was in up position. Hence the captain in no way was trying to
extricate himself as he well understood that his stand has no validity in front
of the overwhelming proof. He however told me this with full sincerity adding
that he himself is confused and perplexed with this contradiction. While going
through the CVR it was clear that the crew were overloaded as multiple
emergencies had been simulated. There was a call for undercarriage at least 3
times and one or the other crew had responded that it was down. I, like
everyone assumed that the crew answered without looking at the lever which was
in the up position. The limitation and vulnerability of our senses also
disturbed me as each member of the crew was an accomplished professional with
good flying record. Having a natural interest in human factors affecting
aviation I recollected many accidents and incidents where obvious visual clues
were missed out and ignored.
2. Further reading into such accidents I
could see a pattern emerging. Such mistakes had been committed where the work
load of the crew was high either due to some emergency or increased difficulty
by way of fatigue or bad weather or a combination of all of them. During such
times the attention of the crew has been tunnelled and fixated on the immediate
task of handling the flying controls thereby ignoring the other parameters
which also need to be scanned or monitored. Reading through these accidents and
correlating with my past experience of flying multi crew aircrafts I could see
the pattern pointing clearly that juggling numerous tasks especially under
condition of increased stress, like on board emergency, the ability of Captain
in taking well balanced decisions was compromised. Books on vision agrees to
this finding as it has been an accepted fact in the medical world that human
mind is not good at multi tasking. The science of vision also points to the
possibility of deception which the vision mind combination can create where the
brain subconsciously supplies details based on the experience thus filling in
the gaps which could have been missed by the eyes or might not have been
present altogether to make a complete story of what has been projected in front
of the eyes. It is possible not to see things which are directly in front of
the eyes and also possible to see things which are never there. The truth is
that the eye does not see. It is the brain that sees. The eye just transmits to
the brain. With these revelations I concluded that during the high workload
conditions the eye brain combination has tricked the Captain into believing
that the undercarriage lever was down based on the expectancy of it being
down.
AIM
3. The
aim of this paper is to highlight the limitation of vision mind combination
while handling multiple tasks and suggest modifications in role of crew in
multi crew aircraft to overcome this limitation.
DYNAMICS OF VISION
4. When we talk of vision there are two
components: the eye and our perception of our eyes signals as processed by our
brains. The optical system of the eye is
in fact rather crude and the sophisticated visual presentations we receive are
principally due to the coordination between eye and brain. The brain and the
neural retina process visual information, adding, subtracting and comparing as
necessary, to improve the image falling on the retina. Hence what we see is an
interpreted (by brain) image of what is exposed to our retina. What the mind
interprets and fills in is not based entirely on what lies in front of the lens
but is based on our perceptions which is again a result of our experiences. A
considerable amount of perception is learned as we are growing up and are
exposed to varying situations. We gradually start making senses of our visual
stimulus arriving to making meaningful interpretations of what you see. As an
example a runway has multiple cues and the brain will analyse these cues to
arrive at a conclusion that what has been presented before is a runway. The
process of analyses will also depend heavily on the state of the brain. If the
brain is preoccupied or under stress as is the case in a serious emergency it
would not work efficiently and would tend to take short cut and also would like
the situation to get over fast. In fact the mind in such cases would
unconsciously start supplying the associated cues which doesn’t even exist
there as the brain has capability to supply missing links based on perceptions
which are based on our experience. Brain may be an excellent piece of creation
working more efficiently than the most efficient computer but it has its own
limitations which need to be understood to be over dependent or over reliant on
it. One such limitation is multi tasking.
5. Our brain can effectively process only
one task at a time i.e. multi tasking though spoken of as if it is a norm and
expected out of all aircrew is nothing more than a myth. Human brains are not
meant to multi task. Multiple tasks when done are in fact accomplished on
timesharing basis i.e. the brain keeps shifting from one task to another giving
an impression that the task is being carried out simultaneously, however the
fact is that the brain is processing only one task at a time and leaving the
other unattended during that period. We do not appreciate this as most of the
tasks do not require continuous focussed attention and can be carried out
without much problem on time sharing basis. However this limited mental
processing capability can present problems when there is a requirement to fully
attend to two sources of information at the same time like any additional task
being performed during traffic or bird scan. Such an additional task can reduce
the effectiveness of the search, even to the extent of reducing the pilot’s eye
movements and effectively narrowing the field of view (which are controlled by
the brain). In an experiment it was concluded that the most difficult secondary
tasks resulted in the greatest restriction of eye movements. Talking, mental
calculation and even daydreaming can all occupy mental processing capacity and
reduce the effective field of vision.
DEDUCTIONS
6. Going back to the incident narrated
earlier of wheels up landing, the CVR had clearly brought out that the crew
were overworked and the Captain was carrying out too many activities hence he
was bound to become tunnel minded and overlook certain aspects. When the
caution for the undercarriage down was read he would have glanced at the lever
briefly. However his mind would have been busy in analysing the flying
parameters which to him appeared to need more and immediate attention. Without
getting into analysis the mind takes a short cut and resorts to a response
based on expectancy. The important point to keep in mind is that the total
parameters requiring attention are more than a normal human is capable of
handling. The vision mind combination would have filled up the information
regarding undercarriage based on expectancy and previous experience which
conveys that the undercarriage has to be down. Hence the entire crew were
trapped into a sort of set where everybody saw what the mind was expecting them
to see. Like in case of an emergency the mind gets fixated on one particular
aspect requiring more attention. Hence the other things are likely to be missed
out. Another factor we keep in mind is that research indicates that
multitasking reduces the efficiency. Hence it is important that the Captain
during emergencies should never be loaded with too many tasks. Maximum duties
should be delegated to all crew members and the Captain must be free to analyse
the emergency. It is strongly suggested that during such times the actual
flying should be transferred to the co-pilot who also should use auto pilot to
the max. In case of a serious emergency the pilot’s ability to monitor multiple
tasks is reduced and here the brain starts filling in the information based on
his experience. The phenomenon could be further elucidated by going into the
anatomy of the eye. In the eye there is a blind spot where the optical nerve
leaves the eye, yet what we see does not have a piece missing because
perception as brought out earlier consists of two processes. First the image on
the retina is passed up the sensory chain to the visual cortex where the
information is adjusted and interpreted by what we know, by our experiences and
our interpretation of the world.
7. There have been numerous accidents where
the Captain has taken incorrect decisions/actions when faced with an in flight
emergency. While analysing such accidents it should be kept in mind that the
human brain is not good at multitasking especially under stressful situation.
Hence the chances of taking a wrong decision, under stressful circumstances
carrying out multiple tasks, are high. Whenever an emergency is encountered
there are two aspects which need to be catered. One is the control of the
aircraft and the other is the decision which the emergency elicits like the
need to shut the engine, to return or continue, to declare or not to declare
the emergency. In my opinion flying the aircraft is an easier and simpler task
which can be easily handled by any co-pilot. The most difficult part is the
decision making and ability to remain cool. This would also contribute to
garnering all resources to tackle the adverse situation. Keeping in mind the
fact that humans are not particularly adept at multi tasking it is most likely
that both these tasks cannot be done by one single person. In case it is done
than the output would not be optimum. It should be logical to task the Captain
with the task which has more bearing on the outcome of the flight which is the decision
making. To execute this task the Captain has to be relieved of the task of
flying which can be delegated to the Co- pilot.
RECOMMENDATIONS
7. We need to understand this human
limitation and ensure that we do not fall into the trap. The tasks of the crew
have drastically changed over the times especially in multi crew aircrafts. The
autopilot can accomplish most of the flying tasks that were traditionally being
done by human pilots. However the overall responsibility and quantum of work
(work load) has drastically increased due to complication of machinery and
tasks which are expected to be complied when flying the latest aircrafts. Crew
during flying is continuously carrying out complicated actions in response to
the requirement of flying and since multitasking is not conducive to human he
should be concentrating more on taking decision and the mundane activities of
flying should be totally left to the co-pilot or to the auto pilot. In case of
any emergency in multi crew aircraft the pilot should be relieved of flying the
aircraft. It is strongly recommended that during critical times of flight like
take off and landing the captain should not be flying. The co-pilot should be
handling the controls with the Captain monitoring all the actions. My
experience says that a single engine emergency as far as flying is concerned
can be handled by any qualified pilot or co-pilot. The difficult part is the
decision making like deciding to abort or continue the takeoff in case of an
emergency and similarly to continue the approach or carry out a missed approach
in case of any emergency during the landing phase. Timely decision during these
important phases would have saved many accidents in this critical phase of
flight. Another aspect is that it is too much to expect the pilot during such
cases to keep flying the aircraft and handle the emergency without limiting his
abilities. The recommendations might appear drastic as it seems to reverse the
roles of the Captain and the Co-pilot where the primary responsibilities of
physically flying especially during critical times like Take Off , landing and
emergencies is passed to the co-pilot and the decision making capability and
instructions remains with the Captain.
8. There is a need to change over from the
concept that the actual flying i.e. handling of the controls is the prime
responsibility of Captain. The prime responsibility of the Captain should be to
take decisions and actual flying can be handed over to the Co-pilot more so in
case of any emergency. Stretching this analogy further it is postulated that
during critical phases of flight like take off and landing or in case of any
emergency the flying should be done by the Co pilot and Captain should keep
himself free to monitor parameters and take decision at critical times. The
traditional roles of Captain and Co-pilot need a review to the extent that it
requires a complete reversal where the flying is with the Co-pilot and
monitoring and decision making is with the Captain.
CONCLUSION
9. The concept of flying
has been Captain centric with primacy of flying capability and responsibility
as a defining attribute of a good pilot. Multi crew aircraft have developed
from the single cockpit aircraft where all tasks were performed by the Captain.
This concept still forms the base for Captain of a multi crew aircraft where
the control of aircraft remains with the Captain even in emergency. This needs
to be reviewed in the light of the evidence provided by science of vision that
that human are not good at multitasking especially during increased workload
and stress which often results during an onboard emergency. It may be
appreciated that this is a limitation of human senses and is not to be confused
with piloting skill. Not understanding this in correct senses would put the
pilot in the proverbial trap where he is likely to commit the mistake. It is
suggested that SOP and operating instructions take into account this limitation
especially during high load situations like on board emergency
Comments
Post a Comment