Issued: 11-MAR-2015 | To: ICAO | LV-CEJ (1) |
In order to spread and promote the analysis of these findings, presented in this report by Aviation Authorities from around the world, and in accordance with the interest of the FAA (USA) and SHK (Sweden), it is recommended that the AIG Division transfer the following to the appropriate authorities in order to promote a new concept of instructing and training of flight crews. |
Issued: 11-MAR-2015 | To: aviation authorities | LV-CEJ (10) |
to make UPSET RECOVERY a mandatory part of the flight simulator training curricula, which is to be practised both during the initial and the recurring courses and evaluated during the suitability inspection. |
Issued: 11-MAR-2015 | To: aviation authorities | LV-CEJ (11) |
With the aim of increasing the quality of the flight crew training, the authorities are recommended to establish a workshop programme for instructors who teach initial and recurrent training for commercial airline operators, during which technical and didactic subjects are taught, that directly focus and relate to operational security. |
Issued: 11-MAR-2015 | To: National Meteorological Service | LV-CEJ (12) |
Consider the possibility of extending the service hours of the aerodrome\'s meteorological offices, to cover all the hours that these aerodromes operate, and to provide updated information that effectively contributes to Operational Safety. |
Issued: 11-MAR-2015 | To: National Meteorological Service | LV-CEJ (13) |
Consider modifying the aeronautical information system so that an aviation area forecast (arfor) which remains the same is not merely updated as NOSIG, but repeats the information of the previous arfor. |
Issued: 11-MAR-2015 | To: Argentine Air Force | LV-CEJ (14) |
To establish an efficient network of aeronautical communications, it is recommended that a system be implemented which ensures that aeronautical communication traffic works both ways, in areas where this is deficient. In additions, the benefit of establishing, implementing and maintaining an effective VHF communication network, with permanent national coverage, should be evaluated. |
Issued: 11-MAR-2015 | To: Argentine Air Force | LV-CEJ (15) |
To establish clear guidelines regarding the requirements of on-board communication equipment, a proper study on aircraft traffic communication should be conducted, in order to determine the need for aircraft to be equipped with HF frequency communication devices. |
Issued: 11-MAR-2015 | To: SHK Sweden | LV-CEJ (16) |
To review the possibility of recommending that the aircraft manufacturer has Special Safety Bulletins, with the findings of this investigation and those of three similar incidents that have previously occurred. |
Issued: 11-MAR-2015 | To: SHK Sweden | LV-CEJ (17) |
To evaluate the possibility of recommending that designers of flight simulator software and hardware, include simulations of various situations in icing conditions (general, disrupting aerodynamic functions, blocking control surfaces, affecting the flight attitude due to a shift in CG, etc.), in order to provide better training with regard to recognising these flight situations, as well as the techniques that need to be employed in these situations. |
Issued: 11-MAR-2015 | To: SHK Sweden | LV-CEJ (18) |
With the aim of increasing the aircraft\'s technological defences, the possibility of incorporating a warning system which inhibits the use of the climb mode in autopilot upon the activation of the de-icing system, should be evaluated. |
Issued: 11-MAR-2015 | To: SOL LÃneas Aéreas | LV-CEJ (19) |
In order to increase the level of operational safety, it is recommended that the company\'s Safety Management System (SMS) programme includes severe icing as a specific danger, so that the defences (technological defences, standards, procedures and training) can mitigate the risks. |
Issued: 11-MAR-2015 | To: authorities | LV-CEJ (2) |
Consider implementing changes to the compliance requirements with regard to the crew\'s instruction and training, related to flight manoeuvre that are carried out during operations with a large angle of attack or with abnormal flight attitudes.
Consider making the following manoeuvres obligatory during the training and the licensing inspection (in flight simulators), in accordance with the aircraft:
a) Recognising when a stall commences and how to prevent it from happening.`
b) Recognising and recovering from an artificial stall warning
c) Recognising and recovering from a total aerodynamic stall
d) Practising how to recover from typical abnormal flight attitudes |
Issued: 11-MAR-2015 | To: SOL LÃneas Aéreas | LV-CEJ (20) |
Using the aircraft\'s original flight manual is also recommended, so as to avoid the use of adapted versions that do not contain all of the required information. In addition, you are reminded to comply with the regulations established in the RAAC 121.133 a) with regard to updating the Operator Operation Manuals (OOM). |
Issued: 11-MAR-2015 | To: SOL LÃneas Aéreas | LV-CEJ (21) |
Another way of improving security can be to establish means, resources and procedures which intend to emphasize the theoretical and practical instruction/training of upset and stall recovery. As such, new training practices are created, that involve the flight crew effectively identifying the signs and the aerodynamic phenomena that occur during the flight, prior to stalling (aeroelastic trepidation, among others), in accordance with the manufacturer\'s instructions. |
Issued: 11-MAR-2015 | To: SOL LÃneas Aéreas | LV-CEJ (22) |
With the aim of establishing better internal communication channels, the necessary measures should be established in order for the management to implement an effective method of wide dissemination and strict compliance between the crews as established in the Aircraft Operation Manual Supplement No. 1 "Operations in cold and icing conditions". It is also recommended that an effective method is established to evaluate the results of the training/instruction, in order to ensure that the pilots have adequate knowledge and practice, in accordance with the procedures established in the AOM and AFM, SOP (Supplement No. 1 "Operations in cold and icing conditions", using the autopilot, etc.) |
Issued: 11-MAR-2015 | To: SOL LÃneas Aéreas | LV-CEJ (23) |
To consider the possibility of integrating modification No. 2650, "Ice Speed System", in all of the Saab 340 aircraft, as it is a tool that increases safety by alerting the crew of abnormal speed conditions during flights in icing areas. |
Issued: 11-MAR-2015 | To: manufacturer | LV-CEJ (3) |
Provide all the detailed information, which should be in the Aircraft Manuals AOM/FTCM/AFM, which describe the special features of each area which needs to be fulfilled in order to achieve certification (if applicable) in regard to the following:
a) Recognising when a stall commences and how to prevent it from happening.
b) Recognising and recovering from an artificial stall warning
c) Recognising and recovering from a total aerodynamic stall
d) Recovering from typical abnormal flight attitudes
e) Using and understanding the behaviour of the automatic flight systems and engine during the aforementioned manoeuvres |
Issued: 11-MAR-2015 | To: training centers | LV-CEJ (4) |
Consider adapting the course curricula of the theoretical and practical training, so that they include all of the manufacturer\'s manoeuvres in accordance with the "NEW CONCEPT", as well as including the piloting techniques adapted to each particular aircraft.
Modify, improve and adapt flight simulator software for each aircraft type so that flight simulation become more realistic, and so that specific requirements can be tested. |
Issued: 11-MAR-2015 | To: operators | LV-CEJ (5) |
Modify the training programmes (theoretic and practical) so that the initial, promotional, and recurrent courses are obliged to include the following manoeuvres:
a) Recognising when a stall commences and preventing it from happening;
b) Recognising and recovering from an artificial stall warning;
c) Recognising and recovering from a total aerodynamic stall;
d) Practising how to recover from typical abnormal flight attitudes;
e) In all of the aforementioned situations, the behaviour of the aircraft\'s automatic flight control systems and motor should be demonstrated.
f) All of the aforementioned situations should also include unusual emergency procedures for cases in which system failure occurs.
g) The process of slowing down the aircraft to achieve the aforementioned situations must be carried out with a ratio of approximately 1 kts/sec in order to properly represent the conditions for certification and comply with the manufacturer\'s information (both regarding flight characteristics and performances). |
Issued: 11-MAR-2015 | To: aviation authorities | LV-CEJ (6) |
It is recommended that effective control be exercised over the updates in the Operator\'s Operations Manual (OOM), which all air operators are required to follow, in accordance with the RAAC 121.133. |
Issued: 11-MAR-2015 | To: aviation authorities | LV-CEJ (7) |
It is recommended that a system which tracks compliance with regulations is implemented, in accordance with the growth and development of the air operators and the service providers. |
Issued: 11-MAR-2015 | To: aviation authorities | LV-CEJ (8) |
In order that the operating personnel (pilots, dispatchers, etc.) are properly prepared for assessing and managing the risks inherent in flight, the following is recommended: to make it a requirement that theoretical courses which are taught at air operators\' training centres, with regard to specific subjects such as meteorology, have to be taught (or supervised) by professionals with experience in the field of expertise. |
Issued: 11-MAR-2015 | To: aviation authorities | LV-CEJ (9) |
to incorporate the requirements set forth in the preceding paragraph into the applicable RAAC regulations. |