Of
Slammed Stable Doors and Bolted Horses
A Case for Offset Tracking
By Capt Chris Young
Aviation accidents caused by one single,
cataclysmic error are rare. The vast majority stem from a succession of
small, apparently insignificant events, many of which would not even be
classified as errors in isolation. However, when put together in an ‘event
chain’, they provide a unique set of circumstances that allows one
final ‘event’ to provide the link necessary to ensure what is often
disaster.
Most contemporary accident investigations will
list some such event chain leading up to the accident and with the
benefit of hindsight, the investigator will point out how easily the
accident could have been avoided. If the crew (or ATC, or airline
management, or a flight or ground training organisation, or the aircraft
manufacturer or a regulatory authority) had broken the chain by using a
simple (and now – with that wonderful 20/20 hindsight – perfectly
obvious) commonsense procedure, all would have been well.
With months to peruse each and every piece of
evidence, (and to reach conclusions that the unfortunate crew sometimes
had to arrive at within seconds), the investigator will make
recommendations to ensure that an accident in similar circumstances is
less likely to happen again. This is usually very constructive
criticism, and there are few of us who have not amended our own work
practices after reading some such report.
It is seldom that anyone could have foreseen the
need to break the (now so obvious) event chain detailed in such reports,
for it goes without saying that if anyone believed that some procedure
might be potentially dangerous, they would have informed someone in
authority. Just as surely, that person or agency would have done
something about it.
Wouldn’t they?
History says this isn’t always so.
There are few people in positions of authority in today’s aviation
industry who aren’t overworked to the point where the last thing they
want is another problem dumped on their desk, especially if it is an
issue that no one else but some malcontent perceives to be a problem. If
a procedure has been accepted as safe practice for many years within the
industry and some fool starts banging on your door insisting it is
unsafe, he’s got to be wrong. Hasn’t he?
Let’s investigate this event chain idea. Simply
put, it says that all it takes to prevent an accident is for someone to
break just one link in a chain of events. In an ideal world, this break
in the chain might be achieved very early, perhaps within an airline’s
initial training programme or even its selection process. At the other
extreme, it could be the at the very last link in the chain before
disaster strikes, perhaps a pilot taking frantic avoiding action as a
mountain top looms out of the mist. Of course, the break might also
occur anywhere in between.
I think few of us would disagree with the notion
that we’d prefer to see the ‘chain cutter’ applied successfully to
a link as far from what I’ll call the ‘pointy end’ of the chain as
possible. It is with that view in mind that I sat down to write on the
subject of mid air collisions and avoiding them.
A case for Offset Tracking
The current air route system was designed in the
days of VOR tracking and celestial navigation. Tracking tolerances were
wide, narrowing down to any exactitude only approaching the overhead
cone of an enroute navaid. Thus, even if an error in Flight Level
allocation was made, the crews of two conflicting aircraft would have
had to be extraordinarily unlucky to suffer a head on mid air collision.
The chances of two aircraft being in exactly the same piece of airspace
as they passed were very slim indeed.
With the widespread introduction of IRS and GPS
navigation systems, this is no longer so.
The GPS navigation systems employed on the latest
generation of airliners assures a constant tracking accuracy within 30
metres at all times. That’s well within the wingspan of any widebody
airliner and most narrow bodies. Translated into plain English, that
means that if two GPS-equipped aircraft flying reciprocal tracks should
happen to find themselves at the same level, they will, without a shadow
of a doubt, most assuredly collide if avoiding action is not taken by
one or both crews. To add to the certainty of collision is the digital
altimetry systems in modern aircraft. In the days of aneroid altimeters,
opposing aircraft at the same Flight Level might have had anything up to
200 feet vertical separation at their standard cruising levels. With the
new ADCs, they will be at exactly the same level.
I’ve heard the argument that offsetting is
simply not necessary because TCAS will ensure sufficient warning is
given to both crews if this highly unlikely event was to occur. (It is,
I agree, unlikely, but so is an engine failure right at V1, yet we
faithfully practise that particular emergency twice a year in our
licence renewals. Likewise, I’ve never done a genuine emergency
descent in my airline career, yet I am made demonstrate it frequently in
the simulator because someone thinks it might happen, and if it does,
they believe I should get it right the one time it will really matter.)
In answer to the TCAS argument, I go back to the
chain of events theory. Why rely on the last link in the chain when at
little or no cost, we can snip the chain far earlier, (and importantly,
much further from the very self-interested 'pointy end' of the chain –
you and me)? And that last link doesn’t always work. I have had
personal experience within the last two weeks of passing a major flag
carrier aircraft within the TCAS ‘window’ with no readout at all on
my nav display. Within ten minutes, another aircraft from the same
company passed and we got a normal readout.
My suggested early snip of the chain is not to fly
in exactly the same piece of vertical airspace. The analogy of a
speeding bullet is compelling and given the closing speeds of jet
aircraft in the cruise, quite accurate. If you knew someone was going to
be firing a bullet along a fixed path every ten minutes with an
assurance that he would be aiming above your head, would you walk down
that line or to one side of it? Just in case. Another two dimensional
example is to imagine you’ve been told to drive from point A to point
B by the shortest possible route as fast as you can. To make life easy,
there’s even a straight line drawn along the ground between A and B
for you to follow. You are also told there’s a car coming in the
opposite direction with the same instructions. If you could confer with
the other driver before setting out, would you both plan to drive with
your wheels straddling the line and take avoiding action when – and if
– you see each other, or would you agree to drive to one side of the
line? (Please, no "I’ ll take the left side an’ you take the
right side" jokes.)
The next argument is that there are many other
checks and balances to ensure the last link of taking avoiding action
will not be necessary. However, all these checks and balances rely upon
men who are safely sitting on the ground in ATC control centres. They
are always busy, of varying levels of proficiency, and their ATC
organisations can often leave a lot to be desired. (Anyone who has flown
over Africa will be unlikely to disagree with that last point.) If they
make a mistake, in some countries they may have to face a court case for
negligence. They may also suffer a terrible bout of conscience, which
will be of little comfort to the hapless pilots and passengers who were
the subject of their error, for they will be dead.
We are, as airline pilots, are quite possibly the
most conservative group in the world. By our very nature we are
resistant to change, which is no bad thing. However, this can be taken
too far, and in the interests of breaking a potential error chain that
could have catastrophic consequences, I believe we need to demand change
from our hard-worked supervisors on the subject of offset tracking. Some
regulatory authorities acknowledge the problem exists, but they can be
forgiven for hastening slowly, for any such changes will cost money, and
besides, their customers, the airlines, are not beating down any doors
demanding it be implemented.
Like IFALPA, the Australian CASA is advocating a
worldwide embedded (automatic) right offset of .1nm for operations above
10,000’. While it is a move in the right direction, I (and CASA’s
own experts) don’t believe .1nm is enough lateral separation. At the
very minimum, it should be .5nm and preferably 1nm. However, I am told
that anything more than .1nm will involve a re-survey of the air route
system, which would involve huge expense.
Given the accuracy of the new navigation systems,
I would propose that a far more cost-effective but still safe way around
this problem would be to stick with the current surveys and reduce the
paper safety tolerances on the air routes’ extremities for GPS / IRS-equipped
aircraft. I cannot see this being a problem, for only aircraft equipped
with very accurate GPS / IRS equipment would be employing the embedded
offset, which would still leave them within the confines of the air
route. Aircraft not so equipped would still fly down the centre of the
airway.
This proposal is not a panacea. It will not
protect an aircraft from crossing traffic nor from aircraft using less
accurate navigational equipment. (Some would argue that these older
aircraft, less likely to be equipped with TCAS, are far more likely to
be found without clearance at non-standard levels. The same people might
say that by far the safest place in the sky to avoid these errant
aircraft might be exactly on the middle of the airway!) There is no way
to ensure 100% flight safety short of grounding every aircraft in the
world, and even then, you could be sure somebody would regularly run
into one on its parking stand. Collision with crossing traffic, whilst a
concern, is statistically far less likely than with an aircraft on a
reciprocal course. For crossing traffic to collide, both aircraft have
to occupy exactly the same piece of airspace for that one fleeting
moment as the two tracks intersect. However, with GPS, reciprocal
traffic can be tracing exactly the same path for eight or more hours at
closing speeds literally faster than a speeding bullet. The chances of
collision go up exponentially, particularly if for some reason that last
link in the chain, TCAS, malfunctions or is not fitted.
If enough of us press for enroute offsetting,
maybe just this once the stable door will be closed before the horse has
bolted, and maybe on the way we can save up to 800 lives by preventing
another disaster like the Saudia / Khazak Airways mid air near Delhi.
The life you save might even be your own.

Off Set Tracking -
Procedures Trial
A second major regional carrier has
been authorised to conduct a long term fleet-wide trial using one
nautical mile offsets to the right of the planned track or ATS route by
its local regulator.
The authorisation is as follows:
Offset Navigation Procedures Trial
At the Captain's discretion, a 1.0 NM right offset
may be flown in areas where there is considered to be a higher than
normal potential for traffic conflict. This offset navigation procedure
is subject to the following restrictions:
- the aircraft is NOT operating below 10,000 feet
altitude, and,
- the aircraft is NOT following SIDs, STARS or
Radar Vector, and,
- the aircraft is NOT operating in designated
European B-RNAV airspace or routes, or in any area where RNP5 or
better is required and,
- navigation accuracy is assured.
Crews are reminded that the IATA Technical Policy
Manual already states that when flying in areas where In-Flight
Broadcast Procedures (IFBP) arc used, e.g. Southern Africa routes, all
aircraft should fly offset 1.0 NM right of the nominal track.
Crews are requested to comment via the Voyage
Report on the effectiveness of this procedure or any problems
encountered, either with ATC or other aircraft. A summary of comments
will periodically be sent to the Regulatory Auority.
Background The introduction of FMS navigation
equipment with IRS and GPS update capability has effectively eliminated
the element of inaccuracy in aircraft navigation. Paradoxically, this
improved navigation accuracy has, in fact, been detrimental to the
overall safety of the air tragic management system because it has
concentrated traffic on the exact centerline of the airways.
Introduction of a 1.0 NM offset procedure should
improve safety by reducing the concentration of traffic on the airway
centrelines.
Information gained from this trial will be
correlated and passed to the Regulatory Authority to study and to share
with other Regulatory Authorities.

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