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273 Incomplete cruise briefing
274 Incomplete approach briefing
295 Omitted takeoff briefing
296 Omitted approach briefing
297 Omitted flight attendant briefing
298 Omitted engine-out briefing
Other Procedural Errors
299 Other procedural errors not listed in the code book
SAMPLE
FOR ILLUSTRATION PURPOSES ONLY
Appendix A. Examples of the various forms utilized by LOSA A-17
Copyright 2002 The University of Texas at Austin. All rights reserved.
Communication Error Codes
Crew to ATC Errors
300 Wrong readbacks or callbacks to ATC
301 Missed ATC calls
302 Omitted call signs to ATC
303 Failure to give readbacks or callbacks to ATC
305 Omitted position report to ATC
306 Omitted non-radar environment report to ATC
307 Misinterpretation of ATC instructions
309 Crew omitted ATC call
310 Missed instruction to hold short
Crew to Crew Errors
319 Wrong airport communicated
320 Wrong taxiway communicated
321 Wrong runway communicated
322 Wrong takeoff callouts communicated
323 Wrong climb and descent callouts communicated
324 Wrong approach callouts communicated
325 Wrong gate assignment communicated
335 Crew miscommunication that lead to a misinterpretation
336 Wrong engine out procedures stated
Other Communication Errors
350 Misinterpretation of ATIS
399 Other communication errors not listed in the code
book
Proficiency Error Codes
400 Lack of systems knowledge
401 Lack of automation knowledge
402 Lack of stick and rudder proficiency
403 Lack of knowledge to properly contact ATC
404 Lack of procedural knowledge
405 Lack of weather knowledge
406 Lack of knowledge of standard ATC phraseology
407 Lack of knowledge to contact company (i.e., gate
assignments)
499 Other knowledge or proficiency based errors not
listed in the code book
SAMPLE
FOR ILLUSTRATION PURPOSES ONLY
A-18 Line Operations Safety Audit (LOSA)
Copyright 2002 The University of Texas at Austin. All rights reserved.
Operational Decision Error Codes
Descent and Approach Errors
500 Failure to execute a go-around before reaching
procedural bottom-lines
501 Unnecessary low maneuver on approach
502 Approach deviation (lateral or vertical) by choice
503 Decision to start the descent late
520 Operating at the edge of the performance envelope
(no buffer for error)
Navigation Errors
510 Navigation through known bad weather that
unnecessarily increased risk (i.e., thunderstorms or wind
shear)
512 Decision to navigate to the wrong assigned altitude
513 Decision to navigate on the incorrect heading or course
514 Decision to navigate without ground clearance
521 Speed too high for operating environment
ATC Errors
530 Accepting instructions from ATC that unnecessarily
increased risk
531 Making a request to ATC that unnecessarily
increased risk
532 Failure to verify ATC instructions
533 Altitude deviation without ATC notification
534 Course or heading deviation without ATC clearance
535 Accepting a visual in nonvisual conditions
Crew Interaction Errors
540 Non-essential conversation at inappropriate times
Automation Errors
550 FMC over-reliance — used at inappropriate times
551 FMC under-reliance — not used when needed
552 Heads down FMC operation
553 Discretionary omission of FMC data (e.g., winds)
Instrument Errors
560 Lack of weather radar use
Checklist Errors
570 Failure to complete a checklist in a timely manner (i.e.,
after takeoff checklist)
Paperwork Errors
590 Failure to cross-verify documentation or paperwork
Other Operational Decision Errors
599 Other operational decision errors not listed in the
code book
SAMPLE
FOR ILLUSTRATION PURPOSES ONLY
Appendix A. Examples of the various forms utilized by LOSA A-19
Copyright 2002 The University of Texas at Austin. All rights reserved.
Threat and Error Management Worksheet Codes
Threat Codes
Departure / Arrival Threats
1 Adverse weather / turbulence / IMC
2 Terrain
3 Traffic — Air or ground congestion,
TCAS warnings
4 Airport — construction, signage, ground
conditions
5 TCAS RA/TA
Aircraft Threats
20 Aircraft malfunction
21 Automation event or anomaly
22 Communication event — radios, ATIS, ACARS
Operational Threats
30 Operational time pressure — delays,
OTP, late arriving pilot or aircraft
31 Missed approach
32 Flight diversion
33 Unfamiliar airport
34 Other non-normal operation events —
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