Developing Advanced Crew Resource Management (ACRM) Training: A Training Manual(120)

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Report 09
The deviation from assigned alt occurred because of a nose gear light. Shortly after takeoff from reading airport, we experienced a nose wheel warning light indicating that the nose wheel had failed to lock in the up pos. After cycling the gear twice, the light failed to go out. I (copilot) read the checklist and it was decided to leave the gear down and proceed to the destination. Shortly after, within 10-20 seconds of our decision, I requested to cycle the gear one last time. The Captain agreed and the gear was cycled. On this last attempt the nose wheel locked into the up pos. During this time the Captain failed to level off at 4000' MSL. At 4300' MSL the mistake was brought to our attention by the arrival alt warning system. During our level off and subsequent descent, ATC advised us of our error, and firmly reconfirmed 4000' MSL. The rest of the flight was normal. Captain (PF) and copilot both became preoccupied with light. The deviation from assigned alt (4000') was discovered upon passing 4300', which set off our alt alert system's aural warning. Captain confirmed assigned alt, leveled off and descended back to 4000' (level off was accomplished by 4600' MSL). Human performance factors: 1) the PF diverted too much attention to the problem and not enough attention to his primary function--flying the aircraft. 2) although the primary function of the PNF was to address the abnormality, he should have been aware of the Captain’s failure to level off. Also may have been untimely to ask for one last cycle of the gear.
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Appendix H

Sample ACRM Crew Training Manual
Table of Contents (TOC)

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Table of Contents
Table of Contents.......................................................................................................i
List of Acronyms........................................................................................................iii
MODULE 1 Recurrent Training Under AQP..............................................................1
1.0 Overview ............................................................................................................1
1.1 Advanced Qualification Program (AQP)..............................................................1
1.2 Single Visit Requirements ...................................................................................2
MODULE 2 Advanced Crew Resource Management (ACRM) ..................................3
2.0 Overview ............................................................................................................3
2.1 Need for ACRM Based on NTSB Safety Study...................................................3
2.2 Primary NTSB Safety Study Results....................................................................3
2.3 Types of Crew Errors..........................................................................................4
　
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