Be ready when things go wrong
Article appeared in Flying Magazine by Martha King
Goodland Airport felt like the epitome of what a Kansas airport would be—wide open spaces and lots of room. John and I were taxiing for takeoff on runway 12. The problem was that the taxiway entered the runway several hundred feet to the southeast of the runway threshold. We looked at the little stub to the northwest and then we looked to the southeast—and it seemed like plenty of length remaining. At that point we made two decisions in rapid succession that constituted poor risk management. First, we made the decision that it wasn’t worth it to back-taxi to get all of the runway. Second, we decided that the light breeze from the northwest was not enough to be concerned with, and taking off slightly downwind would be fine. After all, it would be a long taxi to the threshold of runway 30. And the Hobbs meter was running in our rented Comanche.
On our takeoff, as luck would have it, while we were climbing through about 500 feet the engine slowly throttled itself back to near idle. Neither takeoff decision in itself was completely inexcusable but taken together they didn’t load the odds well in our favor.
About the only thing we did well in this case was to recover from these mistakes. I pitched down and banked around the water tower to the southeast of the airport to land back on runway 30. In retrospect it appears that while our decisions were lousy our recovery was actually pretty good. Plus, our luck was amazingly good. That light tailwind became a headwind as I turned final for my emergency landing on runway 30. The problem is that counting on luck like that is tempting fate.
The mechanic determined that the hinge for the alternate air door had come loose and the door had been sucked into the air intake of the engine, throttling it back just as effectively as if we had used the throttle knob. The instant we made the decision to not use all the runway available we greatly reduced our alternatives. How much runway over the minimum required is enough? I don’t know. But then we compounded that decision by accepting a tailwind component on the takeoff. At least I didn’t botch the turnaround maneuver.
It is clear that John and I fell far short on situational awareness. We just weren’t focusing on risk management as a priority. As time has gone on, we are far more risk-aware than we used to be. A big component of risk management is directing your attention to scan the conditions around you and considering the hazards in the situation. These days John and I are encouraging a habit of using what we call the CHORRD attention scan (as in the chord of a wing) to help in assessing and reflecting on the situation before takeoff.
Here are the elements of the CHORRD mnemonic:
C onditions—What are the current conditions?
H azards—Are there hazards I need to think about?
O perational changes—Do I need to make changes in my operation today due to those conditions
or hazards?
R unway required and available—For this takeoff, how much excess runway do I have, if any?
R eturn—How would I return if I had a problem after takeoff?
D eparture—What is my departure route if the takeoff can be continued?
A good place to start the takeoff assessment is before you even get to the airplane, looking at your tablet. I like to use a map such as Google Maps to survey the area around the airport, especially when I’m flying a single-engine airplane. Where are the areas that might be suitable for an emergency landing, if I had an engine failure soon after takeoff? This is a wonderful example of where the innovation in everyday ordinary consumer technology can help you manage the risks of aviation.
I start through the CHORRD mnemonic as I approach the runup area.
I begin with a consideration of the conditions at the time, including the weather, unusual airport conditions such as construction or closed runways that might affect an emergency return, high-traffic events such as airshows or just a pretty day after a string of bad weather, any aircraft maintenance issues, possible fatigue, distraction, lack of recency, or any other conditions affecting the flight.
Moving to the “H” for Hazard I then consider any of these conditions that might present a danger to the flight. Unforecast crosswind conditions might suggest a different flap setting. When our old Falcon 10 has been down a while for maintenance, John and I have pointed out to each other lack of recency as a hazard. Also, before a long trip we have discussed that fatigue could become a hazard.
Operational changes are any changes I would make to mitigate the conditions or hazards we have identified. For fatigue John and I have on occasion made the decision to pause a trip and rest for the night, once even taxiing back from the runup area.
Runway required is the takeoff distance required as calculated from the manufacturer’s performance charts. Runway available we get from the airport diagram. When there is little margin between runway required and runway available, sometimes our discussion has us change our operating procedures by doing a short-field takeoff instead of a normal one.
Discussion of the return after takeoff differs based on whether you are in a jet or a piston airplane. For a jet with an engine failure, the plan would be to fly the IFR clearance on one engine. This discussion requires reaching agreement between the pilot flying and the pilot monitoring about what the clearance specifies.
For a piston single the discussion would describe the options after a failure of the engine. The pilot should discuss the pitch-down attitude required upon engine failure. They should also know the altitude (on the altimeter) below which there is no option to turn back to the airport, and have predetermined an area to turn towards. Above the known altitude, the pilot may have the option to return to the airport (and should have previously practiced the pitch-down and bank required to safely execute the maneuver).
The discussion should also cover the departure if there is no engine failure, including any IFR clearance. For a VFR departure the discussion should describe the airspace, terrain and other route plans.
Such detailed takeoff planning is a far cry from the cavalier approach John and I took when we neglected to taxi back for the full runway length at Goodland and took off with a tailwind component. Today we have the CHORRD discussion before every takeoff. The CHORRD mnemonic gives our conversation form and structure and enhances our situational awareness, which is the first step in risk management.
There is nothing that enhances your situational awareness like an engine that throttles itself back at low altitude. It is a lot more fun to get that situational awareness from a directed attention scan like the CHORRD mnemonic.
Thanks John and Martha for sharing your experiences so that less experienced pilots can add to their wider view of risk management. Often our students learn from instructors who may not have much experience outside their flight school or local airports. Thank you for bringing us back to managing risks that could have a devastating outcome if not considered.
Wow Martha & John, glad you could turn around and land safely after losing your engine! I’m a long-time glider pilot and flight instructor, and your experience has a special resonance for all of us in the soaring community: what to do if the towrope breaks on take-off?
We routinely practice what you experienced! Instructors will release the towrope shortly after takeoff, as low as 200 – 250 feet AGL. From that altitude, it’s sufficiently safe for a glider to make a u-turn back to the runway. What direction for the turn? It depends on the wind, and where you are in relation to the runway centerline.
On takeoff, we call out key altitudes, 50…100…150…200, tapping the altimeter to make sure it doesn’t lag:
+ Below 50 feet, land straight ahead if the rope breaks
+ At 100 feet, you can turn 30° left or right and land on what lies ahead
+ At 150 feet, you can turn 90° left or right and land on what lies ahead
+ At 200 feet, you can make a 180° turn back to the runway.
At 200 feet, a glider pilot still might not want to turn back to the runway, if the resulting tailwind would be too strong. In such a case, foresaking the runway could be a safer option. That’s a command decision that has to be made right in the moment.
I hope this is helpful, and safe flying for all of us!
John Boyce, CFI-G
It is amazing, despite what we have learned, the stupid decisions we can make when an event happens. We seem to count on luck and sometimes that works but it can be a killer if we count on it rather then applying what we have learned.
This reminds me a bit of Comair 5191 at KLEX, back in 2008. Poor decision making, to much distraction and poor/non-existent airport Runway access/markings, combined with non-existent ATC overview! The FAA was chiefly responsible for the LEX crash, but swept it under the rug. They even went so far as to completely change the regulations in the FAA 7110.65, to hide the fact that the crash and subsequent huge loss of life was a complete failure of the FAA/controller on duty. Paragraph 73.1 of the 7110.65 clearly stated that “the controller shall have no other duty except to observe the safe and expeditious operation of aircraft under his control”. The controller on duty violated this rule, as the transcript reveals and the aircraft departed on the wrong runway, because of poor/non-existent access and unposted disuse of the real active runway! The FAA covered it all up and even omitted the appropriate paragraph from the controllers handbook to avoid liability! Lesson learned: You can’t use the runway behind you! These occurrences are the chief reason the respect and trust of the FAA is in the crapper these days! There are billions in the FAA airport trust fund, but are not allowed to be utilized to improve airports like KGLD, because these funds are being diverted elsewhere, per the Democrat Agenda! A more recent prime example is the “flawed” certification of the “Max 8”. Obama wanted to divert funds from the certification process to use them in minority programs instead, so he had all FAA certification over site removed from the Max8 project, before certification occurred! Now there are hundreds of dead people around the world and billions of dollars in airplanes stacked up not being used, because of Democrat politics!
My constant nagging question: When will Americans learn?
Larry D. Butler, former Chief Crash Investigator, FAA
I was taking you seriously until the political ranting. Also, the Max 8 was certified on March 9th, 2017. Another guy had been president for over a year at that point. Maybe unscrew the tinfoil.
I can kinda see why you’re a “former” FAA employee.
Larry did state that FAA certification oversight was removed BEFORE the Max 8 was certified.
If you weren’t so triggered by a simple statement you may have understood what before actually means, i.e. 1800 comes before 2000 just as March 1st comes before March 2nd.
Hope you’re enjoying that Democrat socialist FAA retirement package, ‘Larry’.
You obviously ‘earned’ it.
Mr. Butler – Your comment and willingness to be open and honest about your former employer, the FAA and more broadly the federal government generally, resonated with me. I am a private pilot and also the cohost of a radio program in the Philadelphia region called Don’t Back Down. We would love to have you on our show to talk about aviation safety and the overall problems with national infrastructure affecting transportation generally. You can reach me at lawflier@protonmail.com if you are interested. Thank you for your service and your willingness to speak out.
“There are billions in the FAA airport trust fund, but are not allowed to be utilized to improve airports like KGLD, because these funds are being diverted elsewhere, per the Democrat Agenda! A more recent prime example is the “flawed” certification of the “Max 8”. Obama wanted to divert funds from the certification process to use them in minority programs instead, so he had all FAA certification over site removed from the Max8 project, before certification occurred!”
Prove it. Provide some facts.
Thank you for these very helpful points.I have been a student pilot for quite some time and have taken your courses. I’m presently preparing for my check ride. So, I frenquently review your courses. I always enjoy them and learn new things each time. Lots of good points in this letter.Thanks for passing them on.CHORRD! Love it. One of my favorites is the free class on cross wind landings. You make it so simple. Glen
VERY GLAD that you two have each had many safe and happy landings! I have ridden or driven in each and every one of the forty-eight contiguous states. Put 93-thousand miles on a 1996 BMW 900cc motorcycle and over forty thousand miles on a 1993 BMW LT 1100cc bike. Put a few thousand miles on my first bike, a 1960 150cc black and chrome Honda motorcycle. Have also enjoyed a Sunbeam Alpine, a 1963 red VW bug, a1969 Chevrolet station wagon, a 1970 Camaro, one used and then one used year 2000 Honda Prelude, among other vehicles. HOWEVER, I have yet to fly anything with wings. Now being retired, its time for me to take to the skies, WITH VERY CONCENTRATED AND CAREFUL TRAINING!!
Go get your wings, you’ll love it.