Cross-checking Process

Description

The human mind is fallible and error can occur for many reasons, for example, from a misheard message, from memory slip, or from incorrect appreciation of the situation.

Error is particularly likely in certain circumstances, especially when there is pressure to complete a task quickly (e.g. to expedite departure or during an emergency or abnormal situation), but may also occur in normal everyday situations.

Error in aviation can have severe consequences and the cross-checking process is used wherever possible to eliminate error.

Cross-checking and the Pilot

The cross-checking process is a vital element of a pilot's duties, particularly in a multi crew situation where the roles of the two pilots are defined as Pilot Flying and Pilot Not Flying. The Pilot Not Flying (PNF) - alternatively referred to as the Pilot Monitoring - has responsibility for monitoring the actions and awareness of aircraft control of the Pilot Flying (PF).

Whilst the monitoring role of a PNF must not be limited to specific parts of flight crew duties, Company SOPs should include a minimum list of defined actions which are to be cross-checked, for example:

  • One pilot calculates aircraft performance and makes mass and balance calculations; the other pilot closely monitors, cross-checks or duplicates the calculations.
  • Load and Trim Sheet prepared (exceptionally) by a member of a flight crew must be subject to meaningful cross checking before acceptance.
  • ATC clearances will normally be monitored by both pilots and consequent action including readback taken by one pilot will be confirmed/monitored by the other.
  • Equipment settings such as altimeter pressure settings, cleared altitude, frequency change and navigation routings, are set by one pilot and cross-checked by the other.
  • Adherence to defined Stabilised Approach gates and to calculated Reference Speeds and AFM Limitations

Cross-checking and the Controller

Cross-checking is equally important for the ATCO, and comprises two elements:

Cross-checking the actions of pilots

Where possible, the controller should monitor the actions of the pilot, either by reference to the radar screen or by visual observation, to ensure that instructions are followed correctly.

The extent to which a controller can cross-check the actions of pilots depends on his/her workload; however, every effort should be made to do so in situations where error is likely to occur. For example, when the pilots are dealing with an aircraft unserviceability, or when the pilot appears to be inexperienced, confused, or have limited language ability. A particular example of a situation where monitoring by radar or directly may be conducive to safety is the execution of issued VFR clearances in airspace such as Class 'D'; in this situation, loss of separation against IFR traffic can occur due to poor situational awareness of the IFR aircraft flight crew, who might wrongly assume that they benefit from ATC-controlled separation from VFR traffic as well as from other IFR traffic.

Controllers should pay particular attention to aircraft manoeuvring on the ground near runway hotspots and to potential conflicts which can arise in the air when intersecting runways are in use simultaneously and this involves intersecting approach, missed approach or take off flight paths.

System support can be used to help controllers with performing this task. Examples of this are various monitoring tools, e.g. for a potential or actual level bust, horizontal deviation, the downlink of Mode S selected level, etc. Nevertheless, controllers should be aware that such tools are not supposed to replace the existing ATC procedures.

Cross-checking the actions of colleagues

Cross-checking is a normal part of the duties of an ATC Assistant if these exist; otherwise, controllers rarely have the free capacity to monitor the duties of other controllers and such action could not be expected to form part of their duties. Nevertheless, the following areas are important:

  • When there are two controllers assigned to a sector, the communication with aircraft is normally done by the executive controller. The planner controller however also monitors the radio exchanges (to the extent possible) so that they can detect lapses, incorrect readbacks, etc.
  • Also not official and subject to personal workload, a tower and an approach controller (or a tower and a ground controller) may monitor the other controller's frequency e.g. to make sure an agreed coordination is appropriately communicated to the aircraft.
  • Controllers taking over responsibility for a sector have much information to absorb and the potential for error or oversight is high. The controller going off duty should monitor the actions of their replacement for a few minutes after hand-over to ensure that neither has overlooked any significant aspect of the prevailing traffic situation and to be available to deal with any questions that might arise;
  • Inexperienced controllers or controllers who are new to their positions may not become fully proficient for some time. Appropriate mentoring procedures should be in place until their unaided performance is assessed as satisfactory.
  • When a controller is dealing with an abnormal situation, e.g. an aircraft emergency or very high density traffic, the enlistment of any off-duty controllers to assist can be an important safety net.

Accidents & Incidents

Events in the SKYbrary database which include Ineffective Monitoring as a contributory factor:

Further Reading

UK CAA

Flight Safety Foundation ALAR Briefing Notes:

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