Risk Approach to Night Offshore Operations Presented by ... - ASASI

tandardisation / Technique – what went wrong
Lack of positional awareness in the air (‘SA’)
5%
Transfer from IFR to VFR and 3% back to IFR contributing factor. Spatial
disorientation, no horizon, lack of visual cues - without disciplined
procedural process 11% to fall back on.
Poor handling / incorrect profile flown
Poor or incorrect 8% handling by the aircrew. Inadequate 42% use of automation
and instrumentation. Incorrect profile – too steep, too slow, too shallow.
Omission of
11%
action / inappropriate action by flight
crew member
Failure to correctly follow procedures
13% 8%