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Leadership Under Pressure Captain Richard Champion de Crespigny QF 32 On 4 November 2010, an A380 Airbus departed Singapore for Sydney. As the aircraft climbed over Indonesia there were two loud “booms”. The Number 2 engine had suffered a rare explosion; the first of it’s kind in over 40 years and 200 million hours of operating Rolls Royce jet engines. Shrapnel from the disintegrating engine cut more than 600 wires and left more than 100 impacts in the wing, about 200 impacts on the fuselage and 14 holes in the fuel tanks. Electrical and control systems were severely damaged. Two other engines, in addition to the destroyed one, were operating below capacity. Fuel was streaming from the wing. De Crespigny and his crew faced an aircraft that was barely controllable. The computerised flight system continually bombarded them with checklists and alarms. They managed to stabilise and then land the severely damaged aircraft with no injury or loss of life. While de Crespigny says any Qantas crew would have been just as successful, no one has since been able to duplicate their landing on a simulator. Captain de Crespigny in his book and various interviews highlights a number of lessons for leaders under pressure. Lesson 1. The nuances of Crew Resource Management (CRM) Crew resource management is an air force concept. De Crespigny has extensive military experience piloting large aircraft. As result, he always makes a point of very clear lines of authority and delegation among the flight crew. De Crespigny was undergoing an annual assessment of his skills so there were two additional pilots on QF32: a check captain, Harry Wubben, and a senior check captain, David Evans, supervising Wubben. With first officer, Matt Hicks, and second officer, Mark Johnson, there were five pilots in total. De Crespigny pays tribute to his colleagues and says the successful landing was a team effort. But he makes the point that a team needs a leader. ‘The flight deck is not a committee’, he says. The pilot in command has ultimate responsibility for the aircraft. Their seat is where the proverbial buck stops. But at the same time control is often best exercised through delegation.
Transcript
Page 1: Leadership Under Pressure - GreenRopeapp.greenrope.com/content/Leadership_Under_Pressure.pdfLeadership Under Pressure Captain Richard Champion de Crespigny QF 32 In the book QF32 de

LeadershipUnderPressureCaptainRichardChampiondeCrespigny

QF32

On4November2010,anA380AirbusdepartedSingaporeforSydney.Astheaircraftclimbedover

Indonesiathereweretwoloud“booms”.TheNumber2enginehadsufferedarareexplosion;thefirst

ofit’skindinover40yearsand200millionhoursofoperatingRollsRoycejetengines.

Shrapnelfromthedisintegratingenginecutmorethan600wiresandleftmorethan100impactsinthe

wing,about200impactsonthefuselageand14holesinthefueltanks.Electricalandcontrolsystems

wereseverelydamaged.Twootherengines,inadditiontothedestroyedone,wereoperatingbelow

capacity.Fuelwasstreamingfromthewing.

DeCrespignyandhiscrewfacedan

aircraftthatwasbarelycontrollable.The

computerisedflightsystemcontinually

bombardedthemwithchecklistsand

alarms.Theymanagedtostabiliseand

thenlandtheseverelydamagedaircraft

withnoinjuryorlossoflife.Whilede

CrespignysaysanyQantascrewwould

havebeenjustassuccessful,noonehas

sincebeenabletoduplicatetheirlandingonasimulator.CaptaindeCrespignyinhisbookandvarious

interviewshighlightsanumberoflessonsforleadersunderpressure.

Lesson1.ThenuancesofCrewResourceManagement(CRM)

Crewresourcemanagementisanairforceconcept.DeCrespignyhasextensivemilitaryexperience

pilotinglargeaircraft.Asresult,healwaysmakesapointofveryclearlinesofauthorityanddelegation

amongtheflightcrew.DeCrespignywasundergoinganannualassessmentofhisskillssotherewere

twoadditionalpilotsonQF32:acheckcaptain,HarryWubben,andaseniorcheckcaptain,David

Evans,supervisingWubben.Withfirstofficer,MattHicks,andsecondofficer,MarkJohnson,there

werefivepilotsintotal.

DeCrespignypaystributetohiscolleaguesandsaysthesuccessfullandingwasateameffort.Buthe

makesthepointthatateamneedsaleader.‘Theflightdeckisnotacommittee’,hesays.

Thepilotincommandhasultimateresponsibilityfortheaircraft.Theirseatiswheretheproverbial

buckstops.Butatthesametimecontrolisoftenbestexercisedthroughdelegation.

Page 2: Leadership Under Pressure - GreenRopeapp.greenrope.com/content/Leadership_Under_Pressure.pdfLeadership Under Pressure Captain Richard Champion de Crespigny QF 32 In the book QF32 de

LeadershipUnderPressureCaptainRichardChampiondeCrespigny

QF32

InthebookQF32deCrespignywritesofhisstandingordertothepilotsinthesecond-rowseats,‘Ifwe

areallupfrontlookingdown,youlookup.Ifwearealllookingup,youlookdown.’

Theever-shiftingbalancebetweenauthority,delegationandconsultationmeantdeCrespignymade

manydecisionshimself,andconsultedtheentirecrewwhentherewastime.

Lesson2.Theclichéistrue:aviate,navigate,communicate.

ThecrewofQF32wasfacedwithanunprecedentednumberofchecklistsfromtheA380’selectronic

centralisedaircraftmonitor(ECAM).DeCrespignyestimatesthereweremorethanahundredand

twenty.

‘Weweregettingchecklistafterchecklisttellinguswhatwaswrong.Ittookusanhourtoknowwhat

allthethreatswere—thenwehadtomitigatethem.’

Despitethis,thecrewadheredtooneofaviation’smosthallowed(andwise)clichés:‘aviate,

navigate,communicate’.Itmeansthefirstpriorityistokeepcontroloftheplane(Aviate),then

knowwhereyouare(Navigate),thenyoucanmakeradiocallsandcabinannouncements

(Communicate).

‘Every10minuteswereassessedthefuelandwhetherweshouldcontinuedoingchecklists,orignore

thechecklistsandjust(somehow)gettheaircraftdownontheground.Wealldiscussedit’,saysde

Crespigny.

‘Withthreatanderrormanagementyouhavetofixtheproblem—ormitigateforitsloss.It’sasee-

saw:iftheaircraftwinghadbeenonfireIwouldhaveputitstraightonthegroundorintothewater.

Butwedidn’thaveawingfiresowehadmoretime–buthowmuchmoretime?There’salsoathreat

oflandinganaircraftinanunknownstate…Ithinkifwehadthrowntheaircraftdownstraightaway

peoplemighthavedied.’

‘Nochecklistwasactionedimmediately,’deCrespignysays.‘Wediscussedeverything.Weweretrying

toassessthethreatandeitherfixit,orworkouthowwewouldmitigateit.’

DeCrespignyadmitstoreachingtasksaturationinthemidstofthischaosuntil(asheputsit),"..Ihad

myepiphany.Mymindswitched.Iinvertedthelogic.IrememberedwhatGeneKranz,NASA'sFlight

Director,saidduringtheApollo13mission:'Holdit!Idon'tcareaboutwhatwentwrong.Ineedto

knowwhatisstillworking...'Wewentbacktobasicsanditbecameeasy..."Thecrewbeganignoring

checklistsinfavourofconfirmingwhatwasstillworking.

Page 3: Leadership Under Pressure - GreenRopeapp.greenrope.com/content/Leadership_Under_Pressure.pdfLeadership Under Pressure Captain Richard Champion de Crespigny QF 32 In the book QF32 de

LeadershipUnderPressureCaptainRichardChampiondeCrespigny

QF32

AhabitfromdeCrespigny’smilitarycareerasserteditselfastheypreparedtoland.Heinsistedona

controlcheck.‘It’sbredintotheairforcepsyche.Wedidadressrehearsalofthelandingat4000feet.

Ifwehadbeenlosingcontrolwewouldhavespedupandbroughttheflapsuponestep.Aswelanded

wegotspeedandstallwarnings,theywerecertainlyunexpected—butdeepdownIknewtheaircraft

wouldflybecausewe’dpracticedthelanding.”

Acontrolcheckisnotusualincivilianflying.Themilitarydoittocheckthatacombatdamagedplane

willflyasexpected.Thechecksassuredthecrewthattheplanewouldbestabledowntotherunway.

Runway20CatSingaporeis4,000meterslong.Thecrewhadcalculatedthatinitsdamagedcondition

theA380wouldneed3,900meterstostopifthePilotexecutedaperfecttouchdown.Capt.de

Crespignydidjustthatandgottheaircraftstoppedjust150metersshortoftherunway'send.

DeCrespignyisanenthusiastforallAirbusaircraft,buthesaysautomationcanmakeitmoredifficult

forpilotstohonourthecommandtoalwaysaviate.

‘Flyingisgettingmuchharderbecausethereissomuchmoreautomationandmanymoresystems.

TherearefourmillionpartsinanA380.Manufacturersmaysayautomationmakesflyingeasy,butI

maintainthatifpilotsaretorecoveranaircraftfromanunimaginablepositiontheystillneedtohave

detailedknowledgeofthataeroplane.’

Lesson3.It’snotoverafteryoutouchdown

WeeksaftertheeventdeCrespignyfoundhimselfweeping,forthefirsttimesincehismotherdied

decadesearlier.HeweptwhilerecountingtheeventtoATSBinvestigators.Therewasanotherboutof

tearsandasix-hourcartripwherehehardlyspoketohiswife,Coral.Insteadhewentoverandover

theflightinhismind.DeCrespignywasconfrontingpost-traumaticstress.

‘Pilotswhohavetheseincidents…we’veneverbeentoldwhattoexpect,nobodyaroundusknows

howtohandleusandwe’retotallyblindastohowouremotionsareaffectingourlivesandourwork,’

hesays.

‘Evenforpilotswhothinkthey’reOK,thestresstheythoughttheywerehandlingcanre-emerge.’

‘Iinsistedthatitgointhebook.I,andallmalepilotsarealphamales;wethinkwe’reindestructible.

Whensomethinghappenswethink“let’stoughenupandgetthroughit”.’

DeCrespignyinstinctivelyknewitwasmorethanaquestionoftougheningup.

Page 4: Leadership Under Pressure - GreenRopeapp.greenrope.com/content/Leadership_Under_Pressure.pdfLeadership Under Pressure Captain Richard Champion de Crespigny QF 32 In the book QF32 de

LeadershipUnderPressureCaptainRichardChampiondeCrespigny

QF32

IwasscheduledtotakedeliveryofabrandnewA380threeweeksafterQF32.Icalledupmymanager

andsaid,“IamnotinaconditiontoassesswhetherIamsafetofly.Youhavetotakemeoffthistrip.”

ItturnsoutIwasn’tinafitstateatall.IwassopreoccupiedwiththeaftermathofQF32.’

HevisitedaviationpsychologistRonZuessmanwho,withabluntnessappropriatetohisspeciality,said:

‘Iknowpilots:what’syourproblem?’

ZuessmanexplainedhowdeCrespigny’stearswereadelayedexpressionofthestresshefeltduring

theemergency.‘Hesaid,“revisitit,keepdoingit–itwillgoaway–ifyoudon’trevisititthenitwill

staythereinyourmindforever,andeverytimeitre-emerges,itwillbejustaspainfulasitwasthe

firsttime.”‘Iwentaway,thoughtaboutitandrealisedthecryingwasjustnatural’.

ZuessmanthenstartedworkingonwhatdeCrespignycalls‘theloop’—hisendlessmentalreplayingof

theflight.

‘DoadealwithCoralthatyou’llstayintheloopforenoughtowritedownallthedetailsoftheflight

fortheinvestigators.AfterthreeweeksI’llteachyouaprocesstogetoutoftheloopandstart

forgetting.’

Themethodwassimple,buttookadvantageofrecentresearchonbrainfunction:‘JustasI’maboutto

serveinagameoftennisIthinkQF32’,orwhenI’mmowingthegrassIsuddenlythinkQF32,de

Crespignysays.‘Anythingthatneedsintenseconcentration,IthinkofQF32.It’sawayofmakingnew

synapseconnectionsandbreakingtheolder,post-traumaticstresssynapseconnectionsinmybrain.’

‘IntheweeksbeforeIreturnedtoflyingIwaslookingupwheneveranaircraftwentover:Iwasready

fornormalflyingduties.I’mbackflyingnow.I’msane,contentandnotafraidofanythingbecauseI

tooktimetohandlethePTS.MostimportantlyI’mnotafraidoftheaircraft.Mymessageinputtingthis

longdescriptionofpost-traumaticstressinthebookwastoletothersknowthattheseissuesarereal

andthattheycanbefixed.’

Sourcedandadaptedfromhttp://n631s.blogspot.com.au/2013/07/book-review-qf32-by-capt-richard-de.htmlandhttp://n631s.blogspot.com.au/2013/07/book-review-qf32-by-capt-richard-de.htmlandhttp://www.flightsafetyaustralia.com/2016/03/qf32-and-the-black-swan/


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