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TransAsia Airways 235

Printed page V. PDF page 10.

at take off resulted in the pilot flying reducing power on and then shutting down the wrong engine. 7. The loss of engine power during the initial climb and inappropriate flight control inputs by the pilot flying generated a series
Open official document at PDF page 10ASC-AOR-16-06-001: TransAsia Airways Flight GE235

TransAsia Airways 235

Printed page XVII. PDF page 22.

types......................................................................136 1.18.6 U.S. Army 'Wrong Engine' Shutdown Study .................................138 1.18.7 Additional Human Factors considerations.....................................139 1.18.7.1 Diagnostic skills......
Open official document at PDF page 22ASC-AOR-16-06-001: TransAsia Airways Flight GE235

TransAsia Airways 235

Printed page 132. PDF page 165.

Fifty percent of the ‘shut down by crew' events involved the crew shutting down the wrong engine, half of which occurred on training flights. 1.18.5.3 Failure Cues The report's occurrence data indicated that flight crews did not recognize the 132
Open official document at PDF page 165ASC-AOR-16-06-001: TransAsia Airways Flight GE235

TransAsia Airways 235

Printed page 135. PDF page 168.

cockpit/aircrew changes to decrease the likelihood of a too-eager crew member in shutting down the wrong engine”. In addition, the report also noted that negative transfer has also been seen to occur since initial or ab-initio training was normally carried
Open official document at PDF page 168ASC-AOR-16-06-001: TransAsia Airways Flight GE235

TransAsia Airways 235

Printed page 136. PDF page 169.

failure to integrate relevant data resulted in instances where action was taken on the wrong engine. These failures to integrate data occurred both when engine indications were changing rapidly, that is more saliently, as well as when they were changing
Open official document at PDF page 169ASC-AOR-16-06-001: TransAsia Airways Flight GE235

TransAsia Airways 235

Printed page 138. PDF page 171.

of data or those made in the selection of the action to be taken. 1.18.6 U.S. Army ‘Wrong Engine' Shutdown Study The United States (U.S.) Army conducted a study (‘The Wrong Engine Study')68 to see if pilots' reactions to single-engine
Open official document at PDF page 171ASC-AOR-16-06-001: TransAsia Airways Flight GE235