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What Airline Disasters Teach About Cognitive Impairment and Decision-Making Under Stress

February 27, 2018 By Nagesh Belludi Leave a Comment

Airline disasters often make great case studies on how a series of insignificant errors can build up into catastrophes.

As the following two case studies will illuminate, unanticipated pressures can force your mind to quickly shift to a panic-like state. As it searches frenetically for a way out of a problem, your mind can disrupt your ability to take account of all accessible evidence and attend rationally to the situation in its entirety.

Stress Can Blind You and Limit Your Ability to See the Bigger Picture: A Case Study on Eastern Airlines Flight 401

Eastern Airlines Flight 401 crashed on December 29, 1972, killing 101 people.

As Flight 401 began its approach into the Miami International Airport, first officer Albert Stockstill lowered the landing gear. But the landing gear indicator, a green light to verify that the nose gear was correctly locked in the “down” position, did not switch on. (This was later verified to be caused by a burned-out light bulb. Regardless of the indicator, the landing gear could have been manually lowered and verified.)

The flight deck got thrown into a disarray. The flight’s captain, Bob Loft, sent flight engineer Don Repo to the avionics bay underneath the flight deck to verify through a small porthole if the landing gear was actually down. Loft simultaneously directed Stockstill to put the aircraft on autopilot. Then, when Loft unintentionally leaned against the aircraft’s yoke to speak to Repo, the autopilot mistakably switched to a wrong setting that did not hold the aircraft’s altitude.

The aircraft began to descend so gradually that it could not be perceived by the crew. With the flight engineer down in the avionics bay, the captain and the first officer were so preoccupied with the malfunction of the landing gear indicator that they failed to pay attention to the altitude-warning signal from the engineer’s instrument panel.

Additionally, given that the aircraft was flying over the dark terrain of the Everglades in nighttime, no ground lights or other visual cues signaled that the aircraft was gradually descending. When Stockstill eventually became aware of the aircraft’s altitude, it was too late to recover the aircraft from crashing.

In summary, the cause of the Flight 401’s crash was not the nose landing gear, but the crew’s negligence and inattention to a bigger problem triggered by a false alarm.

Stress Can Blind You into Focusing Just on What You Think is Happening: A Case Study on United Airlines Flight 173

United Airlines Flight 173 crashed on December 28, 1978, in comparable circumstances.

When Flight 173’s pilots lowered the landing gear upon approach to the Portland International Airport, the aircraft experienced an abnormal vibration and yaw motion. In addition, the pilots observed that an indicator light did not show that the landing gear was lowered successfully. In reality, the landing gear was down and locked in position.

With the intention of troubleshooting the landing gear problem, the pilots entered a holding pattern. For the next hour, they tried to diagnose the landing gear glitch and prepare for a probable emergency landing. During this time, however, none of the pilots monitored the fuel levels.

When the landing gear problem was first suspected, the aircraft had abundant reserve fuel—even for a diversion or other contingencies. But, all through the hour-long holding procedure, the landing gear was down and the flaps were set to 15 degrees in anticipation of a landing. This significantly increased the aircraft’s fuel burn rate. With fuel exhaustion to all four engines, the aircraft crashed.

To sum up, Flight 173’s crew got preoccupied with the landing gear’s malfunction and harried preparations for an emergency landing. As a result of their inattention, the pilots failed to keep tabs on the fuel state and crashed the aircraft.

Stress Can Derail Your Train of Thought

Under pressure, your mind will digress from its rational model of thinking.

The emotional excitement from fear, anxiety, time-pressure, and stress can lead to a phenomenon known as “narrowing of the cognitive map.” This tunnel vision can restrict your field of mindful attention and impair your ability for adequate discernment.

Situational close-mindedness can constrict your across-the-board awareness of the situation and force you overlook alternative lines of thought.

Idea for Impact: To combat cognitive impairment under stress, use checklists and standard operating procedures, as well as increased training on situational awareness, crisis communication, and emergency management, as the aviation industry did in response to the aforementioned incidents.

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Filed Under: Business Stories, Mental Models, Sharpening Your Skills Tagged With: Anxiety, Aviation, Decision-Making, Emotions, Mindfulness, Problem Solving, Risk, Stress, Thinking Tools, Thought Process, Worry

No Boss Likes a Surprise—Good or Bad

January 16, 2018 By Nagesh Belludi Leave a Comment

Never surprise the boss, particularly on potentially volatile issues that could affect your project’s timeline, budget, or performance.

Even good surprises can backfire. Many an example exists of employees bringing the boss what they believe were good news, only to realize later that that the surprises weren’t so good after all.

Consider the following example of a Boeing test pilot pulling off a shocking stunt on a prototype aircraft, much to the exasperation of his company’s leadership.

A Reckless Stunt That Created a Buzz

The Boeing 707 was America’s first passenger jet aircraft. Prior to the 707, which entered service in 1958, air travel was mostly limited to the affluent—and even they were hesitant about air travel’s safety. The 707’s in-service safety record and its economic characteristics quickly made travel more accessible and dependable. The 707 ushered in the Jet Age.

But for Boeing, today’s leading aircraft manufacturer, developing the 707 was a big gamble. The 707 had no orders, and Boeing embarked on its development entirely on the wager of its prospective commercial success. When the aircraft’s design commenced in 1951, Boeing’s estimated development costs were $16 million. That was roughly 20% of the company’s value, and more than twice its yearly profits—nearly all of which originated from military contracts.

The Demonstration That Was Far from What the Boss Had Authorized

Boeing built its first and only 707 prototype aircraft in 1955. The company’s leadership decided to show off the aircraft at Seattle’s Seafare Hydroplane races on August 7, 1955.

The display plan was to have Boeing’s Chief Test Pilot, Alvin “Tex” Johnston, do one low pass over the racecourse so that the airline executives, industry pundits, and government officials who attended the high-profile event could witness Boeing’s new undertaking.

Johnston had other plans. In his mind, the audience needed to be sold on the plane’s performance and safety. Seized by the impulse to flaunt the agility of the 707, Johnston had a little more in mind than just an unpretentious flyby.

During the in-air demonstration (see YouTube video,) with the aircraft soaring over Seattle’s Lake Washington, Johnston suddenly pulled back on the controls, and the plane started to climb at a speed of 400 miles per hour. Then, he did a complete 360-degree roll and flew the plane upside down for a moment. As the crowd watched in shock and amazement, Johnston did a second barrel role.

Overconfident Employee, Furious Boss

In the startled crowd was Boeing’s legendary president William “Bill” Allen. Allen, who had authorized no more than a simple flyby, thought that Johnston’s first barrel role was a mistake. When Allen witnessed the second barrel roll, he feared that either Johnston had lost his mind, or the aircraft was in grave trouble.

According to Robert J. Sterling’s Legend & Legacy: The Story of Boeing and Its People (1991,) Allen summoned Johnston into his office the next day. Allen demanded an explanation and inquired why Johnston had foolishly risked the company’s only prototype.

Pleased with his successful accomplishment, Johnston offered a simple explanation, “I was selling airplanes.” Johnston explained that he had previously tested barrel rolls on the prototype, and it was a safe maneuver. He hadn’t risked the aircraft at all.

Allen reproached Johnston and told him that he appreciated the efforts, but Johnston was never to do anything that had not been approved previously.

Never Let Your Boss Be Surprised by Bad News

If there is only one thing worse than delivering bad news, it’s not delivering bad news as soon as you know that some trouble is brewing.

No boss wants to hear about any looming issue from some third party—especially if it could be worrying—and put her on the spot with her peers and superiors.

When you fail to report any bad news, you are leaving your boss exposed to being blindsided with a potential problem, and the perception that your boss doesn’t have control of her organization.

Idea for Impact: A Good Employee is Predictably Excellent

The surest way to delight your boss is by setting the right expectations, discussing and coordinating on a plan of action, and delivering on her expectations of your performance.

When the status of important any project changes, make it a priority to bring your boss and other affected constituents up to date. If, right from the beginning, you’ve made the true picture clear, your boss may be less surprised with the bad and the good.

Never surprise your boss—just keep her clued-in on a regular basis.

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Filed Under: Effective Communication, Leadership, Managing People Tagged With: Aviation, Conflict, Getting Along, Great Manager, Leadership, Managing the Boss, Parables, Relationships, Skills for Success, Winning on the Job

Lessons from Lockheed Martin’s Skunk Works: Autonomy Can Create Innovative Workplaces

August 2, 2016 By Nagesh Belludi Leave a Comment

Lockheed Skunk Works

Lockheed Corporation's Skunk Works: A top-secret research and production facility In 1943, Lockheed Corporation established a top-secret research and production facility informally called Skunk Works. It was explicitly tasked with developing a high-speed fighter aircraft within 180 days. This new aircraft was to compete with aircraft produced by the German aircraft manufacturing company Messerschmitt.

Skunk Works consisted of Lockheed’s best design engineers and technicians who occupied a rented circus shelter adjacent to a foul-smelling plastic factory (hence the Skunk Works moniker, inspired by a mysterious moonshine factory in a famous Al Capp comic strip called Li’l Abner.) More significantly, Skunk Works was isolated from corporate bureaucracy, granted much autonomy over decision-making, and encouraged to disregard standard procedures in the interest of expediency. In a record 143 days, Skunk Works designed, developed, and delivered the Lockheed P-80 Shooting Star aircraft, the first jet fighter operated by the United States Army Air Forces.

The Skunk Works framework of innovation was so successful that Lockheed has continued to operate this division for decades. Clarence “Kelly” Johnson, team leader of the first Lockheed Skunk Works project, codified 14 rules for all Skunk Works projects. Over the years, Lockheed’s Skunk Works designed and developed many aircraft, including the famous U-2 reconnaissance plane.

Disentangled from Bureaucracy and Management Constraints

Other companies borrowed this innovation idea from Lockheed to develop advanced products or discover product/service/business ideas that are entirely new to their parent organizations. Many businesses and engineering companies started their own “skunkworks” divisions consisting of self-directing teams of highly talented individuals who were seconded from their regular work environments. Unconstrained by executive interference, they operated under the radar. They were given a high degree of autonomy, access to R&D funds, and exceptional freedom from the parent organization’s bureaucracy and management constraints. Here are some examples of skunkworks projects.

  • At IBM, a skunkworks project in 1981 pioneered industry standards to adapt personal computers for business needs and released the IBM PC. This helped IBM break away from its lynchpin mainframe business and launch its celebrated personal computers division. IBM has since continued the skunkworks tradition. In the 2000s, IBM established many “emerging-business opportunities” or EBO teams and assigned its best and brightest people in charge of risky startup ideas that could germinate new business lines in five to seven years.
  • At Motorola in the mid-2000s, a team of designers and engineers defied the company’s own rules to develop the best-selling RAZR mobile phone. This skunkworks team was isolated from Motorola’s main R&D facility. Fortune magazine noted that this “tight-knit team repeatedly flouted Motorola’s own rules for developing new products. They kept the project top-secret, even from their colleagues. They used materials and techniques Motorola had never tried before. After contentious internal battles, they threw out accepted models of what a mobile telephone should look and feel like. In short, the team that created the RAZR broke the mold, and in the process rejuvenated the company.”
  • Google’s famous 20% rule and innovative workspaces lets employees collaborate across the company and work on their dream projects, but bring those projects to the larger collective for further funding and development. Many of Google’s innovative products and features in Gmail, Google News, Google Talk, Google Suggest, Transit Directions, etc. originated as 20% projects.
  • Microsoft’s skunkworks located in Studio B facility on its Redmond campus developed Kinect, Surface tablets and computers, and other recent products.
  • Apple has the most celebrated of skunkworks teams. Apple Chief Design Officer Jonathan Ive’s design laboratory consists of a few handpicked designers who work on “very experimental material that the world is not quite ready for.” Working in an area separate from Apple’s main Cupertino campus, Ive’s team maintains a culture of incredible secrecy.

Skunkworks Innovation Model and Startup Cultures

In the 1960s and 1970s, the skunkworks concept fell out of favor, as many companies started to see skunkworks teams as distractions and as cost centers “with an attitude.” However, with a renewed emphasis on teamwork and a focus on setting up startup-like innovative workplaces where teams can flourish, the skunkworks model of innovation has been renewed and revived in the last two decades.

Inertia, internal politics, bureaucracy, layers upon layers of management questioning risk and rewards, and the fear of failure weigh heavily on many a company’s pursuit of new products and services. The skunkworks innovation model and the startup culture offer frameworks for organizations to pursue growth ideas separate from current lines of business.

In 2013, General Electric instituted a program called FastWorks to mimic Silicon Valley’s startup culture in a company-wide effort to foster innovation and develop products quickly and cost-effectively. Boeing’s Phantom Works, Nike’s Innovation Kitchen and Sports Research Lab, Amazon’s Lab126 and A9 laboratories, Google X, and Walmart Labs are some of today’s prominent skunkworks organizations.

Idea for Impact: Autonomy Fosters a Creative Environment

For managers, the key take-away from the skunkworks concept is that giving autonomy to employees and teams not only engenders a happier and satisfied workforce, but also fosters a creative environment. Some ideas to consider:

  • Give much autonomy to those employees and teams who have demonstrated the promise of being self-directed and maintaining alignment with the larger organizational goals. Direct them, oversee their progress, and follow-up when necessary. Micromanage when you must.
  • Give employees discretion over their tasks and resources. Create a favorable environment in which people are encouraged to discover, use, and grow their unique skills.
  • Don’t second-guess employees’ and teams’ ideas and decisions unless necessary. Judging or criticizing not only undermines their confidence, but also keeps them from sharing their ideas with you in the future.
  • Allow employees and teams to experiment, iterate their ideas, gather data and develop performance metrics, and quickly discard less promising ideas in favor of stronger ones.
  • Support risk-taking and failure. Celebrate failure as it can provide valuable technical and organizational insights. Encourage employees to be confident enough to try to fail and learn lessons without being apprehensive about being rebuked.

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Filed Under: Leadership, The Great Innovators Tagged With: Aviation, Creativity, Innovation, Leadership

Airbus A350 XWB: A Move in the Right Direction

July 18, 2006 By Nagesh Belludi Leave a Comment

As anticipated, Airbus announced a new A350 XWB (Xtra Wide Body) family of aircrafts at the Farnborough International Airshow on Monday. The family includes the A350-800 (270 seats in 3-class configuration), A350-900 (314 seats), ultra-long range A350-900 (314 seats), A350-900 freighter and A350-1000 (350 seats). The new aircrafts will feature a new fuselage that can accommodate nine-abreast seating and promise better operating economies than the Boeing B787 and B777 families. Illustrations released by Airbus indicate that the A350 may resemble the B787!

Interestingly, Airbus announced no aircraft for the 200 to 230 seat market. Airbus will discontinue the A310 from mid-2007 and its smallest wide-body is the popular A330-200, which can set 250 seats in 3-class configuration. So does not offer a competition for the B787-800, which has captured 281 of the 404 orders for the B787 thus far. If Airbus expects few other airlines to order aircrafts of this size in the next few years, it can shrink the A350-800 at a later date to cater to this market whenever demand arises.

Clearly, the new fuselage and cockpit sections are a break from the Airbus tradition of sub-system commonality. Towards 2010 or so, I expect Airbus to announce discontinuation of its A330 and A340 families in favor of the A350 family that will directly compete against Boeing’s B787 and B777 families. The A350 is an enhanced replacement for the twin-engine A330 and the four-engine twin-aisle market seems to have dried-up as poor sales of the A340 in the last two years have indicated.

Filed Under: News Analysis Tagged With: Aviation

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About: Nagesh Belludi [hire] is a St. Petersburg, Florida-based freethinker, investor, and leadership coach. He specializes in helping executives and companies ensure that the overall quality of their decision-making benefits isn’t compromised by a lack of a big-picture understanding.

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