LOSA Audit

LINE OPERATIONS SAFETY AUDIT (LOSA)

OBSERVATION INSTRUMENT

VERSION:{{version.current}}

You do not have any unfinished Observation Forms

Unfinished Observation Forms

Edit	Observation number/observer	Submit
	Observation # {{obs.ObservationNumber}} by {{obs.ObserverId}}	Submit for "Data Cleaning and Integrity Check" You want to submit this observation for "Data Cleaning and Integrity Check". You will not be able to view/edit this observation once it's submitted. Submit I'm not done yet You data is being sent to the server, this message will go away once the operation completes. This may take up to 30 seconds, depending on your internet connection.

Start New Observation Form (will save current observation)

Observer ID

Observation Number

Crew observation number
(e.g., "1 of 2" indicates segment one for a crew that you observed across two segments)

Flight Demographics

City pairs

A/C Type

Pilot flying

CAPT FO

Time from pushback to gate arrival
(Hours:Minutes)

Local arrival time
(Use 24 hour time)

Late departure

YES NO

Crew Familiarity (Check one)

First time the P1 and P2 have ever flown together

The P1 and P2 have flown together before

Crew Data

Crew Ages (estimated)

CAPT

Total flying experience (estimated hours)

CAPT

Experience on type (estimated hours)

CAPT

Years in automated aircraft ("glass-cockpit") (if applicable)

CAPT

Flight Deck Climate

Please rate on a scale of 1-5 how strongly you disagree or agree with the following statement by placing a check mark in the appropriate box. Remember to also provide a Description in your narrative of why you rated the climate as such.

The observed climate on this sector was functional

Strongly Disagree 1 2 3 4 5 Strongly Agree

Narrative

Your narrative should provide a context. What did the crew do well? What did the crew do poorly? How did the crew perform when confronted with threats, crew errors, and significant events? Also, be sure to justify your behavioral ratings.

Narrative

Your narrative should provide a contextual story for the flight. What did the crew do well? What did the crew do poorly? How did the crew perform when confronted with threats, crew errors, and significant events? Also, be sure to justify your behavioral ratings.

Narrative

Your narrative should provide a context for the flight. What did the crew do well? What did the crew do poorly? How did the crew manage threats, crew errors, and significant events? Also, be sure to justify your behavioral ratings. Describe significant events from briefing to TOD to landing/taxi.

Briefing to TOD:

TOD to 10 000 feet:

10 000 feet to slowing and configuring:

Flare and touchdown:

Taxi:

Narrative

This narrative should include your overall impressions of the operation.

Did you observe a flight attendant briefing on the first leg of the pairing?

YES NO No opportunity to observe

{{tmt.name}}

Threat Description

Only numeric values allowed. Altitude will be saved as 0 if you see this message.

Threat Management

Was the threat discussed or planned for before it was encountered?

YES NO

Threat Outcome:

Inconsequential Linked to flight crew error

Describe how the crew managed or mismanaged the threat with its Outcome

{{newThreat.WorksheetId ? 'Save' : 'Add New'}} Threat

Actions	Description	Phase of flight	Altitude	Type	Code	Response	Outcome	Details
	{{t.Description}}	{{t.PhaseOfFlightName}}	{{t.Altitude}}	{{t.CategoryType}}	{{t.CategoryCode}}	{{t.Response}}	{{t.Outcome}}	{{t.ManagementDescription}}

Describe the error

Only numeric values allowed. Altitude will be saved as 0 if you see this message.

Proficiency based?

YES NO

Linking threat:

Linking error:

Error Management

Who caused?

Who detected?

Error Response:

Error Outcome:

Describe how the crew managed or mismanaged the error with its Outcome

{{newError.WorksheetId ? 'Save' : 'Add New'}} Error

Actions	Description	Phase of flight	Altitude	Type	Code	Proficiency Based	Linking Threat	Who Caused?	Who Detected?	Response	Outcome	Details
	{{e.Description}}	{{e.PhaseOfFlightName}}	{{e.Altitude}}	{{e.CategoryType}}	{{e.CategoryCode}}	{{e.ProficiencyBased}}	{{e.LinkingThreat ? e.LinkingThreat.Description : 'N/A'}}	{{e.CausedByName}}	{{e.DetectedByName}}	{{e.ResponseName}}	{{e.OutcomeName}}	{{e.ManagementDescription}}

Describe the UAS

Only numeric values allowed. Altitude will be saved as 0 if you see this message.

UAS Management

Who caused?

Who detected?

UAS Response:

UAS Outcome:

Linking error:

Describe how the crew managed or mismanaged the UAS with its Outcome

{{newUAS.WorksheetId ? 'Save' : 'Add New'}} UAS

Actions	Description	Phase of flight	Altitude	Type	Code	Who Caused?	Who Detected?	Response	Outcome	Details	Linking Error
	{{uas.Description}}	{{uas.PhaseOfFlightName}}	{{uas.Altitude}}	{{uas.CategoryType}}	{{uas.CategoryCode}}	{{uas.CausedByName}}	{{uas.DetectedByName}}	{{uas.ResponseName}}	{{uas.OutcomeName}}	{{uas.ManagementDescription}}	{{uas.LinkingError ? uas.LinkingError.Description : 'N/A'}}

Crew Performance Marker Worksheet

1	2	3	4
Poor Observed performance had safety implications	Marginal Observed performance was adequate but needs improvement	Good Observed performance was effective	Outstanding Observed performance was truly noteworthy

		Phase of Flight Ratings
Planning Performance Markers		Pre-departure / Taxi	Takeoff / Climb / Cruise	Descent / Approach / Land / Taxi
{{m.Name}}					{{m.Name}}	{{m.Description}}	1 2 3 4	1 2 3 4	1 2 3 4

Overall Performance Markers		Ratings
{{opm.Name}}	{{opm.Description}}	1 2 3 4

1. Training

Is there a difference in how you were trained, and the reality of line operations?

If so, why?

2. Standardization

How standardized are other crews that you fly with?

If there is a lack of standardization, what do you think is (are) the reason(s)?

3. Automation

What are the most significant automation catches (traps) for this aircraft?

4. Overall safety improvements?

Flight Ops:

Dispatch:

Airport:

Air Traffic Control:

SOPs:

LINE OPERATIONS SAFETY AUDIT (LOSA)

OBSERVATION INSTRUMENT

Flight Demographics

Crew Familiarity (Check one)

Crew Data

Flight Deck Climate

The observed climate on this sector was functional

Narrative

Narrative

Narrative

Narrative

Briefing to TOD:

TOD to 10 000 feet:

10 000 feet to slowing and configuring:

Flare and touchdown:

Taxi:

Descent (above 10 000 feet)

Approach and land (below 10 000 feet)

Narrative

Did you observe a flight attendant briefing on the first leg of the pairing?

Threat Description

Threat Management

Describe the error

Error Management

Describe the UAS

UAS Management

Crew Performance Marker Worksheet

1. Training

2. Standardization

3. Automation

4. Overall safety improvements?

5. General comments and feedback about the LOSA observation: