Index

Fly! – Index

The index in the FLY! paper book (after first reprint) is abbreviated.   The complete index is listed below.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

1

1201, Lunar Lander error 154

1202, Lunar Lander error 153-4

10,000 hour theory 25

9/11 64

  • See Rescorla, Rick

A

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A380 1, 3, 10-11, 27, 35, 37, 181, 204, 206, 269

Abrams, General Creighton 276

accepting your reality 48–9, 69

adaptability 268–70

adrenaline 20, 22, 46, 60, 235

Air Force

  • Brian Lugg 52
  • Carter, Jerry on Teamwork 198
  • Challenger, explosion 118
  • control checks 5
  • debriefs 96
  • de Crespigny, Alexander 121
  • de Crespigny, Richard (biography) 2
  • Leadership, Duty of Care 185
  • Ford, Roy 56
  • General Welsh, Mark on Leadership 194
  • Wing Commander McAlister, Stewart 98

Air New Zealand 151–2

Aldrich, Arnold 118

Aldrin, Buzz 94, 152–4, 187, 262

amends, making 279

amorphous consensus 175–6

amygdala

Apollo

Apollo 1  117, 188

  • Chaffee, Roger 188-90
  • Grissom, Virgil ‘Gus’ 188-90
  • Edward White 188-90

Apollo 11 mission 152–6, 188, 218, 263

  • Aldrin, Buzz 94, 152–4, 187, 262
  • see Armstrong, Neil
  • Lunar landing 156

Apollo 13 crisis 57–8, 84, 188

apologising 86–9, 91

armchair flying 23–5, 27

Armstrong, Neil 94, 262–4, 270, 280

  • Armstrong Spiral 98, 159, 230, 238
  • lunar landing 152-6
    • 1201 error 154
    • 1202 error 153-4
  • dedication 263
  • Never abort for a single indication” 156

arousal modulation 22

Arroway, Dr Ellie 218

assessing options 51–2

astronauts

  • see Armstrong, Neil
  • Aldrin, Buzz 94, 152–4, 187, 262
  • Chaffee, Roger 188-90
  • Grissom, Virgil ‘Gus’ 188-90
  • see Kranz, Eugene
  • Onizuka, Ellison 118-9
  • Edward White 188-90

Australian Transport Safety Bureau (ATSB) 4, 84, 98, 238

“Automation Amnesia”

authority bias 133

autopilot fast mind 15–7

availability bias 129, 162

‘Aviate, Navigate, Communicate’ 42–4

Aviophobia (Fear of Flying) 33–9, 146

  • emotional (fast) mind 12
    • amygdala 22, 158, 238, 239
  • fear response (Startle Effect) 19
  • instinctive fears 158
  • logical (slow) mind)
  • method to prevent 35
    • Example, Irma Sullivan 37
  • positive feedback (emotional<->logical mind) 35
  • pumping (priming) senses 14-5, 36-8, 41, 59, 275

B

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

BA38 79

Backley, Stephen 23–4

bad crisis management 73–4

bad leadership 165–70

Bales, Steve 153, 154

Ball, Lindsay 227

Ballmer, Steve 134

Barach, Paul 88

Baron-Cohen, Simon 181

Barras, Diane 227

Bartels, John 58-9, 107

bed, making 276

biases 129–37, 162

  • authority bias 133
  • availability 129, 162
  • champion 133
  • confirmation bias 34, 129-30, 162
  • experience 134  test 136
  • group think 137
  • loss-aversion bias 112, 114, 122, 131–2, 162
  • status quo 131
  • sunflower 133
  • sunk cost 131
  • unreliable memory 136

biofeedback 275

Black Swan events 7, 20, 149–51, 162, 164-5

  • 9/11 64
  • QF32 149

Blockbuster 115

Blumenthal, Neil 111

boards, company

  • Chair and CEO position 167

body language 12–15, 36, 40, 205

body model 11, 46

  • building (soon at Fly-theBook.com)
  • components (soon at Fly-theBook.com)
  • errors (phantom limbs, alien limbs, schizophrenia)  (soon at Fly-theBook.com)
  • location (soon at Fly-theBook.com)
  • resetting (soon at Fly-theBook.com)

Boisjoly, Roger 117-88

books

  • Enlightenment Now, Stephen Pinker 105, 279
  • Factfulness, Hans Rosling 279
  • Thirty Seconds to Impact,  Peter Burkill 79, 252–3

brain 10–11, 273, 287  (see mind)

  • amygdala 22, 158, 238, 239
  • autopilot fast mind 15–7
  • body language 12–15, 36, 40, 205
  • body model 11, 46
  • creativity 135–6, 272
  • distractions 17-8, 50
  • fast mind 11–17, 40
  • gut feelings 157, 160
  • habits, instincts, intuition & gut feelings 157
  • intuition (Fangio, Juan Manuel) 31–2
  • memory, unreliable 137–8
  • mental model 11, 20, 46, 50-1, 137, 158, 204-5, 210, 217, Definition: 288
  • mirroring 14–5
  • multi-tasking 16–7, 41
  • sleep 273–4
  • statistics 10-11

brand protection 71–91

  • what not to do 73

Branson, Richard 86, 175, 277

breathing 34–5, 46–7, 59, 275

Buffett, Jimmy 278

Buffett, Warren 56, 150, 262, 264, 270

Burkill, Captain Peter 79, 252–3

“bullet proof not gun shy” 28, 40, 261

  • never give up 268

business failures 110–14

C

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Calm

  • biofeedback 275
  • breathing 34–5, 46–7, 59, 275
  • “bullet proof not gun shy” 28, 40, 142, 261
  • confidence building 27–8, 31, 120
  • heart rate and stress 45–6, 275
  • hyperventilation 34–5, 47

Cantwell, Major General John 144, 185, 245–6, 253

car, risk 148

Carroll, Dave 116

Carter, Jerry 198

CEO and Chair position, boards 167

Chabris, Christopher 16

Chaffee, Roger 188, 190

Chair and CEO position, boards 167

Challenger explosion 117–9

champion bias 129, 162

Champion de Crespigny (see de Crespigny)

Chanel No 5 246

change

  • behaviour 279

charismatic leadership 174–5

checklists 50–1

  • do-confirm 50
  • ECAM 2, 4, 6, 10, 22, 51, 57, 140, 159, 212
  • NITS
  • read-do 50
  • relationship 228
  • serial/parallel 51

chemicals see  hormones, neurotransmitters

  • adrenaline 20, 22, 46, 60, 235
  • cortisol 20, 46, 202, 235-9, 274
  • dopamine 202, 213, 276
  • oxytocin 202, 229
  • serotonin 47

children

  • allowing to fail 105–6, 123
  • parents relationship with 210

chronic unease 108–9, 123, 270

Churchill, Winston 266

Collins, Jim 194

Collins, Mike 153

Colvin, Geoff 20

communications 44, 59–63, 70, 179, 229

  • golden hour 77
  • full and open disclosure 79
  • NITS communication (checklist) 60–1
  • persons guarantee 81

company boards

  • Chair and CEO position 167
  • freeze during crisis 85
  • responsibility, for

complacency, avoiding 28, 124

confidence building 27–8, 31, 120

confirmation bias 34, 129-30, 162

congratulating 214

Connolly, John 85, 241, 247

  • recording crisis events 237

Corbett, Roger 272

corporate succession 193–4

cortisol 20, 46, 202, 235-9, 274    see adrenaline

courage building 47–8

creating time 44–8, 54, 69

creative destruction 114–5

creativity

  • “by the end of our life .. there is .. no creativity left” 136
  • contribution to humanity 261
  • creativity vs recklessness 136
  • creativity vs wisdom 135
  • culture to harness wisdom and creativity 218
  • drift to failure 135
  • experience bias 134-5
    • experience bias test 136
  • “experience kills” 135
  •  
  • highest in first 30 years 136
  • wisdom peaks in 50s 137

Crew Resource Management (CRM) 215–6

crises

  • 9/11 64
  • Apollo 1 mission 117, 188
  • Apollo 13 crisis 57–8, 84, 188
  • BA38 79, 252–3
  • Cambria train crash 86
  • Challenger explosion 117–9
  • Deepwater Horizon disaster 74, 150–1, 166
  • El Al Flight 1862 ***
  • Everest 1996 156
  • Global Financial Crisis 149
  • MH17 & MH370  73
  • QF32 (see QF32 crisis)
  • Scandinavian Flight 686 disaster 254
  • Sinai Desert, Lugg, Brian 52–4

crisis checklist (priority order)

  • ‘Aviate, Navigate, Communicate’ 42–4
  • don’t rush.  52
  • create time 44–8, 54, 69
  • accept your reality 48–9, 69
  • mitigate threats 49–51, 69
  • assess your options 51–2
  • re-assess priorities 52
  • Resist stampedes 54
  • forget perfection 56.
  • Try inverting the logic 57
  • communicate 44, 59–63, 70

crisis management 71–91, 284

  • apology 86–9, 91
  • bad management 73–4
  • brand protection 71–91
  • Burkill, Captain Peter 79, 252–3
  • checklist 90–1
  • see communication
  • corporate succession 193–4
  • get on-site 85
  • leadership 85–6, 91
  • NITS communication (checklist) 60–1
  • Open Disclosure 79–84, 91
  • Personal Guarantee 81–2
  • recording crisis events 237, 258
  • second victims 61-3, 118

crisis survival 42–70 (alphabetical order)

  • 15%, 70%, 15% 125
  • accepting your reality 48–9, 69
  • assessing options 51–2
  • ‘Aviate, Navigate, Communicate’ 42–4
  • building courage 47–8
  • checklist 69–70
  • communication 44, 59–63, 70
  • controlling stress 45–7
  • creating time 44–8, 54, 69
  • fear response (see startle effect)
  • forgetting perfection 56–7, 70
  • help/follow crowd/hinder survival 125
  • imagining the ‘unimaginable’ 64–8, 70
  • inverting the logic 57–9, 69
  • mitigating threats 49–51, 69
  • re-assessing priorities 52
  • record your memory of events 237
  • startle effect
  • staying alive 42–4
  • thinking for yourself 54–6

Crockett, Murray 235, 238

cultural fit 219

culture 99–100, 180, 195, 287

  • cultural fit-contribution 219
  • detecting 180
  • diversity 217
  • Just Culture 100
  • leader sets 177
  • no blame culture 99
  • teams, and 201, 206, 217

curse, of experience 134

customers

  • unhappy, learning from 115
  • unhappy remaining silent 116
  • dissatisfied telling others 116
  • costs: maintain vs new 117
  • Golden Thread & Circle 117

D

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Dalai Lama 173

Dalio, Ray 214–15

de Crespigny, Alex 45, 62-3, 120–1, 237, 277

de Crespigny, Coral 23, 48, 61, 63, 97, 109, 112, 120, 138, 179, 190, 191, 227–8, 237, 241-2, 247, 252, 254,, 264, 277–8

  • car crash. fatal 256–7

de Crespigny, Mariea 63, 127-8, 237

de Crespigny, Peter 63, 237, 248, 262, 280

de Crespigny, Robert AC 168

de Crespigny, Sophia 62, 142, 190-1, 237

debriefs 96–9, 123, 214–15, 232, 235, 252

decisions – bad

  • restart loop, when to  (BREXIT?) 144

decisions – good

  • John Taske – Everest 156

decision-making 7, 125–64, 284

  • Hierarchy of:
    • instincts
    • habits
    • gut feeling
    • intuition
    • decision models
  • biases 129–37
  • checklist 163–4
  • Dunning-Kruger effect 127
  • golden rules 126
  • hierarchy 126–9
  • human behavior in crisis (help/follow crowd/hinder survival) 125
  • IGRADEE model 140–4, 162
    • Identify 140
    • Gather Information 141
    • Review 142
    • Analyse Options 142
    • Decide 143
    • Execute 144
    • Evaluate 144
  • inverting the logic 57–9, 69
  • models 138-40
  • OODA loop140
  • Ramp process 137, 223–5, 232 (QF32 p 144)
  • restart loop, when to  (BREXIT?) 144
  • risk see risk
  • rules, when not to follow 143
  • stages
  •  
  • surprise (restart loop) 144
  • unexpected results, see restart loop (above)
  • US Presidents 138–9

Deepwater Horizon disaster 74, 150–1, 166

DEFCON 1 240


Dekker, Sidney 19, 100

Deliberate Practice (DP) 22, 25–33, 40-1, 155

destruction, creative 114–5

determination 266

Dickey, James 218

discipline 24, 66, 276

  • children, and 106, 210
  • Kranz, Gene, and 190
  • normalised deviance 211
  • success, and 281-4
  • success (=passion+execution+discipline) 265
  • true grit, and 265

disclosure

  • Golden Hour 77–8, 91
  • Open Disclosure 79–84, 91
  • Personal Guarantee 81–2

disruption

  • disrupt yourself and keep control 269
  • disrupted
    • A380 269
  • disruptors (robots …) 280
  • get used to it, 270)
  • non self-disruptors
    • Blockbuster 115
    • Kodak 115, 166
  • self disruptors:  Apple, Amazon, Uber (to come on web site)

distractions 17-8, 50

  • ‘Invisible Gorilla’ test 16–7
  • mobile phone and driving 18, 129, 160
  • sterile (no contact) cockpit 17

distributed leadership 211

‘Do-Confirm’ checklists 50

dopamine 202, 213, 276  see neurotransmitters

double wrong-side surgery 87

drift to failure 117-9, 135

Duff, Brian 84

Dunning, David 128

Dunning–Kruger Effect 128–9, 142, 160, 162, 207

drift to failure 135

driving,  mobile phone and 129, 160

duty of care 185–7

Dyer, Wayne 177

E

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Ebeling, Bob 117-9

ECAM

  • see also:  QF32 Book, Index, ECAM
  • definition 287
  • design, certified up to 10^9 events 6
  • presentation 10
  • priorities (Aviate, Navigate, Communicate first)  22
  • QF32 – Armstrong Spiral 159
  • QF32 – incorrect logic & checklists 140, 159
  • QF32 – list of failures, 237
  • QF32 – overload, “ECAM Armageddon”, invert the logic 4, 57, 212
  • senses & parameters 2
  • work flow 51

Einstein, Albert 272

Eisenhower, Dwight 139

Elements of Resilience 283-4

Elop, Stephen 115

empathy 14, 181, 233

Ericsson, Anders 25–6, 29, 31

errors see also failure

  • apologising for 86–9, 91
  • honest or reckless 100-1
  • improving after 99
  • learn, adjust, repeat 279
  • learning from 93–4, 99, 106–8, 179, 214
  • learning from other people’s 106–8
  • identify, make amends, change behaviour 279
  • medical 87–9, 148
  • no-blame culture 99–100
  • normalised deviance 211
  • recklessness 101-2

evacuation, passenger 6–7

Evans, Dave 59, 182, 204, 212

Everest, Mount 156

execution

  • success (=passion+execution+discipline) 265

experience

  • can be a curse 134
  • versus creativity 135
  • Dunning–Kruger Effect 128–9, 142, 160, 162, 207
  • experience bias 134–7, 161-2
  • experience bias test 136
  • “experience kills” 135
  • intuition 39, 283
  • wisdom 273, 283

expertice, defer to 85

F

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

failure 92–123

  • business failures 110–4
  • culture (failure) 99
  • debriefs 96–9, 123
  • drifting to 117–19, 135
  • errors see errors
  • failing early 111
  • failing well 94, 110
  • human condition 92
  • just culture test 104
  • learning from 93–4 others 106–8, 123
  • let your children fail 105–6, 123
  • near misses 109–10
  • not a weakness
  • teams 225–6
  • unhappy customers 115–17

family 232, 264

  • Just Culture in 104
  • looking after in crisis 61–3
  • marriage as teamwork 227–30
  • PTS affecting 253–4
  • storming in family teams 209–10

Fangio, Juan Manuel 31–2

Farina, Nino 31

fast mind 11–17, 40

fears

  • amygdala 22, 158, 238, 239
  • fast mind 12
  • fear of flying (aviophobia) 33–9, 146
  • fear response (see Startle Effect)
  • instinctive fears 158
  • positive feedback (emotional<->logical mind) 35
  • public speaking 274
  • pumping (priming) senses 14-5, 36-8, 41, 59, 275
  • triggers, for 33

Federer, Roger 39

feedback 14 (see pumping)

Ferguson, Sir Alex 130, 181, 214

Feynman, Richard 110

Fight, Flight, Freeze 9, 22, 46, 157-8, 235

flight

  • BA38 79, 252–3
  • QF32 (see QF32)
  • QF72 253
  • UA 232 250
  • SAS686 254

Flight, Fight, Freeze 9, 22, 46, 157-8, 235

flogging a dead horse 113–4

Ford, Julie 63, 237

Ford, Roy 56

Ford, Simon 237, 241

forming 203–8 & (QF32 142)

Freeze, Flight, Fight 9, 22, 46, 157-8, 235  (See Startle Effect)

https://twitter.com/i/status/1163633500202917888

functional leadership 172–3

G

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

gamble 146, 150, 164

Gandhi, Mahatma 173

Gates, Bill 108, 115-6, 134

Gladwell, Malcolm 25

Global Financial Crisis 149

Golden Circle 117

Golden Hour 77–8, 91

Golden Thread 117

Governance

  • Chair and CEO position 167

Grant, Adam 111, 214, 219

Grissom, Virgil ‘Gus’ 188, 190

groupthink 137, 162, 164

gut feelings 157, 160

  • armchair flying 23
  • critical of 160
  • debriefs 98
  • decisions 163
  • hierarchy of decision making 126-7
  • firefighters 158-9
  • gaining 267
  • Neil Armstrong 156
  • overconfidence 134
  • Sully Sullenberger 160
  • time for 126
  • vs creativity and recklessness 136
  • when to trust / not to trust 160

H

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

habits, creating 9, 18, 20, 31, 39, 41, 283

habits, instincts, intuition & gut feelings 18, 31, 39-40, 56, 157-8

  • armchair flying 23
  • debriefs 98
  • decisions 163
  • hierarchy of decision making 126-7
  • firefighters 158-9
  • gaining 267
  • Neil Armstrong 156
  • overconfidence 134
  • Sully Sullenberger 160
  • time for 126
  • vs creativity and recklessness 136

Hackett, Dr Rob 208

Haddon-Cave, Sir Charles 145

Hall, Rob 156

Hardwick, Neil 206

Hawking, Stephen 93

Haynes, Captain Alfred 250

Hayward, Tony 74, 150–1

healthy body 273–4

heart rate and stress 45–6, 275

herd instinct 54–5

hero

  • guilt, shame 259

Heseltine, Michael 132

Hicks, Matt 50-1, 57, 182, 183, 204-5, 212, 220

High Reliability Organisations (HROs) 92-3, 216, 287

  • expertice, defer 85HRO leadership 176–7

Highway of Hell 246

hippocampus

  • spatial (geotagging) memories 239
  • smaller with PTSD 245

Holt-Lunstad, Julianne 202

Honnold, Alex 146

hormones

horse ride, risk 148

Howard, The Honourable John OM AC 192–3

Howard, Ronald A 147

Howe, Scott 56

HRO (see High Reliability Organisations)

human brain (see brain)

Human Factors 215–7

  • Crew Resource Management 215
  • Culture 217

humanity, statistics 279

humility 95–6, 180, 205, 220

hybrid leadership 175

hyperventilation 34–5, 47

I

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

IGRADEE decision model 140–4, 162

imagining the ‘unimaginable’ 64–8, 70

influential leadership 184–5

instinctive fears 158

instincts 157

  • habits, instincts, intuition & gut feelings 157

intuition 39, 41, 158–60, 283

    • armchair flying 23
    • debriefs 98
    • decisions 163
    • hierarchy of decision making 126-7
    • firefighters 158-9
    • gaining 267
    • Neil Armstrong 156
    • overconfidence 134
    • Sully Sullenberger 160
    • time for 126
    • vs creativity and recklessness 136

inverting the logic 57–9, 69

‘Invisible Gorilla’ test 16–7

iPhone 154

J

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

javelin (muscle memory) 23

jealousy 248

Jensen, Mary Ann 213

Jobs, Steve 108, 136, 173

Johnson, Mark 182, 204-5

Jolly, John 62

Jordan, Michael 108

Joyce, Alan 78, 165

Just Culture 100–5, 110, 118, 121–4, 287

  • Dekker, Sidney 19, 100
  • no-blame culture 99–100
  • relationship test 104
  • see second victims

K

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Kahneman, Daniel 16-7, 112, 137

Kennedy, John F 221

King, Martin Luther Jr 173-5

Knights, Derek 53

knowledge 127–9, 273, 283

  • creative destruction 114–5

Kodak 115, 166

Kohler, Alan 55, 56

Krampe, Ralf 25

Kranz, Eugene

  • Apollo program 187 (see Apollo)
  • Apollo 13 58, 188
  • Challenger explosion 118
  • Culture (he instilled) at NASA  190
  • “Failure is not an option” 92
  • HRO leader 176
  • “If you don’t know what to do, do nothing” 48
  • Invert Logic 58
  • Kranz Dictum 189
  • Resilience roll model 262, 280
  • Safety fatigue 118

Kranz, Marta 187, 228

Kruger, Justin 128

L

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Lao-Tzu 166

leaders

  • de Crespigny, Robert 168
  • Howard, John 192–3
  • Jobs, Steve 108, 136, 173
  • King, Martin Luther Jr 173-5
  • Kranz, Gene 48, 57–9, 92-3, 118, 176, 187–90, 228, 262, 280 (see Apollo)
  • Mandela, Nelson 173
  • Obama, Barack 139
  • Pickhaver, Captain John 178

leadership, types

  • amorphous consensus 175–6
  • charismatic 174–5
  • distributed 211
  • functional 172–3
  • HRO leadership 176–7
  • hybrid leadership 175
  • influential leadership 184–5
  • Level 5 leader 194
  • narcissistic leadership 174
  • non-leader collaboration 175–6
  • procedural (see functional leadership) 172
  • trait leadership 172

leadership 1, 7, 85–6, 165–96

  • bad 165–70
  • checklist 195–6
  • duty of care 185
  • HRO leadership 177
  • lifespan 191–4
  • Level 5 leader 194
  • resilience and 284
  • skills, building 179–85
  • styles 172–7
  • what is 170–1

learning

  • learn, adapt, retry 94, 187, 196, 279
  • lifelong learning 270–1, 281
  • mistakes, learning from 106

Learmount, David 34

Lencioni, Patrick 225–6

lifelong learning 270–1, 281

logic , inverting 57–9

loss-aversion bias 112, 114, 122, 131–2, 162

Lugg, Brian 52–4

Lunar Landing Training Vehicles (LLTV) 94, 153, 155

M

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Malaysian Airlines 73–4

Mandela, Nelson 173

marriage as teamwork 227–30

May, Theresa 86

marathon (run), risk 148

McAlister, Stewart 98

McKinsey & Company 217–18

medical errors

  • wrong side surgery 87–9
  • risk 148

Megginson, Leon C 270

Mehrabian, Albert 13

memory 9

  • overshadowing 243
  • unreliable 137–8

mental model 11, 20, 46, 50-1, 137, 158, 204-5, 210, 217, Definition: 288

MH17 & MH370  73

Michael, Rick 256–7

MicroMort 147–8

  • medicine, risk 148

military (suicide) 246–7

mind 9 (see brain)

  • as a computer 10
  • body model 11, 46
  • fast mind 11
  • mental model 11, 20, 46, 50-1, 137, 158, 204-5, 210, 217, Definition: 288
  • multitasking 15
  • situation awareness 9, 11, 17-8, 28, 31-2, 39, 85, 108, 129, 144, 161, 169, 215, 217, 257, 268 Definition: 288
  • slow mind 15

mirroring 14–5

mistakes, learning from 106

mobile phone and driving 18, 160

monitoring 212 (QF32 169)

moon, survival test 201

Morgan, David 151

motor cycle, risk 148

Mount Everest 156

Mozart 27

multi-tasking 16–7, 41

Munger, Charlie 262

muscle memory 23

music, as a distraction 17

Musk, Elon 106, 108, 144

N

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

narcissistic leadership 174

NASA 48, 117, 128, 152, 176, 187–90, 201, 216, 262

  • Apollo 1 mission 117, 188
  • Apollo 11 mission 152–6, 188, 218, 263
  • Apollo 13 crisis 57–8, 84, 188
  • astronauts 27, 187
  • Challenger explosion 117–9
  • Safety Fatigue 118
  • ‘Survival on the Moon’ experiment 201

navigate, meaning 43

near misses, learning from 109–10

  • failing well 110

Neil Armstrong 94, 262, 270

  • Armstrong Spiral 98, 230
  • lunar landing landing 152-6
  • dedication 263


Negroni, Christine 73

neocortex 239

neural growth factor 243

neurotransmitters

never give up 268

NITS communication (checklist) 60–1

Nixon, Richard 263

no-blame culture 99–100

Nokia 115

non-leader collaboration 175–6

normalised deviance 211

O

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Obama, Barack 139

Olsen, Ken 134

Onizuka, Ellison 118-9

OODA Loop 140

Open Disclosure 79–84, 91

overshadowing 243

oxytocin 202, 229  see neurotransmitters

P

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

panic 54

  • communicating 59
  • herd instinct 54–5
  • reducing predisposition to 20

Paolo Pettinaroli 254

passion 264-5, 284

  • success (=passion+execution+discipline) 265

Patton, General George 57

perfection, not looking for 56–7, 70

persistence 266

Personal Guarantee 81–2

personal motivation 82–3

personality

  • see calm
  • “bullet proof not gun shy” 28, 40, 142, 261
  • confidence building 27–8, 31, 120
  • chemicals and Hormones
  • empathy 14, 181, 233
  • failing well 110
  • humility 95–6, 180, 205, 220
  • imagining the ‘unimaginable’ 64–8, 70
  • jealousy 248
  • never give up 268

perspectives (many of one event) 137–8

Peterson, Jordan 34, 47, 210

Pettinaroli, Paolo 254

Phillips, Major General Sam 188

Pickard, Ann 135

Pickhaver, Captain John 178

Pinker, Steven 105, 279

Police

  • “Take me to the passengers at the terminal – NOW” 79

positive, outlook

  • Pinker, Steven 105, 279
  • Rosling, Hans 279

post-traumatic stress (PTS) 234 239–60

  • advising friends 248
  • Cantwell, Major General John 144, 185, 245–6, 253
  • checklist 259–60
  • crying 242-3
  • distractions 242
  • effect on others 253–4
  • growth from260
  • guilt, shame 259
  • hippocampus 243
  • incidence of 244
  • looping 242-3
  • natural reaction 239
  • neural growth factor 243
  • overshadowing 243
  • jealousy 259
  • recovering from 255–7, 260
  • relationships, effect on 248–9
  • second victims 254
  • suicide 246-7
  • symptoms 250–2
  • veterans 246=7
  • what-ifs 242
  • what NOT to do 252

post-traumatic stress disorder (PTSD) 234, 240, 244–7, 253

  • damage to brain 245
  • flashbacks 240
  • PTS developing into 245, 258
  • suicide risk 246–7

practice 18–19, 266

  • 10,000-hour theory 25
  • armchair flying 23–5, 27
  • “bullet proof not gun shy” 28, 40, 142, 261
  • confidence building  27–8
  • see Deliberate Practice (DP)
  • Purposeful Practice 26, 40-1
  • see Stress-Proof Deliberate Practice (SPDP)

pre-mortem’ 108

priming senses (see pumping senses)

Princehorn, David 107

priorities, re-assessing 52

  • family 229

probability 146–8, 161

professional jealousy 248

proprioceptive (muscle) memory 23

‘prospective hindsight’ 108

psychological safety 104, 169, 226, 284

public speaking, fear of 274

pumping (priming) senses 14-5, 36-8, 41, 59, 275

  • Wonder Woman pose 47–8

purpose 266

Purposeful Practice 26, 40-1

Q

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Qantas Crisis Management Centre 75–7, 79, 165, 199, 212, 222, 240–1

QF32 crisis 2–9, 20–3, 28, 42, 50–2, 57–9, 69, 72, 97, 140, 149, 165, 182–3, 198–200, 221, 235–8

  • Armstrong Spiral 98, 159, 230, 238
  • checklists 50–2
  • crises, see
  • debrief 97
  • details 2–9
  • ECAM 2, 4, 6, 10, 22, 51, 57, 140, 159, 212
  • Forming the team in the bus to the airport (FLY! 204) & (QF32 142)
  • inverted logic 57–9
  • leadership 165, 182–3
  • passenger evacuation 6–7
  • post-traumatic stress 235–8
  • startle effect 20–3
  • Storming (FLY! 208) & (QF32 148).
  • teamwork 198–200

quotations

  • Abrams, General Creighton 276
  • Ballmer, Steve 134
  • Branson, Richard 86, 175, 277
  • Cantwell, Major General John 144, 185, 245–6, 253
  • Connolly, John 85, 237, 241, 247
  • Dalio, Ray 214–15
  • Dickey, James 218
  • Duff, Brian (NASA) “when things are going well, tell the media …” 84
  • Ebeling, Bob 117-9
  • Einstein, Albert 272
  • Eisenhower, Dwight 139
  • Ferguson, Sir Alex 130, 181, 214
  • Feynman, Richard 110
  • Gates, Bill 108, 115-6, 134
  • Grant, Adam 111, 214, 219
  • Hackett, Dr Rob 208
  • Haddon-Cave, Sir Charles 145
  • Hayward, Tony 74, 150–1
  • Heseltine, Michael 132
  • Howard, John 192–3
  • Jordan, Michael 108
  • Joyce, Alan 78, 165
  • Kahneman, Daniel 16-7, 112, 137
  • Kohler, Alan 55, 56
  • Kranz, Gene 48, 57–9, 92-3, 118, 176, 187–90, 228, 262, 280
  • Kranz, Marta 187, 228
  • Lao-Tzu 166
  • Megginson, Leon C 270
  • Morgan, David 151
  • Negroni, Christine 73
  • Onizuka, Ellison 118-9
  • Paolo Pettinaroli 254
  • Patton, General George 57
  • Peterson, Jordan 34, 47, 210
  • Phillips, Major General Sam 188
  • Pickard, Ann 176
  • Pinker, Steven 105, 279
  • Rumsfeld, Donald 127–8
  • Sandberg, Sheryl 221
  • Schneier, Bruce 145
  • Slim, General Sir William 96
  • Sternberg, Ben 30
  • Sullenberger, Captain ‘Sully’ 19, 21, 43, 160, 247–50, 262, 268, 280
  • Sun Tzu 166
  • Tata, Ratan 84
  • Tolstoy, Leo 232
  • Welsh, General Mark III 194
  • Wirth, Olivia 78

R

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

RAAF see Royal Australian Air Force

RAISE process 222–3

Ramp process 137, 223–5, 232Ebeling, Bob 117-9

Rasmussen, Jens 139–40

‘Read-Do’ checklists 50

reading, suggested

  • Enlightenment Now, Stephen Pinker 105, 279
  • Factfulness, Hans Rosling 279

reality, accept 48

realistic optimism 268

Reason, James 100

reassessing priorities 52

reporting (culture) 102

Rescorla, Rick 64, 66–7, 149-50

resilience 9, 20, 30, 54, 67–8, 94, 99, 108, 261–84

  • adaptability 268–70
  • checklist 281–2
  • chronic unease 108–9, 123, 270
  • courage building 47–8
  • Crew Resource Management (CRM) 215–6
  • definition 288
  • elements of 283–4
  • healthy body 273–4
  • life-long learning 270–1, 281
  • role models 262–4, 280
  • teamwork and 195, 197, 231, 262, 283
  • true grit and persistence 265–7

resilience – systems, procedures

  • Crew Resource Management (CRM) 215–6
  • see culture
  • Human Factors 215–7

resilient corporations  (see Disruption)

  • Air New Zealand 151–2

(non) resilient corporations

  • business failures 110–14
  • drift to failure 117–9, 135
  • Malaysian Airlines 73–4

resilient people

  • Aldrin, Buzz 94, 152–4, 187, 262
  • see Armstrong, Neil
  • Branson, Richard 86, 175, 277
  • Buffett, Jimmy 278
  • Buffett, Warren 56, 150, 262, 264, 270
  • Haynes, Captain Alfred 250

responsibility  181-2, 186

  • company board directors 182
  • for errors, taking 279
  • pilots 200

Ripley, Amanda 137

risk 144–6, 162, 284

  • appetite 145, 284
  • assessment 1, 7
  • gamble v risk 146, 150, 164
  • micromort 147–8
  • probability 146–8, 161
  • risk-consequence 93
  • sensible 145
  • taking 93–4, 144
  • threat distinguished 145, 164
  • understanding 144–6

roles, clarity about 182–4, 219–20

rollercoaster, risk 148

Rosling, Hans 279

Rowlandson, Alan 61-2

Royal Australian Air Force

  • Brian Lugg 52
  • Carter, Jerry on Teamwork 198
  • Challenger, explosion 118
  • control checks 5
  • debriefs 96
  • de Crespigny, Alexander 121
  • de Crespigny, Richard (biography) 2
  • Leadership, Duty of Care 185
  • Ford, Roy 56
  • General Welsh, Mark on Leadership 194
  • Wing Commander McAlister, Stewart 98

rules, when not to follow 143

Rumsfeld, Donald 127–8

S

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Safety Fatigue, NASA 118

Sales

  • Customers, learning from unhappy 115
  • Golden Circle 117

Sandberg, Sheryl 221

Sanders, Colonel Harland 271

Scandinavian Flight 686 disaster 254

Schneier, Bruce 145

Schumpeter, Joseph 114


second victims

  • Ebeling, Bob 117-9
  • crises, 61–3
  • Just Culture (stepping up) 118–19
  • PTS 254
  • suicide 247

seizing the day 279–80

September 11 terrorist attacks 64–8, 149

serotonin 47  see neurotransmitters

servant leadership 173–4

Shamray, Konstantin 30, 39

shared mental model 50-1, 204-5, 210, 217

Sharuji, Fuad 74

Simons, Daniel 16

simulation 23–5, 27

Sinai Desert 52

Sinek, Simon 187, 197

situation awareness 9, 39

  • calm, and 28
  • Chronic Unease 108
  • Coral 257
  • decision making 144
  • definition 288
  • distractions 17-8
  • Fangio 32
  • habits, and 31
  • Human Factors 215, 217
  • losing (symptoms) 17
  • mind 11
  • panic 169
  • regaining 85
  • Sully Sullenberger 268
  • texting 129, 161

Skiles, Jeff 19, 262

sleep 273–4

Slim, General Sir William 96

slow mind 11–3, 16-8, 20, 41

  • multi-tasking and 16-7, 41
  • practice and 18, 41

Smith, Michael 89

social media 78, 91

space shuttle

  • Ebeling, Bob 117-9


SPEED, SPEED, STALL, STALL 242

startle effect 19–23, 31

  • arousal modulation 22
  • ‘Aviate, Navigate, Communicate’ 42–4
  • see checklists
  • Fight, Flight, Freeze 9, 22, 46, 157-8, 235
  • herd instinct 54–5
  • instinctive fears 158
  • panic 54
  • QF32, on 20–3
  • reducing 31
  • see stress
  • symptoms of increasing stress 46
  • thunder 239
  • training for 19–20

status quo bias 129, 131, 162

staying alive 42–4

STEAM 137, 218, 273

steep command gradient 133

STEM 218, 271–3

stepping up 221

  • RAISE 223
  • STOP! 85, 189, 205, 222-3, 230, 233, 236

Sternberg, Ben 30

Sternberg, Eliezer 14, 23-4, 159

stock market crashes 55–6

STOP! 85, 189, 205, 222-3, 230, 233

  • Michael Von Reth 236

storming 208–10 & (QF32 148)


stress 33–9, 234, 238–9

  • biofeedback 275
  • breathing and 34–5, 46–7, 59, 275
  • conquering 33–9
  • controlling reaction to 22, 45–7, 274–5
  • cortisol levels 235
  • fear causing 34
  • fear response (see Startle Effect)
  • heart rate 45–6, 275
  • hyperventilation 34–5, 47
  • physiological changes 34, 238–9
  • reducing predisposition to 20
  • resilience to 30, 40-41, 271
  • see Startle Effect)
  • Stress-Proof Deliberate Practice
  • stress-reduction posture 37

Stress-Proof Deliberate Practice (SPDP)

  • see amygdala
  • building, how to 29-32
  • Neil Armstrong 155
  • protection for stress 22
  • QF32, response to stress 22
  • resilience to stress 30, 40-41, 271
  • practice until you stop yourself being surprised 283
  • see Deliberate Practice  29–30, 32–3, 40-1, 271

stubbornness 266

subconscious decisions 127

success (=passion+execution+discipline) 265

suicide

  • PTSD 246
  • second victims 247

Sullenberger, Captain Chesley (‘Sully) 19

  • advice post QF32 247-50
  • anticipated threats 21
  • aviate 43
  • Haynes, Alfred 250
  • never give up 268
  • post crisis management (psychology) 247–50
  • role model 262, 280
  • teamwork 160

Sullivan, Irma 37–9

Sullivan, Kevin (QF32 p 159-60)

Sun Tzu 166

sunflower bias 129, 133, 162

sunk-cost bias/fallacy 114, 122, 129, 131–3, 162

surgery. errors 87

synapse

  • neural growth factor 243

T

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Taleb, Nassim Nicholas 149

Taske, Dr John 156–7

Tata, Ratan 84

team-building stages 203–15, 231

  • forming 203–8 & (QF32 142)
  • storming 208–10 & (QF32 148)
  • norming 210–11
  • performing 212–13
  • adjourning 213–15

teamwork 1, 7, 197–233, 283

  • acknowledging effort 213
  • see checklists
  • Carter, Jerry 198
  • debriefs 214–15, 232
  • decision making 223–5
  • distributed leadership 211
  • diversity 217–8, 232
  • diverse experience and viewpoints 217–18, 232
  • dysfunctional teams 209, 225
  • failure of teams 225–6
  • good, examples:  Ball, Lindsay & Barras, Diane 227
  • Human Factors 215–9
  • idiosyncrasies and normalised deviances 211
  • joining existing teams 207
  • moon, survival test 201
  • marriage as 227–30
  • monitoring 212 (QF32 169)
  • normalised deviances 211
  • performing in crises 212
  • pro-active members 211
  • Ramp decision-making 137, 223–5, 232
  • resilience and 195, 197, 231, 262, 283
  • roles, clarity about 182, 219–20
  • temporary teams 207
  • trust 226–7, 229, 231-2

Tesch-Römer, Clemens 25

texting while driving (distractions) 17-8

Thaler, Richard 127, 129, 131

thinking for yourself 54–6

Thompson, Arnold 118

threat and error management (TEM) 145

  • mitigation 49–51, 69, 145

titles

  • chairman and CEO 167

to-do lists 276

Tolstoy, Leo 232

training see also practice

  • “bullet proof not gun shy” 28, 40, 142, 261
  • confidence building  27–8
  • failing well 110
  • habits, creating 9, 18, 20, 31, 39, 41, 283
  • habits, instincts, intuition & gut feelings 157
  • lifelong learning 270–1, 281
  • near misses, learning from 109–10
  • muscle memory 23
  • resilience building 283
  • startle effect, for 19–20

trait leadership 172

transformational leadership 173

trauma, growth from 255

true grit 265

trust 90, 100–1, 169

  • brand 71-91
  • teamwork and 225-6, 229, 231-2

Tuckman, Bruce 203, 213, 231

Tversky, Amos 112, 127, 137

U

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

unhappy customers, learning from 115–17

‘unimaginable’ crises 64–8

unknowns 127

United Airlines 116

V

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

values (see WHY)

van Zanten, Captain Jacob 215

veterans, PTSD 246

vibration

  • Macchi jet (QF32 171)

victims, second 118

  • Just Culture 118
  • PTS 253-4
  • Suicide 246-7

visualisation 275

voice 59–60

von Reth, Michael 165, 199-200, 235-6

  • STOP! 236

vulnerability 28, 83, 95-6, 104, 123, 198, 205, 220

  • audit 90
  • humility 95-6, 180, 205, 220

W

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

walls (see disruption)

Welsh, General Mark III 194

Wheatley, Roz 76, 165

White, Edward 188, 190

WHY

  • culture, and 195
  • dysfunctional teams, and 209
  • intuition, and 158
  • leadership, and 171
  • leadership, your 179–81
  • my values during QF32 disclosure 82
  • resilience, bottom line, and 281
  • servant leadership, and 174
  • your WHYs 264–5

windmills (see disruption)

Wirth, Olivia 78

Wischer, Adrian 133, 179

wisdom 273, 283

  • see creativity
  • culture to harness wisdom and creativity 218
  • experience bias 134-7, 161-2
  • experience and intuition 39, 283
  • peaks in 50s 137

Wonder Woman pose 47–8

  • see pumping (priming) senses

Woods, Tiger 27, 157

  • see deliberate practice

wrong-side surgery 87

X

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Y

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Yes Man Plan 277–9

Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Zeussman, Ronnie 241-3, 247

***

  • To be included in future updates at Fly-TheBook.com

Updated 28 March 2021