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actions were verified 1
WORKLOAD
MANAGEMENT
Operational tasks were prioritized and
properly managed to handle primary
flight duties
— Avoided task fixation
— Did not allow work overload 3
VIGILANCE Crew members remained alert of the
environment and position of the aircraft
— Crew members maintained situational
awareness 2
AUTOMATION
MANAGEMENT
Automation was properly managed to
balance situational and/or workload
requirements
— Automation setup was briefed to other
members
— Effective recovery techniques from
automation anomalies
Review / Modify Behavioral Markers Rating
EVALUATION OF
PLANS
Existing plans were reviewed and
modified when necessary
— Crew decisions and actions were
openly analyzed to make sure the
existing plan was the best plan
INQUIRY Crew members asked questions to
investigate and/or clarify current plans
of action
— Crew members not afraid to express a
lack of knowledge — “Nothing taken
for granted” attitude
ASSERTIVENESS Crew members stated critical
information and/or solutions with
appropriate persistence
— Crew members spoke up without
hesitation
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.
Routine – no comments
SAMPLE
FOR ILLUSTRATION PURPOSES ONLY
Appendix A. Examples of the various forms utilized by LOSA A-5
Copyright  2002 The University of Texas at Austin. All rights reserved.
Descent / Approach / Land Technical Worksheet
Descent (Above 10,000 ft.)
Approach and Land (Below 10,000 ft.)
1 Was the approach briefed before the TOD? (Yes / No) Yes
2 Did the crew begin the descent before or at the FMS TOD? (Yes / No) Yes
3 Did the aircraft get significantly above/below the FMS or standard
path? (Yes / No) No
If “Yes”, explain in the narrative the cause
and whether the crew tried to regain the
path.
4
Approach flown?
(Check one)
Visual
X
Instrument backup on
visual approach?
(Check One)
Yes X
No
Precision Type of precision
approach
Nonprecision Type of nonprecision
approach
5 Approach: Hand flown or Automation flown? Hand-flown
6
Did the aircraft get significantly above/below a
desirable descent path? (Yes / No) Yes
If “Yes”, explain in the narrative the
cause and whether the crew tried to
regain the path.
7
During flap extension, flaps were
“generally” extended:
(Check one)
Close to or at minimum maneuvering speed
Close to or at the maximum flap extension
speed X
Above maximum flap extension speed
(If this happens, be sure to describe in the
narrative)
8 Weather (Check One) VMC X IMC
SAMPLE
FOR ILLUSTRATION PURPOSES ONLY
A-6 Line Operations Safety Audit (LOSA)
Copyright  2002 The University of Texas at Austin. All rights reserved.
9
Stabilized Approach Parameters 1500 AFE 1000 AFE 500 AFE
Target airspeed between –5 and +15 Yes Yes Yes
Vertical speed ≤ 1000 fpm Yes Yes Yes
Engines spooled Yes Yes Yes
Landing configuration
(Final flaps / gear down) Yes Yes Yes
On proper flight path (G/S and localizer) Yes Yes Yes
SAMPLE
FOR ILLUSTRATION PURPOSES ONLY
Appendix A. Examples of the various forms utilized by LOSA A-7
Copyright  2002 The University of Texas at Austin. All rights reserved.
Descent / Approach / Land – The Blue Box
Narrative
Think “blue box.” Describe significant events from the TOD to landing using the picture above to define
landmarks. Talk about how the crew performed when confronted with threats and crew errors. Also, be
sure to justify your behavioral ratings.
Briefing to TOD – The CA and FO did a nice job with the approach brief, which was completed by
the TOD. Much better than their takeoff brief. They expected runway 25L from the Civet Arrival
for a straight-in visual approach. Jepp charts were out, contingencies talked about, and everything
was by the book. The FO asked a lot of questions and the CA was patient and helpful. Nicely done!
10000’ to slowing and configuring – ATC cleared the crew to 25L, but at 8000’, ATC changed us to
the Mitts Arrival for runway 24R due to a slow moving A/C on 25L. The CA changed the arrival
　
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