9.8 Human error Flashcards

1
Q

What does SHELL model stand for

A

Software, Hardware, Environment, Live-ware

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2
Q

What does PEAR model stand for

A

People, Environment, Actions, Resources

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3
Q

Explain the ‘Swiss Cheese Model’ approach

A

aims to reduce the chances of human error by implementing more safeguards

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4
Q

Explain the ‘Error chain’

A

Accidents that involved a series of human factor problems . (Preventative measures should have been implemented earlier to break the chain)

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5
Q

What are ‘slips’

A
  • Actions which were not carried out as intended or planned
  • Occur during task execution
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6
Q

What are ‘Lapses’

A
  • Missed actions and omissions
  • Occur at storage (memory) stage
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7
Q

What are ‘Mistakes’

A
  • error caused by a faulty plan or intention
  • Occur at planning stage
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8
Q

What are ‘violations’

A
  • deliberate ‘illegal’ actions
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9
Q

Explain what constant errors are

A
  • Follow a certain consistent , systematic pattern
  • Can be predicted
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10
Q

Explain what variable errors are

A
  • Cannot be forseen and are much harder to manage
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11
Q

What is a type 1 error

A
  • When a good item is incorrectly identified as faulty
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12
Q

What is a type 2 error

A
  • When a fault is overlooked
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13
Q

What is a routine violation

A
  • Practices that have become ‘the normal way of doing something’
  • e.g. cutting corners to save time
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13
Q

What are optimising violations

A
  • Breaking the rules for fun
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14
Q

What are exceptional violations

A
  • Tasks or operating circumstances where violations are inevitable
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15
Q

What are situational violations

A
  • Down to circumstantial factors such as time pressure, high workload, unworkable procedures, inadequate tooling, poor working conditions etc.
16
Q

Errors that do not cause accidents, but still cause a problem are known as?

A

Incidents

17
Q

What is the confidential human factors incident reporting programme (CHIRP)

A
  • Can report safety concerns and incidents confidentially
18
Q

What is the aim of error management

A
  • prevent errors from occurring
  • eliminate or mitigate the impact of errors
19
Q

What is Mandatory occurence reporting system (MORS)

A

all maintenance incidents must be reported to UK CAA via MORS