Chapter 15 - Human error, reliability and decision making Flashcards
What is a skill error can be an action slip what does that include
right intension - wrong outcome
lapse error - forgetting to do something
What is a skill error environmental capture / habituation
comes with experience and frequency
you carry something out so regularly you don’t actually check properly
Rule / knowledge faults or mistakes are
wrong intension - but the wrong task was carried out correctly
Frank Hawkins worked out that how many errors are made
and can be up to if training and procedures are implemented
1 in 100 tasks
1 in 1000 tasks
give the 9 steps of decision making / judgement concept
Diagnose Collect info Risk assessment Develop options Evaluate options Decide Assign tasks Implement decision Consequences Review & feedback
A captain makes a decision but who prepares it
crew
A 3 pointer altimeter is how much harder to read
20 %
A selective / channelized distraction causes
to miss x1 task
Internal factors causing a violation x4
misinterpretation of info
lack of memory
expectancy bias
lack of practice