Exam Revision Flashcards
Components of the SHEL(L) model?
Software - the rules, procedures, spoken words etc., which are part and parcel of standard operating procedures
Hardware - the air traffic control suites, their configuration, controls and surfaces, displays and functional systems
Environment - the social and economic climate in which the ATC operates as well as the natural environment
Liveware - the human beings within the system
Focus of the SHEL(L) model?
The focus of this model is that errors occur due to the mismatch of interfaces between the components in the system.
By studying and apating the interfaces to the needs of the operator, errors can be manages or reduced.
SHEL(L) Component Relationships?
Liveware - Software
Liveware - Hardware
Liveware - Environment
Liveware - Liveware
Five competencies of Team Resource Management (TRM)
- Enhancing decision-making skills
- Developing effective interpersonal communication
- Developing leadership/followership abilities
- Engendering a ‘team’ concept for enhanced operational performance
- Dealing with stress
Cultural shells of the SHEL(L) model?
- Professional
- Organisational culture
- Safety culture
Five levels of the Reason model?
- Organisational Decision Makers
- Line Management
- Environmental Factors (including culture)
- Productive Activities (task related activities)
- Defences
Mechanism of Reason Model
Recognises that all components of the system can contribute to, and detract from, safe and effective operations.
Usually if their is a failure in one level, there are procedures and practices in another level thay will usually prevent the failure from escalating.
Latent conditions
Conditions associated with the task, environment or the people themselves that may have contributed to the human behaviour, as well as higher level organisational and system factors that may combine with local conditions and active failures to cause an accident.
Individual and Team Actions
Also called ‘unsafe acts.’ Errors or breaches which trigger the event. People may not necessarily know at the time that the action they are committing is at-risk or unsafe.
Active Failures
Errors or risky behaviours that have an immediate and adverse effect.
Barriers
Inadequate or absent defences.
The last lines of defence against an accident and are designed to catch the errors before they can escalate into incidents or accidents.
e.g.
- physical barriers
- alarms
- interlocks
- keys
- passwords
- protective equipment
- checklists
- rules and procedures
- emergency training
Most human error types are associated with?
Simple and complex tasks and human-machine interactions and are predictable in nature.
Human Error
Inadvertently doing other than what should have been done; a slip, lapse or a mistake
At-Risk Behaviour
A behavioural choice which increases risk, where risk is not recognised or mistakenly believed to be justified.
Reckless Behaviour
A behavioural choice to consciously disregard the substantial and unjustifiable risk
System Design: Barriers
A device (administrative or physical) installed to prevent the human error from occurring in the first place.
System Design: Recovery
Refers to our ability to catch an upstream error or failure before it can lead to an adverse outcome.
Often this is achieved with the use of feedback, downstream tests, or checks.
System Design: Redundancy
The creation of multiple paths to allow success through a second path if the first path does not work.
The multiple paths can work in parallel so thay failure in one or more does not jeopardize the mission or goal.
Hypoxia
A condition in which a shortage of oxygen in the air being breathed affects the oxygen saturation or haemoglobin in the blood.
Hypoxia can occur quickly and the body ability to adapt to a low oxygen condition is poor when the onset is fast.
Symptoms of Hypoxia
- Behavioural changes
- Confusion
- Euphoria
- Innattentiveness
- Sense of well-being
- Confused thinking
- Apprehension
- Fatigue
- Belligerence
- Hyperventilation
- Mental confusion
- Poor judgment
- Unconsciousness
- Headache
- Slurred speech
- Tingling in the skin
- Changes in vision
- Dizziness
- Racing Heart
- Disorientation
Psychological factors that can affect human performance
- Stress
- Workload
- Fatigue
- Information processing and situational awareness
- Decision making and judgment
- Attention
- Vigilance
- Memory
Stress
A reaction that is initiated when a situation is evaluated as a threat and requires actions beyond an individuals normal operational intensity level.
Physical stressors
- pain
- hunger
- lack of sleep
- exhaustion
Environmental stressors
- noise
- pollution
- over-crowding
- excess heat
Common cause of stress in ATS staff?
Performance anxiety created by the individuals perception that their ability and that required of the system is different.
What can raise an individuals tolerance to stress?
Training and conditioning (practice)