Human factors and the aviation industry Flashcards
Frequency of accidents
1 in 1.2 million flights
what percentage of accidents are caused by human factors?
70-80%
which phase of flight is most dangerous?
intermediate and final approach followed by the landing and then take off
3 pilot competency skills?
skill
knowledge
atitude
8 core competencies are?
communication aircraft flight path management- manual control aircraft flight path management- automatic control leadership and teamwork problem solving and decision making application of procedures workload management situational awareness
closed safety culture
blame given
reluctant to release info regarding accidents
open safety culture
no blame
open about mistakes so others learn
accidents reviewed
James reasons 5 things for a good culture?
informed culture reporting culture learning culture flexible culture just culture
SHELL model
software - non physical things hardware - equipment environment - inside and outside climate liveware - human element liveware
Liveware - liveware
human interaction
possible miscommunication
staff relationships
liveware - software
non physical
how charts, SOPs etc interpreted
mode error- not recognising in wrong mode
liveware- hardware
physical
how we interact with design of aircraft
position and design of levers standardised
things operating with natural senses
liveware - environment
inside and outside climate
eg. too hot or cold,traffic ,terrain
company putting you under stress for quick turn around etc or fatigue from rostering
Swiss cheese model
each slice a defence
each hole is a weakness or limitation(active or latent), multiple lead to a failure
using defences can prevent accident
Active failure
short lived
directly linked to accident
poor airmanship by crew