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Human Performance > Models Of Error > Flashcards

Models Of Error Flashcards

1
Q

SHELL Model

A

Describes interactions with other parts of the shell model

Liveware - Liveware
Liveware - Hardware
Liver-ware - Software
Liveware - environment

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2
Q

Liveware to Liveware

A

Pilot to people (pilot to fuel tanker man)
- standard wordings/phrases to eliminate errors

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3
Q

Liverware to software

A

Checklist/manuals/computers (pilots and checklists/iPads/manuals)
- poorly indexed ops manual or odd sequenced drills

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4
Q

Liveware to Hardware

A

Pilots to AC systems (flight controls/cockpit setup)
- controls displays closely matching human characters
- landing gear shape like a wheel for example

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5
Q

Liverware to Environment

A

Pilots to the outside world (noises/vibration/lights/weather)
GPWS/TCAS protection systems

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6
Q

Swiss Cheese Model

A

Accident causation model involving individual and organisation

  • each slice represents barrier to error by process and systems
  • holes represent weaknesses
  • holes line up = accident (active errors or latent errors)
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7
Q

TEM Management is

A

Process of detecting and responding to threats and errors via identify and mitigating by countermeasures

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8
Q

LEO Threats

A

Latent Threats - incorrect SOPS/incorrect chart info
Environmental Threats - weather/ATC/airport
Organisational Threats - ops pressures/cabin crew

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9
Q

PAC Errors

A

Procedural - SOPS/Checklists
Aircraft Handling Errors - Handling/Radio
Communicating Errors - Pilot to Pilot

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10
Q

Countermeasures to threats and errors

A

Systemic (Hard) - Stick pusher/SOPs/TCAS

Individual - Planning/execution/review counter measures

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11
Q

Open Culture

A

Allows mistakes to be reported without risk of sanctions. Everyone learns from mistake

Aviation strives to be an open culture

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12
Q

Closed Culture

A

Conspiracy of silence, mishaps not published and no one learns from there mistake

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13
Q

National Culture

A

Cultural norms impacting organisational norms. State of culture of silence about mishaps leading to a closed culture in the organisation

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14
Q

Safety First

A

Safety before commercial pressures to deliver service

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15
Q

What makes a good safety culture x5

A

Reporting culture
Informed culture
Learning culture
Flexible culture
Just culture

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16
Q

Just culture

A

Those who are informed/involving pilots and reporting when necessary

17
Q

Informed Culture

A

Analysis data and share out the safety info - most effective towards risk management

18
Q

Safety Management System composed of

A

Safety policy’s
Safety risk management
Safety assurance
Safety promotion

Human Performance (18 decks)

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