Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance...

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Simple Ways to Recall Human Factors in Maintenance [email protected] SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24, 2007 1 Simple Ways to Recall Human Factors in Maintenance Dr. William B. Johnson Chief Scientific & Technical Advisor for Human Factors in A/C Maintenance Systems [email protected] 404.305.6118 13th Annual SAE-PAMA Coastal Empire – IA Renewal Savannah March 24, 2007 Federal Aviation Administration Federal Aviation Administration 1 of 37 13 th Annual SAE-PAMA Coastal Empire – IA Renewal Savannah March 24, 2007 Agenda – Easy to Recall Information PEAR: People-Environment-Action-Resources Discussion as time permits Put on your HF Spectacles The Operator‘s Manual for Human Factors Why bother with Human Factors: Data Review

Transcript of Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance...

Page 1: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007

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Simple Ways to RecallHuman Factors in Maintenance

Dr. William B. Johnson

Chief Scientific & Technical Advisor for

Human Factors in A/C Maintenance Systems

[email protected]

13th Annual SAE-PAMA Coastal Empire – IA RenewalSavannahMarch 24, 2007

Federal AviationAdministration

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Agenda – Easy to Recall Information

PEAR: People-Environment-Action-Resources

Discussion as time permits

Put on your HF Spectacles

The Operator‘s Manual for Human Factors

Why bother with Human Factors: Data Review

Page 2: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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World Airline Accidents and Fatalities 1997-2006

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US Air Carrier Accident Rates/TargetsCOMPARISON of AIR CARRIER FATAL ACCIDENT RATES/TARGETS

(Air Carrier includes all Part 121 and Scheduled 135 Carriers)FY 2007 (as of January)

0.0170.023

0.018

0.000

0.020

0.040

0.060

0.080

0.100

0.120

0.140

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

P20

0820

0920

10

Fata

l Acc

iden

ts p

er 1

00,0

00 D

epar

ture

s

ANNUAL -- Annual Fatal Accident RateACTUAL -- Three-Year Average Fatal Accident RateBASELINE -- Average 1994-to-1996TARGETS -- To Achieve 80% Reduction in Rates by 2007

BASELINE = 0.051

* Annual - 12 Month Lookback* 3 Yr Avg - 36 Month Lookback

Page 3: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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GA Fatal Accidents

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Human Factors #1 Causal Factor

Human Factors

Maintenance

Page 4: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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Events where Maintenance was a Factor

Link

Link

Link

With Permission of LTTHF.COM

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Example Maintenance Error

Jan 2000 Alaska Airlines Boeing MD-80 Jackscrew for Elevator Control

Mar 2001 Lufthansa Airbus A320 Mis-wired side stick

Apr 2001 Emery Worldwide DC-8 Reversed hyd. check-valve

Aug 2001 Air Transat A310 Fuel exhaustion over Atlantic

May 2002 China Airlines B747-200 In flight break-up at 35K Ft.

Jan 2003 Air Midwest Beech1900D Trim Rigging

Aug 2003 Colgan Air Beech 1900D Trim Rigging

Jan 2006 Continental B737-500 Engine Run-up

July 2006 Spectrum Aircraft Spectrum 33 Mis-Rigging

Page 5: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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Implications of the 2005-2006 Safety Stats for Mx HF

• There are “opportunities for improvement”

• Maintenance and technical issues are areas of concern

• Technical manuals!!

• Human factors challenges are ever present

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Human Factors Goal – Simply Stated

Ensure continuing safety and efficiency by

paying attention to issues that affect human

performance.

Page 6: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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The Disciplines of Human Factors

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Agenda – Easy to Recall Information

PEAR: People-Environment-Action-Resources

Discussion as time permits

Put on your HF Spectacles

The Operator‘s Manual for Human Factors

Why bother with Human Factors: Data Review

Page 7: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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Put on your “Human Factors Spectacles”

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The 12 Common Human Errors

Link

With Permission of LTTHF.COM

Page 8: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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But first, look at the “Person in the mirror”

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Agenda – Easy to Recall Information

PEAR: People-Environment-Action-Resources

Discussion as time permits

Put on your HF Spectacles

The Operator‘s Manual for Human Factors

Why bother with Human Factors: Data Review

Page 9: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007

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Maddox & Johnson, 1996

The PEAR MODEL

Link

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PEAR

Page 10: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

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PEOPLE

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What does this mean?

Link

With Permission of LTTHF.COM

Page 11: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007

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Timing is Everything?

Link

PresentationTime!!

With Permission of LTTHF.COM

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Chronic Fatigue (harder to fix)•Frequent recurrence

•Long duration

•Slow recovery

•Often a physical sickness or mental stress causing chronic fatigue.

Types of Fatigue

Acute FatigueIntense

Short Duration

Cured with a good night’s sleep

Page 12: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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An Excellent Website about Sleep

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Regarding sleep: Do what your mama told you.

www.nationalsleepfoundation.org

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Simple Ways to Recall Human Factors in [email protected]

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Environment

Eagle

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Actions

Page 14: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

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Actions - What can you do today?

How do you communicate error events?

Are there enough people to do the job?

Do personnel understand the cost of A/C damage?

How can you motivate one another to care more?

Are you responsible for the things that others do?

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Resources

Page 15: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

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Please Offer your Example of Resources

• Are resources ever a problem?

• What are the solutions?

• Give an example?

• What advice can you offer?

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Agenda – Easy to Recall Information

PEAR: People-Environment-Action-Resources

Discussion as time permits

The Spectacles

The Operator‘s Manual for Human Factors

Page 16: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007

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Spectacles & PEAR

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Agenda – Easy to Recall Information

PEAR: People-Environment-Action-Resources

Discussion as time permits

The Spectacles

The Operator‘s Manual for Human Factors

Page 17: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007

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Page 18: Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance bill.johnson-dr@faa.gov SAE-PAMA Coastal Chapter – IA Renewal Savannah, GA March 24,

Simple Ways to Recall Human Factors in [email protected]

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3 key references plus slides

Key References for Each Chapter

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www.hf.faa.gov/opsmanual orwww.hfskyway.com

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Spectacles & PEAR

Thank You

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You are Invited!

Go to www.airlines.org