Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance...
Transcript of Federal Aviation Simple Ways to Recall · Simple Ways to Recall Human Factors in Maintenance...
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
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
Simple Ways to Recall Human Factors in [email protected]
SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007
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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
Simple Ways to Recall Human Factors in [email protected]
SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007
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GA Fatal Accidents
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Human Factors #1 Causal Factor
Human Factors
Maintenance
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
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.
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
Simple Ways to Recall Human Factors in [email protected]
SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007
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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
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
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
Simple Ways to Recall Human Factors in [email protected]
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PEOPLE
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What does this mean?
Link
With Permission of LTTHF.COM
Simple Ways to Recall Human Factors in [email protected]
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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
Simple Ways to Recall Human Factors in [email protected]
SAE-PAMA Coastal Chapter – IA Renewal Savannah, GAMarch 24, 2007
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An Excellent Website about Sleep
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Regarding sleep: Do what your mama told you.
www.nationalsleepfoundation.org
Simple Ways to Recall Human Factors in [email protected]
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Environment
Eagle
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Actions
Simple Ways to Recall Human Factors in [email protected]
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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
Simple Ways to Recall Human Factors in [email protected]
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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
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
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 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
Simple Ways to Recall Human Factors in [email protected]
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Spectacles & PEAR
Thank You
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You are Invited!
Go to www.airlines.org