Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM...

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Flight Safety, Human Factors, and CRM – A holy trinity or not even in the vicinity? Dr. Nicklas Dahlstrom Human Factors Manager

Transcript of Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM...

Page 1: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Flight Safety, Human Factors, and CRM – A holy trinity or not even in the vicinity?

Dr. Nicklas Dahlstrom

Human Factors Manager

Page 2: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Content

• Flight Safety, Human Factors and CRM

• The Current State of CRM

• CRM at Emirates

• The Way Forward for CRM

Page 3: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Flight Safety Human Factors and CRM

Page 4: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

The History of Flight Safety

Page 5: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Understanding Flight Safety- The Changing Nature of Flight Safety

Page 6: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Flight Safety – How safe are we?Lives lost per

year

100 000

10 000

1000

100

10

1

10 0001 10 100 1000 1 million 10 million

(Adapted after Amalberti, 2005)

Number of events for each accident

Climbing Mt Everest

Health care (in USA)

Chemical manufacturing

100 000

Chartered flights

Road transport (in USA)

Scheduled airlines

Rail transport (Europe)

Page 8: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Human Factors and CRM

Human Factors

Learning

Physiology

Sociology

Leadership

Communication

Technology

Design

Psychology

And so on …

Page 9: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Human Factors and CRM

Human Factors

Learning

Physiology

Sociology

Leadership

Communication

Technology

Design

Psychology

And so on …

CRM

Page 10: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Crew Resource Management

CRM is the effective utilisation of all available resources (e.g. crew members, aeroplane, systems and supporting facilities) to achieve safe and efficient operation.

CRM is the effective utilisation of all available resources (e.g. crew members, aeroplane, systems and supporting facilities) to achieve safe and efficient operation.

Page 11: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

The Current Stateof CRM

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The Foundation – HF Research

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Regulatory Statusand Industry Acceptance

Page 14: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Delivery of CRM and Crew Acceptance

Irritation

Information

Information

Interaction

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Accident Review and Trends

2014

(Flight Safety Foundation, 2015)

20132012

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Current CRM Considerations

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Implementation– Does CRM work?

• Research at academic medical center in UK

• Mandatory CRM training for 517 staff (surgeons, anaesthesiologists, nurses etc.), including use of briefings and checklists for coordination

• Pre-operative briefings up in the operating room from 6.7% to 99% within four months

• Wrong site surgeries and retained foreign objects down from 7 in 2007 to none in 2008, after 14 months without training up to 5 in 2009

• Malpractice expenses down from $ 793 000 (2003-2007) to 0 (zero) in 2008

(Ricci & Brumsted, 2012)

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CRM at Emirates

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Goal of Emirates CRM Training

Awareness – Airmanship – Suspicion

Resilience

Page 20: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

HF Office – The Work We Do• Development and delivery of:

– Flight Crew CRM

– Cabin Crew CRM

– Combined CRM

– Dispatchers, ATC, Third party etc.

• Train the Trainer (Standardisation meetings, instructor

courses, etc.)

• Assessment of CRM / Coaching

• Investigation / Support

Knowledge - Interaction - Tools

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(Comparison of 2095 EK Pilots in 2010 to [SD=1.07] vs 182 EK Pilots in 2015 [SD=0.84])

0

10

20

30

40

50

60

Never Hardly Ever Sometimes Often Very Often

Perc

enta

ge

2010 2015

My decision making ability is as good in emergencies as in routine flying operations

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0

10

20

30

40

50

60

Never Hardly Ever Sometimes Often Very Often

Perc

enta

ge

2010 2015

(Comparison of 2095 EK Pilots in 2010 to [SD=1.07] vs 182 EK Pilots in 2015 [SD=0.84])

I am more likely to make errorswhen the workload is high

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Video for CRM

Including use of classroom voting for assessment of CRM skills and other interaction

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Culture Module – ExerciseWhere in the world do you think that Power Distance

is likely to be very high?

Maybe in the Far East?

Yes, I think so.

Me too. I will fill this up toalmost full … about 80%.

Page 25: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Culture Module – Exercise

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Dispatch Module – ExerciseMin Cost

Track

Selected

Route

MCT avoids Scottish airspace

due to high ATC Charges

• It is 4 am (00:00Z) at HQ and you are the North America dispatcher - NA1 • You must generate the route for EK 225 DXB–SFO (STD 04:50Z) whilst managing your other flights –

The route must be ready by 01:00Z

Page 27: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

ATC Module – Exercise

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ATC Module – Video

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The Next Step?Using “Simple” Simulation for CRM Training

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Example 1: Cold Store– Exploring Information Processing

• Simulation used to explore understanding of dynamics of complex system interactions

• Single parameter and simple process, but there is a lag

• Used for research on information processing, decision making etc.

• Used for Master’s thesis by CRMI Captain Mark Cameron

(Recihert & Dorner, 1988; Dorner, 1996)

Page 31: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Example 1: Cold Store

• Supermarket Manager

• Call from supermarket: “The control for the cold store is out of order!”

• Control for temperature can be used, but results only seen on thermometer

• Task is to maintain temperature at 40

C

(Reichert & Dorner, 1988; Dorner, 1996)

Page 32: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Example 1: Cold Store

(Cameron & Dahlstrom, 2013)

Page 33: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Example 1: Cold Store

(Cameron & Dahlstrom, 2013)

Page 34: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Example 2: M/S Antwerpen– Training for Unusual and Unexpected Situations

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The Way Forwardfor CRM

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EXPERIENCEEXPOSURE

The Challenging Changeof Pilot Expertise

EXPERTISE

VARIETY REFLECTIONPRACTICE

Limited exposure Degraded experience More effective training to achieve expertise

Page 37: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Training to meet the Challenge

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Evidence Based Training

(Flight Safety Foundation, 2013)

PilotsTraining Safety

HF/CRM

Page 39: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

“EBT”

REGs “EBT” EBT

REGs

REGsATQP EBT

Evolution of EBT

Page 40: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

REALITY

What is Evidence?

FUTURE

CAPTURECOLLECTION

DATA INFO

ANALYSISFEEDBACK

ANALYSIS“FEED FORWARD”

Page 41: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Working with EBT

EBTWORKING

GROUP

COLLECTIONANALYSISDECISION

FLIGHT SAFETY FLIGHT OPERATIONS

FLIGHT TRAINING INDUSTRY

OTHER EXTERNALOTHER INTERNAL

HF/CRM

Page 42: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Implementation of CRM

Page 43: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Integration of CRM

• Continued work on understanding and acceptance

• Integration in all aspects of training

• Integration in all aspects of work

• CRM as vehicle for cross-organisational knowledge

• CRM as vehicle for building organisational culture

Page 44: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

What are you “selling”?

Page 45: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Improving Efficiency

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Protecting Safety

Page 47: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

• Irritation Information

• Information Interaction

• Interaction Implementation

• Implementation Integration

SummaryThe Way Forward for CRM

Page 48: Flight Safety, Human Factors, and CRM - Home - PACDEFF · • Flight Safety, Human Factors and CRM • The Current State of CRM • CRM at Emirates ... – Cabin Crew CRM – Combined

Thank you!– Questions and Discussion

[email protected]