A Human Error Approach To Aviation Accident Analysis

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A Human Error Approach to Aviation Accident Analysis

Author : Douglas A. Wiegmann,Scott A. Shappell
Publisher : Routledge
Page : 174 pages
File Size : 46,7 Mb
Release : 2017-12-22
Category : Technology & Engineering
ISBN : 9781351962353

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A Human Error Approach to Aviation Accident Analysis by Douglas A. Wiegmann,Scott A. Shappell Pdf

Human error is implicated in nearly all aviation accidents, yet most investigation and prevention programs are not designed around any theoretical framework of human error. Appropriate for all levels of expertise, the book provides the knowledge and tools required to conduct a human error analysis of accidents, regardless of operational setting (i.e. military, commercial, or general aviation). The book contains a complete description of the Human Factors Analysis and Classification System (HFACS), which incorporates James Reason's model of latent and active failures as a foundation. Widely disseminated among military and civilian organizations, HFACS encompasses all aspects of human error, including the conditions of operators and elements of supervisory and organizational failure. It attracts a very broad readership. Specifically, the book serves as the main textbook for a course in aviation accident investigation taught by one of the authors at the University of Illinois. This book will also be used in courses designed for military safety officers and flight surgeons in the U.S. Navy, Army and the Canadian Defense Force, who currently utilize the HFACS system during aviation accident investigations. Additionally, the book has been incorporated into the popular workshop on accident analysis and prevention provided by the authors at several professional conferences world-wide. The book is also targeted for students attending Embry-Riddle Aeronautical University which has satellite campuses throughout the world and offers a course in human factors accident investigation for many of its majors. In addition, the book will be incorporated into courses offered by Transportation Safety International and the Southern California Safety Institute. Finally, this book serves as an excellent reference guide for many safety professionals and investigators already in the field.

A Human Error Approach to Aviation Accident Analysis

Author : Professor Scott A Shappell,Professor Douglas A Wiegmann
Publisher : Ashgate Publishing, Ltd.
Page : 173 pages
File Size : 47,9 Mb
Release : 2012-10-01
Category : Transportation
ISBN : 9781409463030

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A Human Error Approach to Aviation Accident Analysis by Professor Scott A Shappell,Professor Douglas A Wiegmann Pdf

This comprehensive book provides the knowledge and tools required to conduct a human error analysis of accidents. Serving as an excellent reference guide for many safety professionals and investigators already in the field.

Human Factors Models for Aviation Accident Analysis and Prevention

Author : Thomas G.C. Griffin,Mark S. Young,Neville A. Stanton
Publisher : CRC Press
Page : 316 pages
File Size : 49,6 Mb
Release : 2017-03-02
Category : Transportation
ISBN : 9781317120094

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Human Factors Models for Aviation Accident Analysis and Prevention by Thomas G.C. Griffin,Mark S. Young,Neville A. Stanton Pdf

The investigation and modelling of aviation accident causation is dominated by linear models. Aviation is, however, a complex system and as such suffers from being artificially manipulated into non-complex models and methods. This book addresses this issue by developing a new approach to investigating aviation accident causation through information networks. These networks centralise communication and the flow of information as key indicators of a system’s health and risk. This holistic approach focuses on the system environment, the activity that takes place within it, the strategies used to conduct this activity, the way in which the constituent parts of the system (both human and non-human) interact and the behaviour required. Each stage of this book identifies and expands upon the potential of the information network approach, maintaining firm focus on the overall health of a system. The book’s new model offers many potential developments and some key areas are studied in this research. Through the centralisation of barriers and information nodes the method can be applied to almost any situation. The application of Bayesian mathematics to historical data populations provides scope for studying error migration and barrier manipulation. The book also provides application of these predictions to a flight simulator study for the purposes of validation. Beyond this it also discusses the applicability of the approach to industry. Through working with a legacy airline the methods discussed are used as the basis for a new and prospective safety management system.

Investigating Human Error: Incidents, Accidents, and Complex Systems

Author : Barry Strauch
Publisher : Routledge
Page : 324 pages
File Size : 45,6 Mb
Release : 2017-03-02
Category : Transportation
ISBN : 9781351926294

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Investigating Human Error: Incidents, Accidents, and Complex Systems by Barry Strauch Pdf

In this book the author applies contemporary error theory to the needs of investigators and of anyone attempting to understand why someone made a critical error, how that error led to an incident or accident, and how to prevent such errors in the future. Students and investigators of human error will gain an appreciation of the literature on error, with numerous references to both scientific research and investigative reports in a wide variety of applications, from airplane accidents, to bus accidents, to bonfire disasters. Features include: - an easy to follow step by step approach to conducting error investigations that even those new to the field can readily apply. - summaries of recent transportation accidents and human factors literature and relates them to the cause of human error in accidents. - an approach to investigating human error that will be of interest to both human factors psychology and industrial engineering students and instructors, as well as investigators of accidents in aviation, mass transportation, nuclear power, or any industry that is to the adverse effects of error. Based on the author's over 18 years of experience as an accident investigator and instructor of both aircraft accident investigation techniques and human factors psychology, it reviews recent human factors literature, summarizes major transportation accidents, and shows how to investigate the types of errors that typically occur in high risk industries. It presents a model of human error causation influenced largely by James Reason and Neville Moray, and relates it to error investigations with step by step guidelines for data collection and analysis that investigators can readily apply as needed.

The Limits of Expertise

Author : R. Key Dismukes,Benjamin A. Berman,Loukia Loukopoulos
Publisher : Routledge
Page : 364 pages
File Size : 48,8 Mb
Release : 2017-03-02
Category : Political Science
ISBN : 9781351886703

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The Limits of Expertise by R. Key Dismukes,Benjamin A. Berman,Loukia Loukopoulos Pdf

Why would highly skilled, well-trained pilots make errors that lead to accidents when they had safely completed many thousands of previous flights? The majority of all aviation accidents are attributed primarily to human error, but this is often misinterpreted as evidence of lack of skill, vigilance, or conscientiousness of the pilots. The Limits of Expertise is a fresh look at the causes of pilot error and aviation accidents, arguing that accidents can be understood only in the context of how the overall aviation system operates. The authors analyzed in great depth the 19 major U.S. airline accidents from 1991-2000 in which the National Transportation Safety Board (NTSB) found crew error to be a causal factor. Each accident is reviewed in a separate chapter that examines events and crew actions and explores the cognitive processes in play at each step. The approach is guided by extensive evidence from cognitive psychology that human skill and error are opposite sides of the same coin. The book examines the ways in which competing task demands, ambiguity and organizational pressures interact with cognitive processes to make all experts vulnerable to characteristic forms of error. The final chapter identifies themes cutting across the accidents, discusses the role of chance, criticizes simplistic concepts of causality of accidents, and suggests ways to reduce vulnerability to these catastrophes. The authors' complementary experience allowed a unique approach to the study: accident investigation with the NTSB, cognitive psychology research both in the lab and in the field, enormous first-hand experience of piloting, and application of aviation psychology in both civil and military operations. This combination allowed the authors to examine and explain the domain-specific aspects of aviation operations and to extend advances in basic research in cognition to complex issues of human performance in the real world. Although The Limits of Expertise is directed to aviation operations, the implications are clear for understanding the decision processes, skilled performance and errors of professionals in many domains, including medicine.

Human Error in Aviation

Author : R.Key Dismukes
Publisher : Routledge
Page : 608 pages
File Size : 54,5 Mb
Release : 2017-07-05
Category : Psychology
ISBN : 9781351563475

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Human Error in Aviation by R.Key Dismukes Pdf

Most aviation accidents are attributed to human error, pilot error especially. Human error also greatly effects productivity and profitability. In his overview of this collection of papers, the editor points out that these facts are often misinterpreted as evidence of deficiency on the part of operators involved in accidents. Human factors research reveals a more accurate and useful perspective: The errors made by skilled human operators - such as pilots, controllers, and mechanics - are not root causes but symptoms of the way industry operates. The papers selected for this volume have strongly influenced modern thinking about why skilled experts make errors and how to make aviation error resilient.

Human Factors Methods and Accident Analysis

Author : Paul M. Salmon,Neville A. Stanton,Michael Lenné,Daniel P. Jenkins,Laura Rafferty,Guy H. Walker
Publisher : CRC Press
Page : 216 pages
File Size : 53,9 Mb
Release : 2017-09-18
Category : Technology & Engineering
ISBN : 9781317120131

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Human Factors Methods and Accident Analysis by Paul M. Salmon,Neville A. Stanton,Michael Lenné,Daniel P. Jenkins,Laura Rafferty,Guy H. Walker Pdf

This book provides an overview of, and practical guidance on, the range of human factors (HF) methods that can be used for the purposes of accident analysis and investigation in complex sociotechnical systems. Human Factors Methods and Accident Analysis begins with an overview of different accident causation models and an introduction to the concepts of accident analysis and investigation. It then presents a discussion focussing on the importance of, and difficulties associated with, collecting appropriate data for accident analysis purposes. Following this, a range of HF-based accident analysis methods are described, as well as step-by-step guidance on how to apply them. To demonstrate how the different methods are applied, and what the outputs are, the book presents a series of case study applications across a range of safety critical domains. It concludes with a chapter focussing on the data challenges faced when collecting, coding and analysing accident data, along with future directions in the area. Human Factors Methods and Accident Analysis is the first book to offer a practical guide for investigators, practitioners and researchers wishing to apply accident analysis methods. It is also unique in presenting a series of novel applications of accident analysis methods, including HF methods not previously used for these purposes (e.g. EAST, critical path analysis), as well as applications of methods in new domains.

Improving the Continued Airworthiness of Civil Aircraft

Author : National Research Council,Division on Engineering and Physical Sciences,Commission on Engineering and Technical Systems,Committee on Aircraft Certification Safety Management
Publisher : National Academies Press
Page : 87 pages
File Size : 54,5 Mb
Release : 1998-09-11
Category : Technology & Engineering
ISBN : 9780309173742

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Improving the Continued Airworthiness of Civil Aircraft by National Research Council,Division on Engineering and Physical Sciences,Commission on Engineering and Technical Systems,Committee on Aircraft Certification Safety Management Pdf

As part of the national effort to improve aviation safety, the Federal Aviation Administration (FAA) chartered the National Research Council to examine and recommend improvements in the aircraft certification process currently used by the FAA, manufacturers, and operators.

Guide to Applying Human Factors Methods

Author : Carlo Cacciabue
Publisher : Springer Science & Business Media
Page : 354 pages
File Size : 55,6 Mb
Release : 2013-04-17
Category : Computers
ISBN : 9781447138129

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Guide to Applying Human Factors Methods by Carlo Cacciabue Pdf

Human error plays a significant role in many accidents involving safety-critical systems, and it is now a standard requirement in both the US and Europe for Human Factors (HF) to be taken into account in system design and safety assessment. This book will be an essential guide for anyone who uses HF in their everyday work, providing them with consistent and ready-to-use procedures and methods that can be applied to real-life problems. The first part of the book looks at the theoretical framework, methods and techniques that the engineer or safety analyst needs to use when working on a HF-related project. The second part presents four case studies that show the reader how the above framework and guidelines work in practice. The case studies are based on real-life projects carried out by the author for a major European railway system, and in collaboration with international companies such as the International Civil Aviation Organisation, Volvo, Daimler-Chrysler and FIAT.

Ten Questions About Human Error

Author : Sidney Dekker
Publisher : CRC Press
Page : 233 pages
File Size : 40,7 Mb
Release : 2004-12-27
Category : Technology & Engineering
ISBN : 9781410612069

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Ten Questions About Human Error by Sidney Dekker Pdf

Ten Questions About Human Error asks the type of questions frequently posed in incident and accident investigations, people's own practice, managerial and organizational settings, policymaking, classrooms, Crew Resource Management Training, and error research. It is one installment in a larger transformation that has begun to identify both deep-rooted constraints and new leverage points of views of human factors and system safety. The ten questions about human error are not just questions about human error as a phenomenon, but also about human factors and system safety as disciplines, and where they stand today. In asking these questions and sketching the answers to them, this book attempts to show where current thinking is limited--where vocabulary, models, ideas, and notions are constraining progress. This volume looks critically at the answers human factors would typically provide and compares/contrasts them with current research insights. Each chapter provides directions for new ideas and models that could perhaps better cope with the complexity of the problems facing human error today. As such, this book can be used as a supplement for a variety of human factors courses.

Beyond Aviation Human Factors

Author : Daniel E. Maurino,James Reason,Neil Johnston,Rob B. Lee
Publisher : Routledge
Page : 165 pages
File Size : 52,9 Mb
Release : 2017-03-02
Category : Transportation
ISBN : 9781351955690

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Beyond Aviation Human Factors by Daniel E. Maurino,James Reason,Neil Johnston,Rob B. Lee Pdf

The authors believe that a systematic organizational approach to aviation safety must replace the piecemeal approaches largely favoured in the past, but this change needs to be preceded by information to explain why a new approach is necessary. Accident records show a flattening of the safety curve since the early Seventies: instead of new kinds of accident, similar safety deficiencies have become recurrent features in accident reports. This suggests the need to review traditional accident prevention strategies, focused almost exclusively on the action or inaction’s of front-line operational personnel. The organizational model proposed by the authors is one alternative means to pursue safety and prevention strategies in contemporary aviation; it is also applicable to other production systems. The model argues for a broadened approach, which considers the influence of all organizations (the blunt end ) involved in aviation operations, in addition to individual human performance (the sharp end ). If the concepts of systems safety and organizational accidents are to be advanced, aviation management at all levels must be aware of them. This book is intended to provide a bridge from the academic knowledge gained from research, to the needs of practitioners in aviation. It comprises six chapters: the fundamentals, background and justification for an organizational accident causation model to the flight deck, maintenance and air traffic control environments. The last chapter suggest different ways to apply the model as a prevention tool which furthermore enhances organizational effectiveness. The value of the organizational framework pioneered by Professor Reason in analyzing safety in high-technology production systems is felt by his co-authors to have an enduring role to play, both now and in coming decades. Applied now in this book, it has been adopted by ICAO, IFATCA, IMO, the US National Transportation Safety Board, the Transportation Safety B

The Field Guide to Understanding 'Human Error'

Author : Sidney Dekker
Publisher : CRC Press
Page : 161 pages
File Size : 46,5 Mb
Release : 2017-11-01
Category : Technology & Engineering
ISBN : 9781317031833

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The Field Guide to Understanding 'Human Error' by Sidney Dekker Pdf

When faced with a ’human error’ problem, you may be tempted to ask 'Why didn’t these people watch out better?' Or, 'How can I get my people more engaged in safety?' You might think you can solve your safety problems by telling your people to be more careful, by reprimanding the miscreants, by issuing a new rule or procedure and demanding compliance. These are all expressions of 'The Bad Apple Theory' where you believe your system is basically safe if it were not for those few unreliable people in it. Building on its successful predecessors, the third edition of The Field Guide to Understanding ’Human Error’ will help you understand a new way of dealing with a perceived 'human error' problem in your organization. It will help you trace how your organization juggles inherent trade-offs between safety and other pressures and expectations, suggesting that you are not the custodian of an already safe system. It will encourage you to start looking more closely at the performance that others may still call 'human error', allowing you to discover how your people create safety through practice, at all levels of your organization, mostly successfully, under the pressure of resource constraints and multiple conflicting goals. The Field Guide to Understanding 'Human Error' will help you understand how to move beyond 'human error'; how to understand accidents; how to do better investigations; how to understand and improve your safety work. You will be invited to think creatively and differently about the safety issues you and your organization face. In each, you will find possibilities for a new language, for different concepts, and for new leverage points to influence your own thinking and practice, as well as that of your colleagues and organization. If you are faced with a ’human error’ problem, abandon the fallacy of a quick fix. Read this book.

Investigating Human Error

Author : Barry Strauch
Publisher : CRC Press
Page : 309 pages
File Size : 47,5 Mb
Release : 2017-03-16
Category : Technology & Engineering
ISBN : 9781317113119

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Investigating Human Error by Barry Strauch Pdf

In this book the author applies contemporary error theory to the needs of investigators and of anyone attempting to understand why someone made a critical error, how that error led to an incident or accident, and how to prevent such errors in the future. Students and investigators of human error will gain an appreciation of the literature on error, with numerous references to both scientific research and investigative reports in a wide variety of applications, from airplane accidents, to bus accidents, to bonfire disasters. Based on the author's extensive experience as an accident investigator and instructor of both aircraft accident investigation techniques and human factors psychology, it reviews recent human factors literature, summarizes major transportation accidents, and shows how to investigate the types of errors that typically occur in high risk industries. It presents a model of human error causation influenced largely by James Reason and Neville Moray, and relates it to error investigations with step-by-step guidelines for data collection and analysis that investigators can readily apply as needed. This second edition of Investigating Human Error has been brought up to date throughout, with pertinent recent accidents and safety literature integrated. It features new material on fatigue, distraction (eg mobile phone and texting) and medication use. It also now explores the topics of corporate culture, safety culture and safety management systems. Additionally the second edition considers the effects of the reduction in the number of major accidents on investigation quality, the consequences of social changes on transportation safety (such as drinking and driving, cell phone use, etc), the contemporary role of accident investigation, and the effects of the prosecution of those involved in accidents.

The Field Guide to Human Error Investigations

Author : Sidney Dekker
Publisher : Routledge
Page : 137 pages
File Size : 53,9 Mb
Release : 2017-11-01
Category : Social Science
ISBN : 9781351786034

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The Field Guide to Human Error Investigations by Sidney Dekker Pdf

This title was first published in 2002: This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.

Human Factors in Aviation

Author : Eduardo Salas,Florian Jentsch,Dan Maurino
Publisher : Academic Press
Page : 744 pages
File Size : 47,5 Mb
Release : 2010-01-30
Category : Technology & Engineering
ISBN : 008092302X

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Human Factors in Aviation by Eduardo Salas,Florian Jentsch,Dan Maurino Pdf

This edited textbook is a fully updated and expanded version of the highly successful first edition of Human Factors in Aviation. Written for the widespread aviation community - students, engineers, scientists, pilots, managers, government personnel, etc., HFA offers a comprehensive overview of the topic, taking readers from the general to the specific, first covering broad issues, then the more specific topics of pilot performance, human factors in aircraft design, and vehicles and systems. The new editors offer essential breath of experience on aviation human factors from multiple perspectives (i.e. scientific research, regulation, funding agencies, technology, and implementation) as well as knowledge about the science. The contributors are experts in their fields. Topics carried over from the first edition are fully updated, several by new authors who are now at the fore of the field. New material - which represents 50% of the volume - focuses on the challenges facing aviation specialists today. One of the most significant developments in this decade has been NextGen, the Federal Aviation Administration's plan to modernize national airspace and to address the impact of air traffic growth by increasing airspace capacity and efficiency while simultaneously improving safety, environmental impacts and user access. NextGen issues are covered in full. Other new topics include: High Reliability Organizational Perspective, Situation Awareness & Workload in Aviation, Human Error Analysis, Human-System Risk Management, LOSA, NOSS and Unmanned Aircraft System. Comprehensive text with up-to-date synthesis of primary source material that does not need to be supplemented New edition thoroughly updated with 50% new material and full coverage of NexGen and other modern issues Instructor website with test bank and image collection makes this the only text offering ancillary support Liberal use of case examples exposes readers to real-world examples of dangers and solutions