Threat and error management
This seminal study by Dismukes and Berman (2010) from NASA looks at the role of checklists and monitoring as two essential defences against equipment failures and pilot errors. Problems with checklist use and pilots’ failures to monitor adequately have a long history in aviation accidents. A short summary of the key recommendations is given here.
Written by Alex P
This award-winning paper examined details from over 2000 incident reports from commercial airlines. The premise of the paper is that we could be doing more to learn from the incidents we are (and aren’t) reporting on! In a short summary we look at some of the key lessons from the paper.
Written by Alex P
Dr Steven Shorrock, a Chartered Ergonomist and Human Factors Specialist with the CIEHF and a Chartered Psychologist with the British Psychological Society currently works as a human factors and safety specialist in European aviation. Here, Shorrock discusses how the concept of Just Culture fits with the updated perspectives of Safety II in error management. Source: […]
Written by Alex P
Source: Chartered Institute for Ergonomics and Human Factors This white paper from the Chartered Institute of Ergonomics and Human Factors explores human factors in incident prevention and management. Find out how organisations can gain a human factors perspective to investigating and learning from adverse events. Learn the key principles organisations can apply to capture the […]
Written by Alex P
Are lengthy, outdated flightdeck briefings really contributing to aviation safety? Captain RICH LOUDON*, Alaska Airlines and Captain DAVID MORIARTY, RAeS HF Group (Flight Operations and Training) take a look at current briefing procedure and suggest a new way forward. Source: Royal Aeronautical Society aerosociety.com On 14 August, 2013, an Airbus A300, experienced a controlled flight into terrain fatal […]
Written by Alex P
James Reason, Professor Emeritus, University of Manchester, set out 12 systemic human factors centric principles of error management in his book Managing Maintenance Error: A Practical Guide (co-written with Alan Hobbs and published in 2003). These remain guiding principles in aviation. Source: Aeroassurance James Reason’s 12 Principles Error management has three components, says Reason: Its the third aspect that is […]
Written by Alex P
Ben Hutchinson discusses a paper analysing 95 serious incidents in naval aviation using the HFACS model. Error types are viewed as symptoms of deeper trouble within an organisation. Source: LinkedIn This was interesting – it studied 95 severe naval aviation mishaps. The incidents were evaluated using the DoD HFACS model, the applicability of HFACS was […]
Written by smilecomp
