Modeling And Analysis Of Human Error In Naval Aviation Maintenance Mishaps
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Modeling And Analysis Of Human Error In Naval Aviation Maintenance Mishaps
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Author : Ashley D. Fry
language : en
Publisher:
Release Date : 2000-06-01
Modeling And Analysis Of Human Error In Naval Aviation Maintenance Mishaps written by Ashley D. Fry and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-06-01 with categories.
This study investigates human error associated with 599 Naval Aviation maintenance-related mishaps (MRMs) in Fiscal Years 90-99. The Human Factors Analysis and Classification System Maintenance Extension (HFACS-ME) taxonomy was utilized to classify contributory human errors within a robust theoretical framework. Variable Poisson process models are developed to predict MRMs and relationships between the error dimensions are investigated. The results of this study show that the HFACS-ME taxonomy provides an adequate framework for the classification of MRM causal factors; that variable Poisson process models are suitable for predicting future mishaps, and that there are significant relationships between selected causal dimensions; sufficient to warrant further investigation. These results provide information regarding the predicted impact of MRMs on future operational readiness and mission capability. Through being aware of these aspects, decision-makers are armed with the knowledge to make better decisions concerning the preservation and allocation of the resources at their disposal.
A Human Error Analysis And Model Of Naval Aviation Maintenance Related Mishaps
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Author : Dylan Schmorrow
language : en
Publisher:
Release Date : 1998-09-01
A Human Error Analysis And Model Of Naval Aviation Maintenance Related Mishaps written by Dylan Schmorrow and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998-09-01 with categories.
Naval Aviation is in the midst of a major transformation as it attempts to come to terms with the demands of maintaining operational readiness in the face of diminishing budgets and reduced manning. Diminishing operating and procurement budgets mean that Naval Aviation is for the most part "making do" with existing aircraft. Over the past decade, one in four Naval Aviation mishaps were partially attributable to maintenance error. The present operating environment underscores the need to address maintenance error and its causes. The current study accomplishes three things. First, it evaluates 470 Naval Aviation mishaps with distinct maintenance error correlates. Second, it categorizes those errors using a taxonomy based upon current organizational and psychological theories of human error. Third, it mathematically models the consequences of these errors and uses the models to (a) predict the frequency with which maintenance-based mishaps will occur in the future and (b) approximate the potential cost savings from the reduction of each error type.
A Human Error Approach To Aviation Accident Analysis
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Author : Professor Scott A Shappell
language : en
Publisher: Ashgate Publishing, Ltd.
Release Date : 2012-10-01
A Human Error Approach To Aviation Accident Analysis written by Professor Scott A Shappell and has been published by Ashgate Publishing, Ltd. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-10-01 with Transportation categories.
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.
Web Based Information Management System For The Investigation Reporting And Analysis Of Human Error In Naval Aviation Maintenance
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Author : Anthony R. Boex
language : en
Publisher:
Release Date : 2001-09-01
Web Based Information Management System For The Investigation Reporting And Analysis Of Human Error In Naval Aviation Maintenance written by Anthony R. Boex and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-09-01 with categories.
The purpose of this thesis is to examine the development of a Web application to display, analyze, and produce reports of human error involvement and patterns in aviation maintenance mishaps. The Human Factors Analysis and Classification System-Maintenance Extension (HFACS-ME) taxonomy, a framework for classifying and analyzing the presence of maintenance errors that lead to mishaps, is the foundation of this tool. The target audience for this tool includes safety and maintenance personnel, mishap investigators, and safety analysts. A review of five areas is needed to produce the Web-based prototype: (1) client/server architectures, (2) database management systems, (3) Web application design, (4) application coding, and (5) usability considerations for a Web/database tool. Collectively, these topics provided a foundation to develop an effective and user-friendly prototype, referred to as HFACS-ME Web. A usability study was conducted using potential end-users. The participants were given both written procedures to navigate through the prototype and an exit survey. The results of the survey, including objective and subjective responses, indicate strong user support for the HFACS-ME Web prototype in concept and implementation and suggest that the training and analysis capability it provides may contribute to a reduction in maintenance errors and ultimately a decreased mishap rate.
Information Management System Development For The Characterization And Analysis Of Human Error In Naval Aviation Maintenance Related Mishaps
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Author : Brian P. Wood
language : en
Publisher:
Release Date : 2000-09-01
Information Management System Development For The Characterization And Analysis Of Human Error In Naval Aviation Maintenance Related Mishaps written by Brian P. Wood and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000-09-01 with categories.
The purpose of this thesis is to develop a prototype safety information management tool to capture human error in Naval Aviation maintenance mishaps. The Human Factors Analysis and Classification System-Maintenance Extension taxonomy, an effective framework for classifying and analyzing the presence of maintenance errors that lead to mishaps, incidents, and personal injuries, is the foundation of this management tool. The target audience for this information management system tool includes safety personnel, mishap investigators, Aircraft Mishap Board (AMB) members, and analysts. A review of three areas is needed to produce the prototype: 1. the collection, use, and management of accident information, 2. human error theories as related to aviation mishaps, and 3. the design of an effective mishap database tool. A usability study was conducted using potential end-users (Naval Aviation Safety Officers). The participants are given both written procedures to navigate through the prototype and an exit survey. The results of the survey, including objective and subjective responses about the prototype are gathered. The resulting data indicates an improved version of the prototype could directly lead to a decreased mishap rate and overall increased mission readiness due to the training and analysis opportunity it provides.
Information Management System Development For The Investigation Reporting And Analysis Of Human Error In Naval Aviation Maintenance
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Author : Douglas B. Nelson
language : en
Publisher:
Release Date : 2001-09-01
Information Management System Development For The Investigation Reporting And Analysis Of Human Error In Naval Aviation Maintenance written by Douglas B. Nelson and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-09-01 with categories.
The purpose of this research is to evaluate and refine a safety information management system that will facilitate data collection, organization, query, analysis and reporting of maintenance errors that contribute to Naval Aviation mishaps, equipment damage and personnel injury using OPNAV 3750.6R, Human Factors Analysis and Classification System Maintenance Extension taxonomy. The target audience for this information management system tool included safety personnel, mishap investigators, Aircraft Mishap Board (AMB) members, and analysts. A review of three areas was needed to refine the prototype tool: (1) the collection, use and management of accident information, (2) human error theories as related to aviation mishaps and (3) the design of an effective mishap database tool. A usability study was conducted using potential end- users. Fifteen Naval Aviation Safety Officers and Naval Aviators were given written procedures to navigate through the prototype and an exit survey. The survey responses, including objective and subjective responses about the prototype were gathered. The results indicate, that with proper training, the prototype could provide insight into maintenance errors, which could be used to target hazards and develop intervention strategies to prevent future mishaps.
Simulation And Analysis Of Class A And B Tacair Flight Mishaps With An Assessment Of Human Factors Intervention
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Author : John B. Jensen
language : en
Publisher:
Release Date : 1999
Simulation And Analysis Of Class A And B Tacair Flight Mishaps With An Assessment Of Human Factors Intervention written by John B. Jensen and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with categories.
The increasing mechanical reliability of Naval Aviation (NA) aircraft has made human error (HE) the leading cause of Class A and B flight mishaps. To increase understanding of the underlying causes of HE, the Naval Safety Center in Norfolk, VA, developed the Human Factors Analysis and Classification System (HFACS). The HFACS taxonomy consists of 17 types of basic HE. This HFACS taxonomy has been used as a data analysis tool to classify 141 Class A and B Naval Tacitcal Aircraft (TACAIR) flight mishaps (FM) from fiscal year (FY) 90 and FY97. The study shows an important relationship between Adverse Mental State and 12 of the 17 HE types in the HFACS taxonomy. Significantly, when one of these 12 HE types is cited in and FM, greater than 70 percent of the time, Adverse Mental State is also cited as a co-casual factor in the mishap. Two other HE types have this 70 percent co-causal factor relationship with 3 of the 17 HE types. Adverse Mental State has an important relationship to the majority of the HE types in the HFACS taxonomy, compared with other HE types. For this reason, Adverse Mental State merits further investigation and should be considered in the development of HE prevention programs for Naval Aviators.
Human Factors Models For Aviation Accident Analysis And Prevention
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Author : Thomas G.C. Griffin
language : en
Publisher: CRC Press
Release Date : 2017-03-02
Human Factors Models For Aviation Accident Analysis And Prevention written by Thomas G.C. Griffin and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-03-02 with Transportation categories.
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.
Human Error In Aviation
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Author : R.Key Dismukes
language : en
Publisher: Routledge
Release Date : 2017-07-05
Human Error In Aviation written by R.Key Dismukes and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-05 with Psychology categories.
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.
Simulation And Analysis Of Class A And B Tacair Flight Mishaps With An Assessment Of Human Factors Intervention
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Author : John B. Jensen
language : en
Publisher:
Release Date : 1999-09-01
Simulation And Analysis Of Class A And B Tacair Flight Mishaps With An Assessment Of Human Factors Intervention written by John B. Jensen and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-09-01 with categories.
The increasing mechanical reliability of Naval Aviation (NA) aircraft has made human error (HE) the leading cause of Class A and B flight mishaps. To increase understanding of the underlying causes of HE, the Naval Safety Center in Norfolk, VA, developed the Human Factors Analysis and Classification System (HFACS). The HEACS taxonomy consists of 17 types of basic HE. This HEACS taxonomy has been used as a data analysis tool to classify 141 Class A and B naval Tactical Aircraft (TACAIR) flight mishaps (FM) from fiscal year (FY) 90 to FY97. The study shows an important relationship between Adverse Mental State and 12 of the 17 HE types in the HEACS taxonomy. Significantly, when one of these 12 HE types is cited in an FM, greater than 70 percent of the time, Adverse Mental State is also cited as a co-causal factor in the mishap. Two other HE types have this 70 percent co-causal factor relationship with 3 of the 17 HE types. Adverse Mental State has an important relationship to the majority of the HE types in the HEACS taxonomy, compared with other HE types. For this reason, Adverse Mental State merits further investigation and should be considered in the development of HE prevention programs for Naval Aviators.