A Human Error Approach to Aviation Accident Analysis

The Human Factors Analysis and Classification System

Author: Douglas A. Wiegmann,Scott A. Shappell

Publisher: Routledge

ISBN: 1351962353

Category: Technology & Engineering

Page: 184

View: 4880

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.
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Human Factors Models for Aviation Accident Analysis and Prevention

Author: Thomas G.C. Griffin,Mark S. Young,Neville A. Stanton

Publisher: CRC Press

ISBN: 1317120108

Category: Transportation

Page: 226

View: 9619

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.
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The Design of Everyday Things

Psychologie und Design der alltäglichen Dinge

Author: Norman Don

Publisher: Vahlen

ISBN: 3800648105

Category: Business & Economics

Page: 320

View: 8716

Apple, Audi, Braun oder Samsung machen es vor: Gutes Design ist heute eine kritische Voraussetzung für erfolgreiche Produkte. Dieser Klassiker beschreibt die fundamentalen Prinzipien, um Dinge des täglichen Gebrauchs umzuwandeln in unterhaltsame und zufriedenstellende Produkte. Don Norman fordert ein Zusammenspiel von Mensch und Technologie mit dem Ziel, dass Designer und Produktentwickler die Bedürfnisse, Fähigkeiten und Handlungsweisen der Nutzer in den Vordergrund stellen und Designs an diesen angepasst werden. The Design of Everyday Things ist eine informative und spannende Einführung für Designer, Marketer, Produktentwickler und für alle an gutem Design interessierten Menschen. Zum Autor Don Norman ist emeritierter Professor für Kognitionswissenschaften. Er lehrte an der University of California in San Diego und der Northwest University in Illinois. Mitte der Neunzigerjahre leitete Don Norman die Advanced Technology Group bei Apple. Dort prägte er den Begriff der User Experience, um über die reine Benutzbarkeit hinaus eine ganzheitliche Erfahrung der Anwender im Umgang mit Technik in den Vordergrund zu stellen. Norman ist Mitbegründer der Beratungsfirma Nielsen Norman Group und hat unter anderem Autohersteller von BMW bis Toyota beraten. „Keiner kommt an Don Norman vorbei, wenn es um Fragen zu einem Design geht, das sich am Menschen orientiert.“ Brand Eins 7/2013 „Design ist einer der wichtigsten Wettbewerbsvorteile. Dieses Buch macht Spaß zu lesen und ist von größter Bedeutung.” Tom Peters, Co-Autor von „Auf der Suche nach Spitzenleistungen“
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Human Factors Methods and Accident Analysis

Practical Guidance and Case Study Applications

Author: Dr Guy H Walker,Dr Daniel P Jenkins,Dr Laura A Rafferty,Dr Michael G Lenné,Professor Neville A Stanton,Professor Paul M Salmon

Publisher: Ashgate Publishing, Ltd.

ISBN: 1409486850

Category: Technology & Engineering

Page: 216

View: 2324

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.
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Investigating Human Error: Incidents, Accidents, and Complex Systems

Author: Barry Strauch

Publisher: Routledge

ISBN: 1351926292

Category: Transportation

Page: 324

View: 1247

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.
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Das Handbuch für Startups

Author: Bob Dorf,Steve Blank,Nils Högsdal,Daniel Bartel

Publisher: O'Reilly Germany

ISBN: 3955618137

Category: Business & Economics

Page: 512

View: 5674

Ein Startup ist nicht die Miniaturausgabe eines etablierten Unternehmens, sondern eine temporäre, flexible Organisation auf der Suche nach einem nachhaltigen Geschäftsmodell: Das ist die zentrale Erkenntnis, die dem "Handbuch für Startups" zugrundeliegt. Es verbindet den Lean-Ansatz, Prinzipien des Customer Development sowie Konzepte wie Design Thinking und (Rapid) Prototyping zu einem umfassenden Vorgehensmodell, mit dem sich aus Ideen und Innovationen tragfähige Geschäftsmodelle entwickeln lassen. Lean Startup & Customer Development: Der Lean-Ansatz für Startups basiert, im Unterschied zum klassischen Vorgehen, nicht auf einem starren Businessplan, der drei Jahre lang unverändert umzusetzen ist, sondern auf einem beweglichen Modell, das immer wieder angepasst wird. Sämtliche Bestandteile der Planung – von den Produkteigenschaften über die Zielgruppen bis hin zum Vertriebsmodell – werden als Hypothesen gesehen, die zu validieren bzw. zu falsifizieren sind. Erst nachdem sie im Austausch mit den potenziellen Kunden bestätigt wurden und nachhaltige Verkäufe möglich sind, verlässt das Startup seine Suchphase und widmet sich der Umsetzung und Skalierung seines Geschäftsmodells. Der große Vorteil: Fehlannahmen werden erheblich früher erkannt – nämlich zu einem Zeitpunkt, an dem man noch die Gelegenheit hat, Änderungen vorzunehmen. Damit erhöhen sich die Erfolgsaussichten beträchtlich. Für den Praxiseinsatz: Sämtliche Schritte werden in diesem Buch detailliert beschrieben und können anhand der zahlreichen Checklisten nachvollzogen werden. Damit ist das Handbuch ein wertvoller Begleiter und ein umfassendes Nachschlagewerk für Gründerinnen & Gründer. Von deutschen Experten begleitet: Die deutsche Ausgabe des international erfolgreichen Handbuchs entstand mit fachlicher Unterstützung von Prof. Dr. Nils Högsdal und Entrepreneur Daniel Bartel, die auch ein deutsches Vorwort sowie sieben Fallstudien aus dem deutschsprachigen Raum beisteuern.
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Human Reliability and Error in Transportation Systems

Author: Balbir S. Dhillon

Publisher: Springer Science & Business Media

ISBN: 1846288126

Category: Technology & Engineering

Page: 182

View: 7943

Human errors contribute significantly to most transportation crashes: approximately 70 to 90 percent of crashes are the result of human error. This book examines human reliability across all types of transportation systems. The material is accessible to readers with no previous knowledge in the field and is supported with a full explanation of the necessary mathematical concepts together with numerous examples and test problems.
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Airframe

Roman

Author: Michael Crichton

Publisher: Karl Blessing Verlag

ISBN: 3641162092

Category: Fiction

Page: N.A

View: 4634

Auf dem Nonstop-Flug von Hongkong nach Denver gerät plötzlich die Maschine der Transpacific Airlines außer Kontrolle. Dem Piloten gelingt eine Notlandung, doch einige Passagiere verlieren dabei ihr Leben. Als Casey Singleton den Auftrag erhält, die Ursachen dieses Unglücks aufzuklären, ahnt sie nicht, in welche Gefahr sie sich begibt. Denn ihre Ermittlungen stoßen auf viele Widersacher, die vor nichts zurückschrecken.
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Das Unerwartete managen

wie Unternehmen aus Extremsituationen lernen

Author: Karl E. Weick,Kathleen M. Sutcliffe

Publisher: N.A

ISBN: 9783791029689

Category: Crisis management

Page: 201

View: 3249

Wie können Unternehmen mit unerwarteten Situationen umgehen? Um diese Frage zu beantworten, untersuchen die Autoren sogenannte High Reliability Organizations (HROs) - Organisationen, die absolut zuverlässig arbeiten müssen, wie z. B. Fluglotsen oder Feuerwehrmannschaften. An ihren spezifischen Handlungsabläufen kann sich jede Organisation orientieren, um unerwartete Ereignisse und Entwicklungen besser zu verstehen und zu bewältigen. Wie die Methoden der HROs sich in der Unternehmenspraxis umsetzen lassen, zeigt der lösungsorientierte Managementansatz.
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Human Factors in Aviation

Author: Earl L. Wiener,David C. Nagel

Publisher: Gulf Professional Publishing

ISBN: 0127500316

Category: Technology & Engineering

Page: 684

View: 1887

Human Factors in Aviation, written for the widespread aviation community--engineers, scientist, pilots, managers, government personnel, and others--is also be of interest to those in nonaviation fields. The authors/contributors were chosen not only as experts in their fields, but because they could write for a wider audience than they customarily address. The organization of the book takes the reader 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 physiological and medical aspects are well documented also.
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Human Error and Commercial Aviation Accidents

A Comprehensive, Fine-grained Analysis Using HFACS

Author: N.A

Publisher: N.A

ISBN: N.A

Category: Aeronautics

Page: 19

View: 7106

The Human Factors Analysis and Classification System (HFACS) is a theoretically based tool for investigating and analyzing human error associated with accidents and incidents. Previous research has shown that HFACS can be reliably used to identify general trends in the human factors associated with military and general aviation accidents. The aim of this study was to extend previous examinations of aviation accidents to include specific aircrew, environmental, supervisory, and organizational factors associated with 14 CFR Part 121 (Air Carrier) and 14 CFR Part 135 (Commuter) accidents using HFACS. The majority of causal factors were attributed to the aircrew and the environment, with decidedly fewer associated with supervisory and organizational causes. Comparisons were made between HFACS categories and traditional situational variables such as weather, lighting, and geographic region. Recommendations were made based on the HFACS findings presented.
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Modern Accident Investigation and Analysis

Author: Ted S. Ferry

Publisher: John Wiley & Sons

ISBN: 9780471624813

Category: Business & Economics

Page: 306

View: 3470

This new edition of a standard in the field is the most complete treatment available on modern methods of accident investigation. The investigation process is divided into three phases: preparation and planning, analytical methods and reporting, and corrective actions designed to prevent recurrence. Techniques discussed are general and can be applied to a wide range of industrial accidents. Topics covered include investigation concepts, the pitfalls of government intervention, legal aspects, multilinear events sequencing, and management oversight and risk tree (MORT). There is new material on the electronic and computer industries and on S-T-E-P accident investigation. A new chapter, ``A Generic Approach to Mishap Investigation,'' puts the entire process in perspective.
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Commercial Aviation Safety 5/E

Author: Clarence C. Rodrigues,Stephen K. Cusick

Publisher: McGraw Hill Professional

ISBN: 0071763066

Category: Technology & Engineering

Page: 382

View: 7669

A Complete, Fully Updated Guide to COMMERCIAL AVIATION SAFETY Presenting the latest procedures and standards from U.S. and international air traffic and regulatory agencies, this extensively revised resource covers the entire commercial aviation safety system--from human factors to accident investigation. The introduction of Safety Management Systems (SMS) principles by the International Civil Aviation Organization (ICAO) is discussed in detail. Commercial Aviation Safety, Fifth Edition delivers authoritative information on today's security concerns on the ground and in the air, changes in systems and regulations, new maintenance and flight technologies, and recent accident statistics. This is the most comprehensive, current, and systematic reference on the principles and practices of commercial aviation safety and security. COVERAGE INCLUDES: Regulatory information on ICAO, FAA, EPA, TSA, and OSHA NTSB and ICAO accident investigation processes Recording and reporting of safety data U.S. and international aviation accident statistics Accident causation models The Human Factors Analysis and Classification System (HFACS) Aircraft and air traffic control technologies and safety systems Airport safety, including runway incursions Aviation security, including the 9-11 Commission recommendations International and U.S. Airline Safety Management Systems Aviation Safety Management Systems
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Basic Flight Physiology

Author: Richard Reinhart

Publisher: McGraw Hill Professional

ISBN: 9780071596701

Category: Transportation

Page: 311

View: 5502

The #1 Guide to Flight Physiology_Now Updated and Expanded with the Latest INSIGHTS for ENHANCING AIRCREW SAFE PERFORMANCE! The Third Edition of Basic Flight Physiology has been completely updated and expanded with information on THAT WILL REDUCE PILOT IMPAIRMENT IN FLIGHT. This definitive guide to PHYSIOLOGICAL human factors in the flying environment provides a wealth of preventive measures pilots can take to anticipate and compensate for HUMAN FACTORS that cause 70% of all aviation accidents. Packed with over 100 INFORMATIVE illustrations, this resource contains UNDERSTANDABLE coverage of THE MANY PHYSIOLOGICAL FACTORS THAT AFFECT PILOT PERFORMANCE PLUS crew resource management, in-flight medical emergencies, health maintenance programs, and more. The Third Edition of Basic Flight Physiology features: Methods for dealing with vertigo and DISORIENTATION Critical information on tolerance to FATIGUE Techniques for handling self-imposed and environmental stresses Guidance on the effects of caffeine, alcohol, and OVER-THE-COUNTER DRUGS Explore Every Aspect of “Medical Airworthiness”: • Human Factors Defined • Basic Human Anatomy • The Atmosphere • Situation Awareness • Altitude Physiology • Hearing and Vibration • Vision • Orientation • Self-Imposed Medical Stress • Environmental Stresses • Sleep, Jet Lag, and Fatigue • Acceleration • Crew Resource Management • Human Factors of Automation • In-Flight Medical Emergencies • Health Maintenance Program • Medical Standards, Regulation, and Certification
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Human Error and General Aviation Accidents

A Comprehensive, Fine-grained Analysis Using HFACS

Author: N.A

Publisher: N.A

ISBN: N.A

Category: Aircraft accidents

Page: 19

View: 9927

The Human Factors Analysis and Classification System (HFACS) is a theoretically based tool for investigating and analyzing human error associated with accidents and incidents. Previous research performed at both the University of Illinois and the Civil Aerospace Medical Institute has successfully shown that HFACS can be reliably used to analyze the underlying human causes of both commercial and general aviation (GA) accidents. These analyses have helped identify general trends in the types of human factors issues and aircrew errors that have contributed to civil aviation accidents. The next step was to identify the exact nature of the human errors identified. The purpose of this research effort therefore, was to address these questions by performing a fine-grained HFACS analysis of the individual human causal factors associated with GA accidents and to assist in the generation of intervention programs. This report details those findings and offers an approach for developing interventions to address them.
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Understanding the Human Factors Associated with Visual Flight Rules Flight Into Instrumental Meteorological Conditions

Author: N.A

Publisher: N.A

ISBN: N.A

Category: Aircraft accidents

Page: 11

View: 9680

Visual Flight Rules (VFR) into Instrument Meteorological Conditions (IMC) accidents are a major concern in the aviation industry. More than 70% of the fatal weather-related accidents involved General Aviation (GA) pilots operating under visual flight rules (VFR) that continued into IMC. The purpose of this study was to pair GA accident causal factors that had been classified with the Human Factors Analysis and Classification System (HFACS) categories and traditional demographic data in an effort to present a more complete picture of VFR flight into IMC accidents. To accomplish this, GA accidents associated with VFR flight into IMC were examined to determine if there were any causal factors that set these accidents apart from the rest of GA (RoGA) accidents. GA accident data (14 CFR Part 91) from 1990-2004 were analyzed. The dataset was divided into accidents that had VFR into IMC (VFR-IMC; N = 609) cited as a cause or factor versus the rest of the GA accidents (RoGA; N = 18, 528). Analyses were performed examining the human error associated with these accidents.
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The Blame Machine

Why Human Error Causes Accidents

Author: Robert B. Whittingham

Publisher: Routledge

ISBN: 0750655100

Category: Technology & Engineering

Page: 271

View: 1925

The Blame Machine describes how disasters and serious accidents result from recurring, but potentially avoidable, human errors. It shows how such errors are preventable because they result from defective systems within a company. From real incidents, you will be able to identify common causes of human error and typical system deficiencies that have led to these errors. On a larger scale, you will be able to see where, in the organisational or management systems, failure occurred so that you can avoid them. The book also describes the existence of a 'blame culture' in many organisations, which focuses on individual human error whilst ignoring the system failures that caused it. The book shows how this 'blame culture' has, in the case of a number of past accidents, dominated the accident enquiry process hampering a proper investigation of the underlying causes. Suggestions are made about how progress can be made to develop a more open culture in organisations, both through better understanding of human error by managers and through increased public awareness of the issues. The book brings together documentary evidence from recent major incidents from all around the world and within the Rail, Water, Aviation, Shipping, Chemical and Nuclear industries. Barry Whittingham has worked as a senior manager, design engineer and consultant for the chemical, nuclear, offshore oil and gas, railway and aviation sectors. He developed a career as a safety consultant specializing in the human factors aspects of accident causation. He is a member of the Human Factors in Reliability Group, and a Fellow of the Safety and Reliability Society. * Increases safety by showing how to remove blame and how to develop foolproof safety systems * Draws together documentary evidence of real accidents to demonstrate the different types of human error, and preventative actions * Covers a range of disciplines - occupational psychology, engineering, safety of major installations
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Guide to Applying Human Factors Methods

Human Error and Accident Management in Safety-Critical Systems

Author: Pietro C. Cacciabue

Publisher: Springer Science & Business Media

ISBN: 1447138120

Category: Computers

Page: 347

View: 5672

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.
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Professional Safety

Author: N.A

Publisher: N.A

ISBN: N.A

Category: Industrial safety

Page: N.A

View: 7860

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