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

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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: 6780

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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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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: 9739

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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: 8621

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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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Human Reliability and Error in Transportation Systems

Author: Balbir S. Dhillon

Publisher: Springer Science & Business Media

ISBN: 1846288126

Category: Technology & Engineering

Page: 182

View: 4457

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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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Modern Accident Investigation and Analysis

Author: Ted S. Ferry

Publisher: John Wiley & Sons

ISBN: 9780471624813

Category: Business & Economics

Page: 306

View: 5037

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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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Investigating Human Error

Incidents, Accidents, and Complex Systems

Author: Barry Strauch

Publisher: Gower Publishing, Ltd.

ISBN: 9780754641223

Category: Transportation

Page: 302

View: 9937

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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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Basic Flight Physiology

Author: Richard O. Reinhart

Publisher: McGraw Hill Professional

ISBN: 9780070522237

Category: Science

Page: 285

View: 5544

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This readable, updated textbook by a flight surgeon comprehensively covers the factors that affect ``medical airworthiness.'' Includes practical chapters on dealing with in-flight medical emergencies and on maintaining flight fitness with diet and exercise.
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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: 1688

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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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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: 8659

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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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