Brown, M Presentation - Evaluating Human Factors in...

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Evaluating Human Factors in Aviation Evaluating Human Factors in Aviation Related Accidents and Incidents Related Accidents and Incidents Melissa Brown Melissa Brown
How Common is Human Error? How Common is Human Error? 1903 20% Human factors 80% Machine causes 2007 80% Human factors 20% Machine causes (Rankin, 2007)
Planning vs. Execution Planning vs. Execution Planning Mistakes Rule-based: applying inappropriate rules to a specific situation Knowledge-based: inexperience or a lack of training or education Execution Slips: experienced (complacency) Lapses: inexperienced or not paying attention
Contributing Factors Contributing Factors Situational awareness Workload Training and Experience/Expertise Familiarity Memory FATIGUE
JFK, Jr. (1999) JFK, Jr. (1999) Crashed in Atlantic Ocean near Martha’s Vineyard. Inexperienced, 310 hrs total, 55 hrs night Spatial disorientation 3 people killed (NYC99MA178, 2000)
Asiana Flight 214 (2013) Asiana Flight 214 (2013) Crashed into seawall at SFO Captain: 43 hours in Boeing 777 First Officer: PIC; First flight as instructor Automatic speed control system accidentally disabled Pilots over relied on automation; did not keep track of speed or altitude 3 people killed (Descent, 2014)

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