Human Factors Training: There's nothing that can't go wrong. This simple insight forms the foundation of human factors training for pilots. In special courses, pilots are prepared for any possible emergency situation and action strategies. Crews learn to analyze and evaluate their own behavior and that of those around them more effectively. Training leads to more efficient work processes, a functioning error management culture, and increased safety. This is a general prsentation and human factors management in aviation training.
4. Accidents – Incidents
Accident –
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An occurrence in which any person on board the
aircraft suffers death or serious injury, or in which
the aircraft receives substantial damage
Incident –
–
An occurrence other than an accident which
affects the safety of operations
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5. NTSB
National Transportation Safety Board
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Investigates every U. S. civil aviation accident
Issues safety recommendations
Maintains database
Conducts research on safety issues
www.ntsb.gov
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6. Poor Judgment Chain
aka error chain
Accidents and incidents rarely, if ever, are the
result of a single cause
Usually a series of errors occurs which lead
to the accident or incident
Break one link in the chain and sequence of
events would be stopped
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8. When do aviation accidents happen?
57.2% of GA accidents occur during 6% of flight time
Takeoff/initial climb, Approach, Landing
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9. PIC Responsibility
Read top half of page 10-28
Judgment
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Learned
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From your mistakes
From other experiences
From the experiences of others
Ability to exercise good judgment affected by
Stressors
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12. Improving Judgment
Anticipate decisions
Train and practice in critical areas
Match individual skills with the job
Standardize whenever possible
Maintain positive attitudes
Practice effective communications
Be deliberate in decision making
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15. Communication
When the rear-seat pilot of a dual-piloted T-33
aircraft attempted to adjust his position, he
inadvertently deployed the life raft in the seat
bucket survival kit. As the raft inflated, it
pushed the stick forward, which caused the
aircraft to pitch nose down. The front seat pilot
attempted to correct the dive, but met
resistance when he pulled the stick back.
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16. Communication, continued
Meanwhile, the back seater found and
deployed the raft deflation tool. The front
seater, trying to solve the control problem,
heard an explosion as the cockpit filled with
talcum powder from inside the raft, which
looked very much like smoke. He identified the
problem as an engine failure, closed the throttle
and secured the engine.
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17. Communication, continued
As the haze cleared in the back, the back
seater noticed the apparent engine flameout
and ejected. The front seater then deadsticked the aircraft into a field. Throughout this
entire sequence, not a word was spoken.
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21. Double Check When You Hear . . .
Probably
Possibly
I think so
I hope so
Maybe
Should
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22. Internal Barriers to Communication
Rank
Attitude
Choice of words
Misinterpretation
Hearback
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Hear what you want to hear or are expecting
Mixing/switching numbers 200-220, 120,210
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23. External Barriers to Communications
High noise
Uncomfortable temperatures
High workload
Uncertain of policies/procedures
Unable to see the other person
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24. Resources
Internal – in the cockpit during flight
External – outside of the cockpit during flight
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28. Situational Awareness
An accurate perception of the operational
and environmental factors which affect the
aircraft, pilot, and passengers during a
specific period of time.
Fixating on one thing
Complacency
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29. ADM Works!
United Flight 232
Captain Al Haynes
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“We had 103 Years of flying experience in that
cockpit . . . but not one minute of that 103 years
had been spent operating an airplane the way we
were trying to fly it. If we had not worked
together, with everybody coming up with ideas
and discussing what we should do next and how
we were going to do it, I do not think we would
have made it to Sioux City.”
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