Engineering Commons^™

From Classroom To Industry: Human Factors In Aviation Maintenance Decision-Making, Bettina Mrusek, Stephanie Douglas

Publications

The presence of human factors in aviation remains a critical area of research given the safety implications of human error. Understanding what specific factors contribute to human error allows managers and operators to take steps to mitigate these hazards. Several methods have been tested in the cockpit and cabin crew environments, but less attention has been given to the aviation maintenance sector, despite the prevalence of accidents resulting from human error. With the introduction of AC-172A, the FAA validated the need for additional research and training on the role of human factors in aviation maintenance errors. However, a key component …

Human Factors Analysis And Classification System (Hfacs): As Applied To Asiana Airlines Flight 214, Alex Small

The Journal of Purdue Undergraduate Research

The Human Factors Analysis and Classification System (HFACS) is a safety tool that aids in the identification and analysis of organizational factors that contribute to aircraft accidents. By using the HFACS model, safety investigators can better understand the existing conditions that contribute to accidents, which then allows for the development and implementation of safety programs to prevent these conditions. In this study, the HFACS framework was utilized to identify the human factors that contributed to the Asiana Airlines flight 214 accident that occurred on July 6, 2013. The results of this study indicate that inadequate pilot training, lack of upper-level …

Human Error In Commercial Fishing Vessel Accidents: An Investigation Using The Human Factors Analysis And Classification System, Peter J. Zohorsky

Engineering Management & Systems Engineering Theses & Dissertations

The commercial fishing industry is frequently described as one of the most hazardous occupations in the United States. The objective, to maximize the catch, is routinely challenged by a variety of elements due to the environment, the vessel, the crew, and several external considerations and how they interact with each other. The analysis of fishing vessel accidents can be complicated due to the diverse nature of the industry, including the species caught, the type and size of boat that is employed, how far travelled from their homeport, and the adequacy of the support organizations ensuring safe and uninterrupted operations. This …

Probabilistic Framework For Balancing Smart Grid's Performance Enhancement And Resilience To Cyber Threat, Rezoan Ahmed Shuvro

Dissertations (1934 -)

Critical infrastructures such as smart grids rely heavily on the seamless interaction between the grid subcomponents, i.e., the communication networks which transfers information from and to the grid, and the human operators/AI agents for taking necessary control actions. Smart grids are prone to cascading failures, which trigger from a few initial the tripping of a few transmission lines or generators, creating a ripple effect in the entire network, which may, in turn, lead to a total blackout. Having additional information through the communication network increases the probability of taking better control actions (e.g., effective load shedding and other protection mechanisms), …

Developing A Taxonomy For Success In Commercial Pilot Behaviors, Kristine Kiernan, David S. Cross, Mark Scharf Ph.D.

Publications

Human error has been well studied in aviation. However, less is known about the ways in which human performance maintains and contributes to aviation safety. The lack of data on positive human performance prevents consideration of the full range of human behaviors when making safety and risk management decisions. The concept of resilient performance provides a framework to understand and classify positive human behaviors. Through interviews with commercial airline pilots, this study examined routine airline operations to evaluate the concept of resilient performance and to develop a taxonomy for success. The four enablers of resilient performance, anticipation, learning, responding, and …

English Language Proficiency And Aviation Safety, Robert Fowler Jr.

Student Works

The goal of this research study is to determine if aviation incidents and accidents due to deficiencies in English language proficiency have increased in the last 10 years based on data from the National Aeronautics and Space Administration (NASA) Aviation Safety Reporting System (ASRS). In addition, this study will determine whether deficiencies in English language proficiency have a significant impact on aviation safety. There are currently 184,636 student pilots according to the Federal Aviation Administration Airmen Certification System. Included in this number are 11,776 student pilots with a foreign address (Federal Aviation Administration [FAA], 2019). Findings presented at a NASA …

From Human Reliability To Resilience & System Performance - Adapting To A Changing World, Gesa Praetorius, Fulko C. Van Westrenen

Gesa Praetorius

Model-Based Guidance For Human-Intensive Processes, Stefan Christov

Doctoral Dissertations

Human-intensive processes (HIPs), such as medical processes involving coordination among doctors, nurses, and other medical staff, often play a critical role in society. Despite considerable work and progress in error reduction, human errors are still a major concern for many HIPs. To address this problem of human errors in HIPs, this thesis investigates two approaches for online process guidance, i.e., for guiding process performers while a process is being executed. Both approaches rely on monitoring a process execution and base the guidance they provide on a detailed formal process model that captures the recommended ways to perform the corresponding HIP. …

The Effects Of External Motivation And Real-Time Automated Feedback On Speeding Behavior In A Naturalistic Setting, Ian J. Reagan, James P. Bliss, Ron Van Houten, Bryan W. Hilton

Psychology Faculty Publications

Objective: In this field experiment, the authors tested an alerting system and a monetary incentive system with the objective of reducing speeding more than 5 mph faster than the posted speed limit.

Background: Speeding is a factor in a significant number of traffic fatalities. The systems tested in this project have been evaluated outside but not within the United States. These studies indicated that similar systems led to reductions in speeding.

Method: For this study, eight vehicles were instrumented such that vehicle speed and speed limits were linked in real time. A total of 50 participants drove assigned vehicles for …

Effects Of Visual Interaction Methods On Simulated Unmanned Aircraft Operator Situational Awareness, Brent A. Terwilliger

Publications

The limited field of view of static egocentric visual displays employed in unmanned aircraft controls introduces the soda straw effect on operators, which significantly affects their ability to capture and maintain situational awareness by not depicting peripheral visual data. The problem with insufficient operator situational awareness is the resulting increased potential for error and oversight during operation of unmanned aircraft, leading to accidents and mishaps costing United States taxpayers between $4 million to $54 million per year. The purpose of this quantitative experimental completely randomized design study was to examine and compare use of dynamic eyepoint to static visual interaction …

Human Error In Mining: A Multivariable Analysis Of Mining Accidents/Incidents In Queensland, Australia And The United States Of America Using The Human Factors Analysis And Classification System Framework, Jessica Patterson

All Dissertations

Historically, mining has been viewed as an inherently high-risk industry. Nevertheless, the introduction of new technology and a heightened concern for safety has yielded marked reductions in accident and injury rates over the last several decades. In an effort to further reduce these rates, the human factors associated with incidents/accidents need to be addressed. A modified version of the Human Factors Classification and Analysis System (HFCAS-MI) was used to analyze lost time accidents and high-potential incidents from across Queensland, Australia and fatal accidents from the United States of America (USA) to identify human factor trends and system deficiencies within mining. …

Human Error And Commercial Aviation Accidents: A Comprehensive, Fine-Grained Analysis Using Hfacs, Scott Shappell, Cristy Detwiler, Kali Holcomb, Carla Hackworth, Albert Boquet, Douglas Wiegmann

Publications

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 …

Human Error And General Aviation Accidents: A Comprehensive, Fine-Grained Analysis Using Hfacs, Douglas Wiegmann, Troy Faaborg, Albert Boquet, Cristy Detwiler, Kali Holcomb, Scott Shappell

Publications

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. …

A Human Error Analysis Of General Aviation Controlled Flight Into The Terrain Accidents Occurring Between 1990-1998, Scott A. Shappell, Douglas A. Wiegmann

Publications

Although all aviation accidents are of interest to the Federal Aviation Administration (FAA), perhaps none is more disconcerting than those in which a fully functioning aircraft is inexplicably flown into the ground. Referred to as controlled flight into terrain (CFIT), these accidents continue to be a major safety concern within aviation, in particular general aviation (GA). A previous study as part of the FAA's Safer Skies agenda examined 165 CFIT accidents using root cause analysis and developed 55 interventions to address their causes. While the study represented the work and opinions of several experts in the FAA and industry, the …

A Human Error Analysis Of Commercial Aviation Accidents Using The Human Factors Analysis And Classification System (Hfacs), Douglas A. Wiegmann, Scott A. Shappell

Publications

The Human Factors Analysis and Classification System (HFACS) is a general human error framework originally developed and tested within the U.S. military as a tool for investigating and analyzing the human causes of aviation accidents. Based upon Reason’s (1990) model of latent and active failures, HFACS addresses human error at all levels of the system, including the condition of aircrew and organizational factors. The purpose of the present study was to assess the utility of the HFACS framework as an error analysis and classification tool outside the military. Specifically, HFACS was applied to commercial aviation accident records maintained by the …

Human Error And Accident Causation Theories, Frameworks And Analytical Techniques: An Annotated Bibliography, Douglas A. Wiegmann, Aaron M. Rich, Scott A. Shappell

Publications

Over the last several decades, humans have played a progressively more important causal role in aviation accidents as aircraft have become more [complex]. Consequently, a growing number of aviation organizations are tasking their safety personnel with developing safety programs to address the highly complex and often nebulous issue of human error. However, there is generally no “off-the-shelf” or standard approach for addressing human error in aviation. Indeed, recent years have seen a proliferation of human error frameworks and accident investigation schemes to the point where there now appears to be as many human error models as there are people interested …

The Human Factors Analysis And Classification System--Hfacs, Scott A. Shappell, Douglas A. Wiegmann

Publications

Human error has been implicated in 70 to 80% of all civil and military aviation accidents. Yet, most accident reporting systems are not designed around any theoretical framework of human error. As a result, most accident databases are not conducive to a traditional human error analysis, making the identification of intervention strategies onerous. What is required is a general human error framework around which new investigative methods can be designed and existing accident databases restructured. Indeed, a comprehensive human factors analysis and classification system (HFACS) has recently been developed to meet those needs. Specifically, the HFACS framework has been used …