ACCIDENT INVESTIGATION HUMAN FACTORS. WHAT HAVE WE LEARNED TO PREVENT FUTURE ACCIDENTS A. TRAINING B. TESTING.

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Presentation transcript:

ACCIDENT INVESTIGATION HUMAN FACTORS

WHAT HAVE WE LEARNED TO PREVENT FUTURE ACCIDENTS A. TRAINING B. TESTING

EXTRA THE TIMES HUMAN FACTOR 95% ACCIDENTS NTSB ACCIDENT SCENE

SH E L L SHELL MODEL

SOFTWARE HARDWARE PILOT OTHER PEOPLE ENVIRONMENT

PREVIOUS ACCIDENTS WHAT HAVE WE LEARNED ?

* ACCIDENTS * CAN THEY BE PREVENTED ? SAFETY

NO MAN IS AN ISLAND

TRAINING PROGRAM

PIC FAR 91.3

SYSTEMMANAGERS

STRESSACCOMMODATION

RITUALS

SEAT BELTS

LOGIC TIGHT COMPARTMENTS GOOD BAD

LOOKING NOT SEEING

SITUATIONAL AWARENESS

SINGLE CHANNEL RECEIVER

KNOWLEDGE SAFETY

CRM PLANNING TRAINING TO PROFICIENCY INDEPTH KNOWLEDGE

EMERGENCIES SIMULATED VS REAL

STERILE COCKPIT DIS TRACT IONS

PROGRAM ITEMS: 1. WHO HAS CONTROLS / WHEN 2. CHANGE OF CONTROLS 3. MONITORING 4. EXPECTED CALLOUTS 5. COMMUNICATION PROCEDURES

6. “V” SPEED CALLOUTS 7. CHECKLIST USE 8. TAKING NOTES 9. FLIGHT OVERVIEW 10. OTHER ITEMS

PREFLIGHT CREW BRIEFING ROUTE ALTITUDE WEATHER SPECIAL REQUIREMENTS

TAKEOFF BRIEFING

RESOURCES AVAILABLE TO THE CREW FLIGHT SERVICE STATIONS 1. HOURLY WX REPORTS 2. TERM & AREA FORECAST 3. WINDS ALOFT 4. SIGMETS / AIRMETS 5. NOTAMS

6. PILOT REPORTS 7. DF SYSTEM 8. FLIGHT PLAN 9. ATC FLIGHT FOLLOWING 10. OTHER ITEMS

AIR TRAFFIC CONTROL 1. IFR 2. VECTORS 3. ASR APPROACH 4. WEATHER REPORTS

5. SIGMETS / AIRMETS 6. ALTIMETER SETTINGS 7. OTHER

KNOWLEDGE OF AVAILABLE RESOURCES

PREFLIGHT BEFORE TAKEOFF TAKEOFF CLIMB CURISE DESCENT BEFORE LANDING AFTER LANDING SHUTDOWN CHECKLIST

SAFETY WINDOW

CONTINUE OR LEAVE

AVIATION SAFETY THROUGH HUMAN FACTORS IT’S A TEAM EFFORT