shappell & wiegmann, 2006 modifiziert juergen k knueppel ......association of aviation...

Shappell & Wiegmann, 2006 modifiziertmodifiziert Juergen K Juergen K KnueppelKnueppel, , FritzlarFritzlar 11/0711/07


Human Factors Intervention

� There is a Need

to develop an effective methodology for

generating intervention strategies.


Interventions Strategien?

�HFIX

-Human Factors Intervention Matrix-


Studies

� When combined with “HFACS“, the Human Factors Analysis and ClassificationSystem,

the resulting

Human Factors Intervention Matrix (HFIX)

will provide a useful tool for evaluating current

and safety programs.


� Zwischenfallberichte sollten i.d.R.

„Empfehlungen“

enthalten, um

zu informieren, was man

zur Fehlervermeidung tun kann!


Categories of Recommendations

Nine Categories

� Design of Parts/Displays

� Procedures

� Communication

� Training,

� Requests to conduct focused studies

� Rules

� Manuals

� Inspection

� Human Resources.

Clustered into four larger categories (based on their similarities)

1) administrative/organizational

2) mechanical/ engineering

3) human/crew

4) task/mission


Percentage of recommendations HFIXassociated with each intervention category

Intervention Category % n

� Administrative/Organizational 34.18– Rules/Regulations/Policies 9.29 81

– Information management/ Comm. 13.76 120

– Research/Special study 10.44 91

– Human resource management 0.69 6

� Mechanical/Engineering 31.20– Design/Repair 23.17 202

– Inspection 8.03 70

� Human/Crew 11.47– Training 11.47 100

� Task/Mission 23.16– Procedures 14.56 127

– Manuals 8.60 75


The HFIX Framework

-COST

-ACCEPTABILITY

-FEASIBILITY

-EFFECTIVENESS2

31

-Organization / Administration

-Human / Crew

-Technology / Engeneering

-Task / Mission

-Operational / Physical Environment

-Decision Errors

-Skill based Errors

-Perceptional Errors

-Violations

Unsafe

Acts

Intervention

Categories Additional Criteria

!


Zusammenfassung “HFACS“+“HFIX“

� Analyse und Klassifikation von Fehlern

� Systemfehler Erkennung

� Einfach und übersichtlich

� Individuell anpassbar

� Tool für Ausbildung

� Tool für Planung

� Vergleichbarkeit von Erkenntnissen

� International schon operationell eingeführt


HFACS HFACS kann kann üüberall angewendet werden berall angewendet werden !!

FlightdeckFlightdeck

(HFACS)(HFACS)

MaintenanceMaintenance

(HFACS(HFACS--ME)ME)

ATCATC

(HFACS(HFACS--ATC)ATC)

MedicineMedicine

(HFACS(HFACS--MD)MD)


HFACS Transition to Military and Civilian Organizations

Military Organizations Status

U.S. Navy/Marine Corps Implemented

U.S. Army Implemented

U.S. Air Force Limited Implementation

U.S. Coast Guard Implemented

Israeli Air Force Limited Implemented

Canadian Forces Implemented

Civilian Organizations Status

US Forest Service Under Consideration

NASA-Langley Implemented

NASA-HQ Under Consideration

NTSB Under Consideration

FAA Implemented

British Petroleum Implemented

Other Civilian and Military Organizations

Human Factors Society - 6 workshops

Aerospace Medical Association - 2 workshops

Association of Aviation Psychologists - 2 workshops

Canadian Aviation Safety Seminar - 2 workshops

Australian Aviation Psychology Symposium - 1 workshop

American Psychological Association - 1 workshop

Over 40 invited addresses and presentations


Danke für die Aufmerksamkeit!

aeromednews @ t-online.de

-Anmerkungen

-Fragen

shappell & wiegmann, 2006 modifiziert juergen k knueppel ......association of aviation...

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