5.3 Team-Based Human Factors Challenges

 

An accident analysis was performed to determine the cause of the error after an incident occurred. In the modern aviation industry, it is also used to analyze databases of past accidents to prevent accidents. Many models are used not only for accident investigations but also for educational purposes. Under the International Civil Aviation Convention, if a contracted state aircraft is at risk of accidents or any other incident in another contracting state, the hazardous state will initiate an investigation. This convention defines the rights and responsibilities of the state. The reasoning model, commonly referred to as the Swiss cheese model, is based on the methodology of why organizations must work together to ensure safe and effective operations. From the pilots' point of view, in order to maintain a safe flight operation, all human and mechanical elements must work effectively in the system. In the causal model, the hollow represents weakness or failure. These holes will not be directly harmful due to the presence of protective layers. However, when all the holes are in order, the danger will arise. There are four patterns in this model: organizational influence, dangerous controls, preconditions, and hazardous activities.

Organizational Influence:

This layer refers to the management of climate resources, the organization and the organizational process. For example, a crew that underestimates maintenance costs will leave the aircraft and equipment in bad condition.

Insecure Controls:

This layer includes inadequate monitoring, inappropriate operation, inability to correct problems, and oversight violations. For example, failure to provide immediate training to new employees will increase the risk of life-threatening injury.

Unsafe activity:

Safe activity is not a direct cause of harm. There are some prerequisites that lead to dangerous activities; An unstable mental state is one of the reasons for poor decisions.

Mistakes and Abuses:

These are part of the dangerous activity. Mistakes refer to people who are not able to take the right action to get results. Abuses include acts of violation of law or regulation. These four layers form the key components of the Swiss cheese model and risk analysis can be performed by monitoring all of these factors.

References 

Human Factors – Gliders. (2016, March 24). Flight Literacy. Retrieved September 7, 2022, from https://www.flightliteracy.com/glider-flying/human-factors-gliders/

Daniele, D. (2016, December 26). The Relevance of Human Factor in Aviation. Aviation Coaching. Retrieved September 7, 2022, from https://www.aviationcoaching.com/en/the-relevance-of-human-factor-in-aviation/