View
126
Download
5
Embed Size (px)
DESCRIPTION
This is the presentation I gave during my Phil to PhD transfer on 30th of July 2013.
Citation preview
In 1900, Wilbur wrote to his father,
“Carelessness & overconfidence,”
he said, “are usually more
dangerous than deliberately
accepted risks.”
We can design products and systems to eliminate or minimise human error but
addressing human reliability and particularly individuals’ attitudes towards risk
is much more challenging; therefore I believe risk takers pose more of a
significant threat to flight safety than professionals making genuine errors.
MANAGING HUMAN RISK IS THE KEY TO ENSURING FLIGHT SAFETY
ICAO (2013) ICAO Predicts Continued Traffic Growth Through 2015. Available at: http://www.icao.int/Newsroom/Pages/ICAO-predicts-continued-traffic-growth-through-2015.aspx [Accessed on 28 Jul 2013]
EASA (2013) EASA Annual Safety Review 2012. Available at: http://www.easa.europa.eu/communications/docs/annual-safety-review/2012/EASA-Annual-Safety-Review-2012.pdf [Accessed on 28 Jul 2013]
EASA (2012) European Aviation Safety Plan 2013 - 2016. Available at: http://www.easa.europa.eu/sms/docs/European%20Aviation%20Safety%20Plan%20%282013-2016%29%20-v1.0%20Final.pdf (Accessed on 31 Jul 2013]
CALCULATIVE We have systems in place to manage all
hazards
PROACTIVE Safety leadership and values drive
continuous improvement
REACTIVE Safety is important, we do a lot every time we
have an accident
PATHOLOGICAL Who cares as long as we’re not caught
GENERATIVE Safety is how we do business
around here
Managing the Risks of Organisational Accidents, 1997
Risk management is a balancing act. It involves balancing risks and rewards.
Risk Thermostat – Prof. John Adams Source: Risk, 1995
“Just Culture protects people’s honest mistakes from being seen as culpable. But what is an honest mistake, or rather when is a mistake no longer honest?”
“We’ve lost the practical differentiation between human error, at-risk, and reckless behaviours. In doing so, we’ve created only one standard: PERFECTION.......”
Unsafe Acts
Unintended Action
Intended Action
SLIP
LAPSE
MISTAKE
VIOLATION
Attentional Failures Omision Misordering Mistiming
Memory Failures Omiting planed item Place losing Forgetting intentions
Rule Based Mistakes Misapplication of good rule Application of bad rule Knowledge Based Mistakes
Many variable forms
Routine violations Exceptional violations
Acts of sabotage
• To evaluate the participating airlines’ and maintenance organisations’ risk management processes from human factors point of view.
• To investigate the factors driving today’s commercial air transport pilots and engineers to take risks in their operational environment.
• To develop a framework for assessing human reliability in commercial air transport, which will consider risk taking behaviour as well as genuine human errors.
• To make recommendations how this model can be used to improve the effectiveness of the risk management processes in airlines & AMO’s
“Research examining the impact of these individual differences on pilots’ risk-taking behaviour reveals attitude and risk perception to be key predictors. (Hunter, 2002, 2005)”