Aviation human error modelled as a production process

Type of content
Journal Article
Publisher's DOI/URI
Thesis discipline
Degree name
Publisher
University of Canterbury. Mechanical Engineering
Journal Title
Journal ISSN
Volume Title
Language
Date
2015
Authors
Pons, Dirk J.
Dey, Karla.
Abstract

As technology systems have become more complex, so it is increasingly difficult for human operators to comprehend how the system is behaving. There is a need to better understand the causes of human-error in the context of the situational variables. The specific case under examination is the process of landing an aircraft. This paper applies a production engineering perspective. By production-process we refer to the set of actions necessary to move a system from one state to a desired new state. Such processes involve mechanisms for taking inputs and converting them to the desired outputs, under certain controls and constraints. Human error is thus treated as a constraint on the processes. A novel process methodology is developed to represent how technical systems, situational variables, external factors, and human error evolve over time in a process. The applicability is demonstrated with a dataset of case studies. In parallel, a new categorisation of human errors is derived for this situation. The method permits cases to be examined individually, and also collectively for patterns. The results show that the initial landing approach often the point of error initiation. For the specific case of landing accidents the methodology identifies that the failure causality was lack of attention to established procedure at the very start of descent, followed by persistent disregard of disconfirmatory evidence at the initial landing approach, especially under conditions of poor visibility. The paper makes a methodological contribution as well as suggesting new insights for how human error occurs at landing.

Description
This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).<br />
Citation
Pons, Dirk. J., Dey, Karla. (2015) Aviation human error modelled as a production process. The Ergonomics Open Journal, 8, pp. 1-12.
Keywords
aircraft pilot, production process, safety, sociotechnical interaction, systems engineering
Ngā upoko tukutuku/Māori subject headings
ANZSRC fields of research
Fields of Research::40 - Engineering::4001 - Aerospace engineering::400103 - Aircraft performance and flight control systems
Field of Research::17 - Psychology and Cognitive Sciences::1702 - Cognitive Science::170202 - Decision Making
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