The Analysis of Safety Recommendation and Human Error Prevention Strategies in Flight Operations

This study applied Human Factors Intervention Matrix (HFIX) framework described by Wiegmann and Shappell. METHOD: The data set comprised of 31 incident investigation reports taken place between 2009 and 2011 and included 182 unique safety recommendations to reduce human errors. The results indicated that major recommendations were directed at organizational/ administrative and human/ crew approaches and the most effective interventions concentrated on decision errors and violations. This study has demonstrated that the HFIX framework can be applied to improve human errors by five different approaches. It also has suggested that decision error and violations are critical issues of flight safety and these can be improved by training and organizational administration.

[1]  G. Hofstede,et al.  Cultures and Organizations: Software of the Mind , 1991 .

[2]  H. W. Heinrich,et al.  Industrial accident prevention : a safety management approach , 1980 .

[3]  Scott A. Shappell,et al.  A Methodology for Assessing Safety Programs Targeting Human Error in Aviation , 2009 .

[4]  Scott A. Shappell,et al.  A HUMAN ERROR APPROACH TO AVIATION ACCIDENT ANALYSIS , 2003 .

[5]  Günter Spur,et al.  Introductory Overview , 1995, Information Management in Computer Integrated Manufacturing.

[6]  Gert Jan Hofstede,et al.  Cultures and Organizations: Software of the Mind, 3rd ed. , 2010 .

[7]  Scott A. Shappell,et al.  Human Factors Analysis of Postaccident Data: Applying Theoretical Taxonomies of Human Error , 1997 .

[8]  David C. Nagel,et al.  Human factors in aviation , 1988 .

[9]  Barbara G. Kanki,et al.  Cockpit Resource Management , 1993 .

[10]  Erik Hollnagel,et al.  Cognitive reliability and error analysis method : CREAM , 1998 .

[11]  Scott A. Shappell,et al.  The Human Factors Analysis and Classification System : HFACS : final report. , 2000 .

[12]  J. R. Landis,et al.  The measurement of observer agreement for categorical data. , 1977, Biometrics.

[13]  Robert L. Helmreich,et al.  Why crew resource management? Empirical and theoretical bases of human factors training in aviation. , 1993 .

[14]  Richard S. Jensen,et al.  The Boundaries of Aviation Psychology, Human Factors, Aeronautical Decision Making, Situation Awareness, and Crew Resource Management , 1997 .

[15]  G. Hofstede Dimensionalizing cultures: The Hofstede model in context , 2011 .