Friday, April 23, 2010

Human errors in aircraft accidents

Human error, as it is defined, is much like mechanical failure. It is when a task, or task element, is not performed in accordance with its specifications. Incident surveys in aviation have attributed 70% of incidents to crew error, citing pilot error as the root cause of an aviation accident. First, we will discuss some of the different factors of human errors as they relate to aircraft accidents. Next, engineering and administrative control strategies are the two general methods used to address and reduce human error. Under these two areas are many systems, and we will evaluate how effective they are.




Human error is apparent in all areas of aviation. These can be classified into such groups as: 1.)the task not performed when required, 2.) the task performed when not required, 3.) the task performed incorrectly, 4.) the task(s) performed out of sequence, 5.) or the task performed late. In addition to these classifications, within each category a label of severity can be added, which would depend on the degree of "bad" it falls within. For example, structural damage caused by skipping a scheduled maintenance overhaul would be classified as an incident. If this resulted in passengers/pilot being injured by the plane falling out of the sky, it would be an accident. If death resulted, it would be catastrophic.

The most prevalent method of creating engineering control strategies is through increased automation. Human error, as caused by human factors, are cited as the most common contributing factor or cause of incidents and accidents. Advances in automation seek to remove the human element and replace it with more consistency, to be performed by machines. First, cockpit standardization seeks to modernize displays and make certain instruments, digitized displays, weather radar, and radios more common or standard to one format, regardless of the type of aircraft, which may look like this ---->
Other areas include cockpit automation, which includes more advanced autopilot systems, electronic flight instruments, and even fully automated landing systems. Advanced warning and alerting systems have provided another tool to assist the pilot in maintaining awareness of the aircraft and its surroundings. This may include, fuel monitoring systems, ground proximity warning systems, and aircraft proximity warnings. Also, the FMS(Flight Management System) allows for more expedient access to navigation databases, checklists, weather reports, and flight plans. One potential advancement is ADS-B, which deals with the advancement of automated communication and GPS tracking of aircraft. This systems would enable the controlling of aircraft by means of messages being sent directly to the aircraft and acknowledged without any voice communication. It would also enable aircraft to have more real time updates on weather and data on other aircraft, and to be tracked via GNSS(Global Navigation Satellite System). More information can be found at http://www.ads-b.com. Although human interaction will still be required to initiate, monitor, and control these systems in the event of equipment failure, their implementation helps create many lines of defense between safety and human error.

Although turning many flight functions over to a computer may seem like the best approach, there is another angle that attempts to control the human factor. This final area which mitigates human error is through administrative control policies. A few of these policies, which are developed and enforced by company managers, are training, employee selection, procedures, and checklists. These are normally designed and updated through human error, but they attempt to make sure the same mistakes are not repeated. This is where a common phrase of "checklists are written in blood" comes from, as it is often not until an incident or accident occurs that recognition is given to a potential unsafe piece of equipment or procedure needing to be updated. Next, communication is very important, and must be supported at all levels. Company leaders must ensure that crew members are updated on procedures and company goals, and that they will be enforced. Communication between crew members ensures that less items go missed, and each others actions are backed up. These policies all serve to reinforce the importance of doing the right thing. Even though a slight compromise of safety may be overlooked administratively, it could still result in an accident if not properly addressed.



References

Wells, Alexander T., and Clarence C. Rodrigues. Commercial Aviation Safety. New York: McGraw-Hill, 2003. Print

"YouTube - Managing Human Error." YouTube - Broadcast Yourself. Web. 22 Apr. 2010.

Woods, David D. Behind Human Error: Cognitive Systems, Computers, and Hindsight. Dayton], Ohio: Crew Systems Ergonomics Information Analysis Center, 1994. Print.

About ADS-B." ADS-B.com. Web. 26 Apr. 2010. .

Wednesday, April 14, 2010

How safety is measured

There are four major organizations that collect and analyze aviation safety and safety-related data: the FAA, the Research and Special Programs Administration (RSPA), the NTSB, and the National Aeronautics and Space Administration (NASA). Here we will discuss a few of the systems from each organization used to track and collect this aviation safety data.

The FAA uses a program to record and track U.S. Civil aircraft incident data, called the FAA Accident Incident Data System. Here is a link to the FAA website where this can be accessed
http://www.faa.gov/data_research/accident_incident/. The system used by the NTSB is known as the Aviation Accident Data System. Here is the link to their website
http://www.ntsb.gov/aviation/aviation.htm (this is the same website we have used throughout our class to locate accidents/incidents). In comparison, these 2 systems both track aviation safety data. The differences are that the NTSB system contains all U.S. civil aircraft accidents and selected incidents, while the FAA system has fewer accident records but substantially more incident data than the NTSB system. The FAA uses their system to assess whether or not corrective action is required in the aviation system, while the NTSB uses their system to determine probable causes and make recommendations to the FAA.

Here is an example of how data collected from an aircraft accident investigation is used. This is the recreation of Eastern Airlines Flight 401(yes, back from the day when some of our folks were just learning what an airplane was) that crashed due to several factors, but primarily lack of situational awareness:


There are numerous other systems used to track aviation safety data. The Enforcement Information System tracks the complete history of each enforcement case, allows it to be input from the field, and keeps copies of all documentation. The Service Difficulty Reporting System is used to identify aircraft failures or malfunctions. These reports are required by regulation, and are kept on record for 10 years. They help to identify short-term safety problems and track trends in reports for repetitive malfunctions to specific aircraft and component types. The Air Operator Data System, unlike most other systems, has no regulatory requirement for reporting to the FAA. The information that is reported refers to air carriers and other commercial operators and the structure of their organizations. This data helps to analyze air carrier operating practices, by individual company or industry-wide, and help give a view of areas such as scheduling pressure on aircraft, engine reliability data, and maintenance and operating procedures.
One final area of reporting safety data is the Aviation Safety Reporting System, which is run by NASA. The system was designed to gather the maximum amount of information without discouraging the reporter from filing. As such, reports filed in this system are voluntary and confidential, and can not result in punitive actions being taken on an employee. Reports are submitted from pilots, controller, and others, and they discuss accounts of safety related aviation incidents. The analysts of this data collected, primarily experts in aircraft operations and air traffic control, provide insight into the nature of the human error or other underlying factors in the incidents.


References

Wells, Alexander T., and Clarence C. Rodrigues. Commercial Aviation Safety. New York: McGraw-Hill, 2003. Print

YouTube - Broadcast Yourself. Web. 19 Apr. 2010.

National Transportation Safety Board. Web. 20 Apr. 2010.

FAA: Home. Web. 20 Apr. 2010.

Wednesday, April 7, 2010

Evolution of Federal aviation safety laws



The safety of flight in air carrier operations, and in all areas of aviation, is attributable to the development of the FAA and Federal aviation safety laws and regulations. We could say that this all started with the Air Commerce Act of 1926. This Act put aviation regulation under the Secretary of Commerce. From 1926 to 1958, aviation regulation went through many identity changes, but eventually came to be known as the Federal Aviation Agency. This Agency was too spread out, so President Johnson formed the DOT and consolidated the FAA(Agency) into one central area, which we know today as the Federal Aviation Administration.


As the age of jet airline travel approached,
many Americans recognized the need for more
concerted effort to safeguard civil aviation.
A sever midair collision over the Grand Canyon
in 1956 underscored the necessity. in 1958,
the Federal Aviation Act created the FAA, an
independent agency combining scattered safety
responsibilities. On November 1, 1958, Elwood R
Quesada took the oath as FAA's first Administrator.(left)

Since the development of the FAA, numerous initiatives have been proposed and enacted to increase safety in air carrier operations. One example of how this is initiated is often a result of an aircraft accident. The following article from the Washington Post illustrates how certain deficiencies are identified, and safety laws and regulations are proposed to address problems and improve safety:
www.washingtonpost.com/wp-dyn/content/article/2009/09/30/AR2009093003002.html
The specific issues identified here were lax pilot hiring practices, problems related to training and fatigue and superficial regulatory oversight by the Federal Aviation Administration.

Through the creation of new aviation regulations, air safety has improved. This can be identified by the 2007 press release on NTSB website, citing that in 2006, after air carriers logging more than 19 million flight hours, there were only 31 accidents, which was down more than 20% from 2005. In comparison to general aviation, air carriers average 1 accident every 630,000 hours flown, while GA accidents averaged 7.5 accidents every 100,000 hours. As air carriers are more stringently regulated than General Aviation, this would conclude that there is an advantage, from a safety perspective, to the evolution air carrier regulation.

References

Princeton University website(www.princeton.edu) Safe Skies for Tomorrow:Aviation Safety in a Competitive Environment Chapter 3/Regulatory and Institutional Framework – Website link: http://www.princeton.edu/~ota/disk2/1988/8834/883405.PDF

The Federal Aviation Administration website. www.faa.gov/about/history

The National Transportation Safety Board website. www.ntsb.gov. 2007 Press Release: "Annual Statistics Show Continued Improvement in Aviation Safety