Applying Human Factors

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    Chapter 10Section B

    Aeronautical DecisionMaking

    Applying Human FactorsPrinciples

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    Risk Elements

    Pilotfitness, competency, currency, experience

    Aircraftperformance, limits, equipment,

    airworthiness

    Environmentwx., airport conditions, ATC svcs.

    Operationpurpose of flight

    Situationsituational awareness of all above

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    Decision-making Process

    Ddetect

    Eestimate Cchoose

    Iidentify

    Ddo Eevaluate

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    Accidents

    Incidents

    Accident

    An occurrence in which any person on board theaircraft suffers death or serious injury, or in which

    the aircraft receives substantial damage

    Incident An occurrence other than an accident which

    affects the safety of operations

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    NTSB

    National Transportation Safety Board

    Investigates every U. S. civil aviation accident Issues safety recommendations

    Maintains database

    Conducts research on safety issues

    www.ntsb.gov

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    Poor Judgment Chain

    aka error chain

    Accidents and incidents rarely, if ever, are the

    result of a single cause

    Usually a series of errors occurs which lead

    to the accident or incident

    Break one link in the chain and sequence of

    events would be stopped

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    Risk

    Flight activities where accidents are most

    likely to occur

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    When do aviation accidents happen?

    57.2% of GA accidents occur during 6% of flight time

    Takeoff/initial climb, Approach, Landing

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    PIC Responsibility

    Read top half of page 10-28

    Judgment

    Learned

    From your mistakes

    From other experiences From the experiences of others

    Ability to exercise good judgment affected by

    Stressors

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    Stressors

    Three categories

    Physical stress

    Physiological stress

    Psychological stress

    Personal checklist

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    Stress

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    Improving Judgment

    Anticipate decisions

    Train and practice in critical areas Match individual skills with the job

    Standardize whenever possible

    Maintain positive attitudes Practice effective communications

    Be deliberate in decision making

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    Hazardous Attitudes

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    Communication

    Sending

    Listening

    Feedback

    Good ATC radio procedures help

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    Communication

    When the rear-seat pilot of a dual-piloted T-33

    aircraft attempted to adjust his position, heinadvertently deployed the life raft in the seat

    bucket survival kit. As the raft inflated, it

    pushed the stick forward, which caused the

    aircraft to pitch nose down. The front seat pilotattempted to correct the dive, but met

    resistance when he pulled the stick back.

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    Communication, continued

    Meanwhile, the back seater found and

    deployed the raft deflation tool. The frontseater, trying to solve the control problem,

    heard an explosion as the cockpit filled with

    talcum powder from inside the raft, which

    looked very much like smoke. He identified theproblem as an engine failure, closed the throttle

    and secured the engine.

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    Communication, continued

    As the haze cleared in the back, the back

    seater noticed the apparent engine flameoutand ejected. The front seater then dead-

    sticked the aircraft into a field. Throughout this

    entire sequence, not a word was spoken.

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    Barriers to Listening

    Boredom

    Complacency

    Distractions

    Impatience

    Anger

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    Feedback

    Ask for clarification until you understand

    Acknowledge Restate

    Confirm

    Observe Question

    Disagree

    Answer

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    Double Check When You Hear . . .

    Probably

    Possibly

    I think so

    I hope so

    Maybe

    Should

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    Internal Barriers to Communication

    Rank

    Attitude Choice of words

    Misinterpretation

    Hearback Hear what you want to hear or are expecting

    Mixing/switching numbers 200-220, 120,210

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    External Barriers to Communications

    High noise

    Uncomfortable temperatures

    High workload

    Uncertain of policies/procedures

    Unable to see the other person

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    Resources

    Internalin the cockpit during flight

    Externaloutside of the cockpit during flight

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    Workload Management

    Plan

    Prepare Prioritize

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    Overload

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    Compare

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    Situational Awareness

    An accurate perception of the operational

    and environmental factors which affect theaircraft, pilot, and passengers during a

    specific period of time.

    Fixating on one thing

    Complacency

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    ADM Works!

    United Flight 232

    Captain Al Haynes We had 103 Years of flying experience in that

    cockpit . . . but not one minute of that 103 years

    had been spent operating an airplane the way we

    were trying to fly it. If we had not workedtogether, with everybody coming up with ideas

    and discussing what we should do next and how

    we were going to do it, I do not think we would

    have made it to Sioux City.