Mishaps by the Number Human Factors

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What human factors can lead to mishaps?

Human Factor Discussion

TITLE GOES HEREHuman Factor Categories

There are 147 human factors to choose from when recording mishaps.

Common human factors include:

• Distraction

• Situational awareness

• Fatigue

• Checklist discipline

• Poor judgment/decision making errors

• Procedural errors

What do these human factors cost in aviation and ground safety?

TITLE GOES HEREAviation Human Factor Mishaps FY 09-13

Total USAF: $520,528,667

Total ANG: $31,439,991

Aviation Leading Human Factors Class A USAF Mishaps

1. Channelized Attention

2. Procedural Error

3. PC208 Complacency

4. Risk Assessment

5. Error Due to Misperception

TITLE GOES HEREGround Human Factor Mishaps FY 09-13

USAF wide spent $306,113,584 on 43,569 reports

$2,342,724 spent on ground mishaps due to human error between FY 09-13

Total ANG Lost Workdays: 16,236 days

USAF Fatalities:

1. Personal Motor Vehicle (71% of all fatalities)

a. PMV-4 (Motor Vehicle): 89

b. PMV-2 (Motorcycle): 95

2. Sports, Rec, Fitness: 37

TITLE GOES HEREHuman Factor Mishaps

Human factors a result of:

• 73% of all Class-A Mishaps between 2001 and 2011

• 94% of all Class-A Mishaps between 2009 and 2014

• $493M in Class-A mishaps from 2002-2012

• 45 USAF wide lives lost FY 09-13 because the easily identifiable human factor was ignored.

DQ: What precautions do you or your wing take to prevent human factor mishaps?

TITLE GOES HEREHuman Factor: Seasonal

Late December through Mid February is the 60 day period for highest numberof human factor related mishaps.

Aspects contributing to this increased rate:

● Darker time of the year

● Worst weather time of the year ● Post-holiday stress

● Post holiday season flying ramp up

What can you do at your wing to prevent post-holiday human factor mishaps?

TITLE GOES HERESolutions to Mitigate

Human Factors (Distraction, Situational Awareness, Risk Assessment)

• Commander involved ORM

• Personal Risk Assessment

• Squadron scheduling tools (TACC)

• Comprehensive Programs (FlyAwake, AMMO)

• Sleep Kits (WFSK)

TITLE GOES HEREHuman Factors: Fatigue

Total Lost Workdays FY 09-13 from fatigue:

2550 days equates to 6.98 years of lost time

Majority of cases are acute fatigue which is identifiable

Signs of Fatigue to look for:

● Slowed, slurred speech, blurred vision

● Wandering & disconnected thoughts

● Constant yawning, head nodding

● Incorrect reading of equipment, forgetting to communicate with crew, missing a reference point

TITLE GOES HEREHuman Factors: Fatigue

Unique ANG Fatigue Issues:

• Combining Civilian & Military Job

• Commuting to/from ANG Unit

• 12 days straight without break

• Excessive non-mission requirements

• Airline Specific issues

• RPA Specific shift work

TITLE GOES HEREHuman Factors: Fatigue

Alcohol Fatigue Related Study

• After 17 hours awake–the equivalent of two beers for someone weighing 160 lbs.

• After 24 hours awake–the equivalent of four beers for someone weighing 160 lbs.

Performance effects of fatigue:1. Lapses of attention (microsleeps)2. Increases performance variability3. Slows reaction

Do you notice a dip in your performance level after being

awake 13 hours?

TITLE GOES HERESolutions to Mitigate

Operational Strategies to reduce fatigue:

• Napping

• Bright Light

• Get up & move around

• Caffeine (carefully)

• Engage in stimulating conversation

Negative effects of caffeine dosing:

• Increased heart rate

• Irritability

• Possible impairment of fine motor skills

• Withdrawal

TITLE GOES HEREAdditional Discussion

What solutions do you think would be useful to implement on the daily level to reduce human factor mishaps?

What strategies do you do on a daily basis to mitigate risk?