ALBERT

Description: Environmental Science & Technology DOI: 10.1021/es3028082

Description: Road safety studies using the Driver Behaviour Questionnaire (DBQ) have provided support for a three-way distinction between violations, skill-based errors and mistakes, and have indicated that a tendency to commit driving violations is associated with an increased risk of accident involvement. The aims of this study were to examine whether the three-way distinction of unsafe acts is applicable in the context of aircraft maintenance, and whether involvement in maintenance safety occurrences can be predicted on the basis of self-reported unsafe acts. A Maintenance Behaviour Questionnaire (MBQ) was developed to explore patterns of unsafe acts committed by aircraft maintenance mechanics. The MBQ was completed anonymously by over 1300 Australian aviation mechanics, who also provided information on their involvement in workplace accidents and incidents. Four factors were identified: routine violations, skill-based errors, mistakes and exceptional violations. Violations and mistakes were related significantly to the occurrence of incidents that jeopardized the quality of aircraft maintenance, but were not related to workplace injuries. Skill-based errors, while not related to work quality incidents, were related to workplace injuries. The results are consistent with the three-way typology of unsafe acts described by Reason et al. (1990) and with the DBQ research indicating an association between self-reported violations and accidents. The current findings suggest that interventions addressed at maintenance quality incidents should take into account the role of violations and mistakes, and the factors that promote them. In contrast, interventions directed at reducing workplace injury are likely to require a focus on skill-based errors.

Description: In recent years cognitive error models have provided insights into the unsafe acts that lead to many accidents in safety-critical environments. Most models of accident causation are based on the notion that human errors occur in the context of contributing factors. However, there is a lack of published information on possible links between specific errors and contributing factors. A total of 619 safety occurrences involving aircraft maintenance were reported using a self-completed questionnaire. Of these occurrences, 96% were related to the actions of maintenance personnel. The types of errors that were involved, and the contributing factors associated with those actions, were determined. Each type of error was associated with a particular set of contributing factors and with specific occurrence outcomes. Among the associations were links between memory lapses and fatigue and between rule violations and time pressure. Potential applications of this research include assisting with the design of accident prevention strategies, the estimation of human error probabilities, and the monitoring of organizational safety performance.

Description: Automatic or skill-based behaviour is generally considered to be less prone to error than behaviour directed by conscious control. However, researchers who have applied Rasmussen's skill-rule-knowledge human error framework to accidents and incidents have sometimes found that skill-based errors appear in significant numbers. It is proposed that this is largely a reflection of the opportunities for error which workplaces present and does not indicate that skill-based behaviour is intrinsically unreliable. In the current study, 99 errors reported by 72 aircraft mechanics were examined in the light of a task analysis based on observations of the work of 25 aircraft mechanics. The task analysis identified the opportunities for error presented at various stages of maintenance work packages and by the job as a whole. Once the frequency of each error type was normalized in terms of the opportunities for error, it became apparent that skill-based performance is more reliable than rule-based performance, which is in turn more reliable than knowledge-based performance. The results reinforce the belief that industrial safety interventions designed to reduce errors would best be directed at those aspects of jobs that involve rule- and knowledge-based performance.

Description: Maritime pilots licensed by the San Francisco Board of Pilot Commissioners perform safety-critical tasks in a demanding environment, working in all weather and at all times of day and night. Since 1850, San Francisco maritime pilots have been known as Bar Pilots because their duties include guiding ships safely across the large sand bar that lies west of the Golden Gate. Schedules and Work Hours Records for San Francisco Bay Bar Pilots were analyzed to determine the minimum and maximum work periods, the frequency of extended work hours, the frequency of night work and the rotation of work hours. A mathematical model is being applied to predict fatigue in order to identify schedules that may have a high likelihood of fatigue. This presentation provides a progress report on the research thus far.

Description: This document contains a list of human factors guidelines for remote pilot stations (RPS) arranged within an organizing structure. The guidelines are intended for the remote pilot stations (RPSs) of remotely piloted aircraft (RPA) that are capable of operating beyond visual line-of-sight in all airspace classes of the United States National Airspace System (NAS). Numerous human factors guidelines and standards for technological systems have been published by standards agencies and regulatory authorities. In compiling this document, the intent was not to reproduce or re-state existing human factors material. Instead, this document focuses on the unique issues of civilian RPAS, and contains guidelines specific to this sector. As a result, it should be seen as a supplement to existing aviation human factors standards and guidance material. Two constraints were used to focus the scope of this document. First, the assumptions contained in the FAA (2013a) UAS roadmap were used to define the responsibilities that will be assigned to the pilot of a RPAS operating beyond visual line-of-sight in the NAS. This in turn, helped to define the tasks that the remote pilot must perform via the RPS, and thereby the required features and characteristics of the RPS. Second, the points of difference between RPAS and conventional aviation were used to further focus the guidelines on the considerations that make piloting a RPA significantly different to piloting a conventional aircraft. Five broad categories of guidelines are identified. These are (1) performance-based descriptions of pilot tasks that must be accomplished via the RPS, (2) information content of displays, (3) descriptions of control inputs, (4) properties of the interface, and (5) high-level design considerations. Some of the guidelines in this document have been adapted from existing RPAS human factors material from several sources, including RTCA publications and Standardization Agreements (STANAGs) published by the North Atlantic Treaty Organization (NATO).

Description: It has been estimated that aviation accidents are typically preceded by numerous minor incidents arising from the same causal factors that ultimately produced the accident. Accident databases provide in-depth information on a relatively small number of occurrences, however incident databases have the potential to provide insights into the human factors of Remotely Piloted Aircraft System (RPAS) operations based on a larger volume of less-detailed reports. Currently, there is a lack of incident data dealing with the human factors of unmanned aircraft systems. An exploratory study is being conducted to examine the feasibility of collecting voluntary critical incident reports from RPAS pilots. Twenty-three experienced RPAS pilots volunteered to participate in focus groups in which they described critical incidents from their own experience. Participants were asked to recall (1) incidents that revealed a system flaw, or (2) highlighted a case where the human operator contributed to system resilience or mission success. Participants were asked to only report incidents that could be included in a public document. During each focus group session, a note taker produced a de-identified written record of the incident narratives. At the end of the session, participants reviewed each written incident report, and made edits and corrections as necessary. The incidents were later analyzed to identify contributing factors, with a focus on design issues that either hindered or assisted the pilot during the events. A total of 90 incidents were reported. This presentation focuses on incidents that involved the management of the command and control (C2) link. The identified issues include loss of link, interference from undesired transmissions, voice latency, accidental control transfer, and the use of the lost link timer, or lost link OK features.

Description: It has been estimated that aviation accidents are typically preceded by numerous minor incidents arising from the same causal factors that ultimately produced the accident. Accident databases provide in-depth information on a relatively small number of occurrences, however incident databases have the potential to provide insights into the human factors of Remotely Piloted Aircraft System (RPAS) operations based on a larger volume of less-detailed reports. Currently, there is a lack of incident data dealing with the human factors of unmanned aircraft systems. An exploratory study is being conducted to examine the feasibility of collecting voluntary critical incident reports from RPAS pilots. Twenty-three experienced RPAS pilots volunteered to participate in focus groups in which they described critical incidents from their own experience. Participants were asked to recall (1) incidents that revealed a system flaw, or (2) highlighted a case where the human operator contributed to system resilience or mission success. Participants were asked to only report incidents that could be included in a public document. During each focus group session, a note taker produced a de-identified written record of the incident narratives. At the end of the session, participants reviewed each written incident report, and made edits and corrections as necessary. The incidents were later analyzed to identify contributing factors, with a focus on design issues that either hindered or assisted the pilot during the events. A total of 90 incidents were reported. Human factor issues included the impact of reduced sensory cues, traffic separation in the absence of an out-the-window view, control latencies, vigilance during monotonous and ultra-long endurance flights, control station design considerations, transfer of control between control stations, the management of lost link procedures, and decision-making during emergencies. Pilots participated willingly and enthusiastically in the study, and generally had little difficulty recalling critical incidents. The results suggest that pilot interviews can be a productive method of gathering information on incidents that might not otherwise be reported. Some of the issues described in the reports have received significant attention in the literature, or are analogous to human factors of manned aircraft. In other cases, incident reports involved human factors that are poorly understood, and have not yet been the subject of extensive study. Although many of the reported incidents were related to pilot error, the participants also provided examples of the positive contribution that humans make to the operation of highly-automated systems.

Description: As part of NASAs UAS in the NAS project, human factor guidelines are being developed for the ground control station of unmanned aircraft systems. A critical task for the pilot of a UAS is the management and control of the terrestrial radio links used to provide control of the vehicle and relay communications with air traffic control. An analysis of the task of the UAS pilot has been conducted to identify areas where guidelines are required. This analysis has identified a set of information requirements that must be supported by the radio equipment used to provide Control and Non-payload Communication (CNPC). Key requirements include the need for an alert when the link is lost, information on the current quality and latency of the link, and information to enable the future quality of the link to be anticipated as the aircraft changes location. These identified requirements can assist in the development of minimum operational performance standards for CNPC equipment.

Description: This chapter provides an overview of human factors of remotely piloted aircraft systems.