Human Factors Intervention. There is a Need to develop an effective methodology for generating intervention strategies.

Transkript

1

2 Human Factors Intervention There is a Need to develop an effective methodology for generating intervention strategies.

3 Interventions Strategien? HFIX -Human Factors Intervention Matrix-

4 Studies When combined with HFACS, the Human Factors Analysis and ClassificationSystem, the resulting Human Factors Intervention Matrix (HFIX) will provide a useful tool for evaluating current and safety programs.

5 Zwischenfallberichte sollten i.d.r. Empfehlungen zu informieren, was man enthalten, um zur Fehlervermeidung tun kann!

6 Categories of Recommendations Nine Categories Design of Parts/Displays Procedures Communication Training, Requests to conduct focused studies Rules Manuals Inspection Human Resources. Clustered into four larger categories (based on their similarities) 1) administrative/organizational 2) mechanical/ engineering 3) human/crew 4) task/mission

7

8 Percentage of recommendations HFIX associated with each intervention category Intervention Category % n Administrative/Organizational Rules/Regulations/Policies Information management/ Comm Research/Special study Human resource management Mechanical/Engineering Design/Repair Inspection Human/Crew Training Task/Mission Procedures Manuals

9 The HFIX Framework 1 Unsafe Acts 2 Intervention Categories -Decision Errors -Skill based Errors -Perceptional Errors -Violations -Organization / Administration -Human / Crew -Technology / Engeneering -Task / Mission -Operational / Physical Environment 3! -COST -ACCEPTABILITY -FEASIBILITY -EFFECTIVENESS Additional Criteria

10 Zusammenfassung HFACS + HFIX Analyse und Klassifikation von Fehlern Systemfehler Erkennung Einfach und übersichtlich Individuell anpassbar Tool für Ausbildung Tool für Planung Vergleichbarkeit von Erkenntnissen International schon operationell eingeführt

11 HFACS kann überall angewendet werden! Flightdeck (HFACS) Maintenance (HFACS-ME) Medicine (HFACS-MD) ATC (HFACS-ATC) ATC)

12 HFACS Transition to Military and Civilian Organizations Military Organizations U.S. Navy/Marine Corps U.S. Army U.S. Air Force U.S. Coast Guard Israeli Air Force Canadian Forces Status Limited Implementation Limited Civilian Organizations Status US Forest Service Under Consideration NASA-Langley NASA-HQ Under Consideration NTSB Under Consideration FAA British Petroleum Other Civilian and Military Organizations Human Factors Society - 6 workshops Aerospace Medical Association - 2 workshops Association of Aviation Psychologists - 2 workshops Canadian Aviation Safety Seminar - 2 workshops Australian Aviation Psychology Symposium - 1 workshop American Psychological Association - 1 workshop Over 40 invited addresses and presentations

13 -Anmerkungen -Fragen Danke für die Aufmerksamkeit! t-online.de