ACCIDENT INVESTIGATION HUMAN FACTORS
WHAT HAVE WE LEARNED TO PREVENT FUTURE ACCIDENTS A. TRAINING B. TESTING
EXTRA THE TIMES HUMAN FACTOR 95% ACCIDENTS NTSB ACCIDENT SCENE
SH E L L SHELL MODEL
SOFTWARE HARDWARE PILOT OTHER PEOPLE ENVIRONMENT
PREVIOUS ACCIDENTS WHAT HAVE WE LEARNED ?
* ACCIDENTS * CAN THEY BE PREVENTED ? SAFETY
NO MAN IS AN ISLAND
TRAINING PROGRAM
PIC FAR 91.3
SYSTEMMANAGERS
STRESSACCOMMODATION
RITUALS
SEAT BELTS
LOGIC TIGHT COMPARTMENTS GOOD BAD
LOOKING NOT SEEING
SITUATIONAL AWARENESS
SINGLE CHANNEL RECEIVER
KNOWLEDGE SAFETY
CRM PLANNING TRAINING TO PROFICIENCY INDEPTH KNOWLEDGE
EMERGENCIES SIMULATED VS REAL
STERILE COCKPIT DIS TRACT IONS
PROGRAM ITEMS: 1. WHO HAS CONTROLS / WHEN 2. CHANGE OF CONTROLS 3. MONITORING 4. EXPECTED CALLOUTS 5. COMMUNICATION PROCEDURES
6. “V” SPEED CALLOUTS 7. CHECKLIST USE 8. TAKING NOTES 9. FLIGHT OVERVIEW 10. OTHER ITEMS
PREFLIGHT CREW BRIEFING ROUTE ALTITUDE WEATHER SPECIAL REQUIREMENTS
TAKEOFF BRIEFING
RESOURCES AVAILABLE TO THE CREW FLIGHT SERVICE STATIONS 1. HOURLY WX REPORTS 2. TERM & AREA FORECAST 3. WINDS ALOFT 4. SIGMETS / AIRMETS 5. NOTAMS
6. PILOT REPORTS 7. DF SYSTEM 8. FLIGHT PLAN 9. ATC FLIGHT FOLLOWING 10. OTHER ITEMS
AIR TRAFFIC CONTROL 1. IFR 2. VECTORS 3. ASR APPROACH 4. WEATHER REPORTS
5. SIGMETS / AIRMETS 6. ALTIMETER SETTINGS 7. OTHER
KNOWLEDGE OF AVAILABLE RESOURCES
PREFLIGHT BEFORE TAKEOFF TAKEOFF CLIMB CURISE DESCENT BEFORE LANDING AFTER LANDING SHUTDOWN CHECKLIST
SAFETY WINDOW
CONTINUE OR LEAVE
AVIATION SAFETY THROUGH HUMAN FACTORS IT’S A TEAM EFFORT