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Unsafe Acts
Unsafe
Acts
Inadequate
Supervision
Planned
Inappropriate
Operations
Failed to
Correct
Problem
Supervisory
Violations
UNSAFE
SUPERVISION
UNSAFE
SUPERVISION
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Organizational Influences
©Shappell & Wiegmann, 2002
Organizational
Influences
Unsafe
Supervision
Preconditions
for
Unsafe Acts
Unsafe
Acts
Organizational
Climate
Resource
Management
Resource
Management
Operational
Process
ORGANIZATIONAL
INFLUENCES
A project supported by AIRBUS and the CAAC
June 2007
Application of HFACS
􀀴 HFACS for flight
􀀴 HFACS-ATC, Pounds, Scarborough & Shapell, 2000
􀀴 HFACS-ME(aircraft maintenance ) , Schmidt,
Schmorrow & Hardee, 1998
􀀴 HFACS-MD (medicine system)
􀀴 Applying Example
􀂃 A Human Error Analysis of Commercial Aviation Accidents
Using the Human Factors Analysis and Classification
System (HFACS)
􀂃 Human Error analysis of CFIT Accidents from “Human Factors
Research and Engineering Division , Annual Report 2002 “
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
A project supported by AIRBUS and the CAAC
June 2007
Result and conclusion
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
A project supported by AIRBUS and the CAAC
June 2007
􀀴 Human Error
analysis of CFIT
Accidents
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
A project supported by AIRBUS and the CAAC
June 2007
A project supported by AIRBUS and the CAAC
AIRWORTHINESS AND FLIGHT STANDARDS
MASTER IN AVIATION SAFETY MANAGEMENT
FLIGHT OPERATIONS
OPS 09 – Air transport safety and human factors
Tianjin
June 2010
June 2007
A project supported by AIRBUS and the CAAC
Part 8
HILAS
Sun Ruishan
Research Institute of Civil Aviation Safety
Civil Aviation University of China, Tianjin, China
Tel：0086-22-24092593
Fax：0086-22-24957940
Email: sunrsh@hotmail.com
http://www.air-safety.com/
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Contents
􀀴1. Review
􀀴2. HILAS
A project supported by AIRBUS and the CAAC
June 2007
1. Review
Errors Management
􀂃 MEDA-Maintenance Errors Decision Aid
􀂾 By Boeing
􀂃 ADMAS-Aircraft Dispatch And Maintenance Safety
􀂾 By Europe
􀂃 ADMAS 2–Human Centred System for Aircraft
Dispatch and Maintenance Safety
􀂾 Europe HP5 project
A project supported by AIRBUS and the CAAC
June 2007
A project supported by AIRBUS and the CAAC
Human Integration in the Life-cycle of Aviation Systems
HILAS ( European FP6 subject)
- an overview
2. HILAS
A project supported by AIRBUS and the CAAC
June 2007
Core themes in HILAS
􀀴 Building human factors capacity
􀂃 Knowledge, methods, tools
􀂃 HF as core to systems engineering
􀀴 HF knowledge as a source of innovation
􀂃 Capturing operational knowledge for new design
􀀴 Systemic approach to HF
􀂃 From analysis to implementation
􀂃 Goes beyond ‘new view of error’
􀀴 Standardisation and context
􀂃 Standardised methods and tools
􀂃 Understand regional & global context - culture
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
results
Common Human factors perspective/ model and complementary tools
Concepts
Designers Engineers, Workers Crew, ground staff, mechanics
Design Production Operations Retrofit
research tools, training design tools,training production tools,training various tools,training
Researchers
Know how to use the technologies
Experiments
1,2,3,4…x
Experiments
1,2,3,4…x
EU HuFag
Expert network
EU
HuFag
support
A project supported by AIRBUS and the CAAC
June 2007
HILAS - 4 Strands
􀀴Knowledge Integration
􀀴Flight Operations System Design and
　
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