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Human Factors Analysis of Naval Transport Aircraft Maintenance and Flight Line Related Incidents
Technical Paper
1999-01-2981
ISSN: 0148-7191, e-ISSN: 2688-3627
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English
Abstract
To study maintainer error, the Naval Safety Center’s Human Factors Accident Classification System (HFACS) was adapted for Maintenance Related Mishaps (MRMs). The HFACS Maintenance Extension (ME) successfully profiled the errors present Naval Aviation Class A MRMs. In order to assess its suitability for studying major and minor airline accidents, a post hoc analysis was conducted on 124 Naval Fleet Logistics Support (VR) Wing maintenance related mishap, hazard, and injury reports. Two judges separately coded the 124 VR Wing incidents; a Cohen’s kappa of .78 was achieved, indicating an “excellent” level of agreement. Generally, HFACS-ME was able to profile maintainer errors found in more minor incidents and the factors that contribute to them. Common factors observed include errors attributed to third party maintenance, inadequate supervision, failed communications, skill-based errors, and procedural violations.
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Citation
Schmidt, J., USN, ., Figlock, R., USMC, . et al., "Human Factors Analysis of Naval Transport Aircraft Maintenance and Flight Line Related Incidents," SAE Technical Paper 1999-01-2981, 1999, https://doi.org/10.4271/1999-01-2981.Also In
References
- Adams, N. Hartwell, N. 1977 Accident-reporting systems: A basic problem area in industrial society Journal of Occupational Psychology 50 4 285 298
- Andersson, R. Lagerloff, E. 1983 Accident data in the new Swedish information system on occupational injuries Ergonomics 26 1 33 42
- Benner, L. 1982 Accident perceptions: Their implications for accident investigators Professional Safety 11 2 2 27
- Boyle, A. 1980 Found experiments” in accident research: Report of a study of accident rates and implications for future research Journal of Occupational Psychology 53 1 53 64
- Bruggink, G. 1996 Accommodating the role of human factors in accident reports ISASI Forum 29 2 18 23
- Edwards, M. 1981 The design of an accident investigation procedure Applied Ergonomics 12 2 111 115
- Hawkins, F. 1993 Human Factors in Flight Brookfield, VT Ashgate
- Heinrich, H. Petersen, D. Roos, N. 1980 Industrial Accident Prevention New York, NY Mc-Graw-Hill Book Co.
- Marx, D. 1998 Learning from our mistakes: A review of maintenance error investigation and analysis systems (FAA TR) Atlanta, GA Galaxy Scientific Corporation
- Pimble, J. O’Toole, S. 1982 Analysis of accident reports Ergonomics 25 11 967 979
- Reason, J. 1980 Human error Cambridge, UK Cambridge University Press
- Reason, J. 1997 Managing the risks of organizational accidents Bookfield, VT Ashgate
- Schmidt, J. Schmorrow, D. Hardee, M. 1998 A preliminary human factors analysis of Naval Aviation maintenance related mishaps (983111) Proceedings of the Airframe/Engine Maintenance & Repair Conference Long Beach, CA
- Zotov, D. 1996 Reporting Human Factors Accidents ISASI Forum 29 3 4 20