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Analyses of Organizational and Individual Factors Leading to Maintenance Errors
Technical Paper
2001-01-3005
ISSN: 0148-7191, e-ISSN: 2688-3627
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English
Abstract
Maintenance errors, as reported in 939 ASRS reports, were analyzed to determine primary and secondary causal factors. The taxonomy of these causal factors was developed by cross-mapping Reason’s General Failure Types, MEDA’s contributing factors, and the “Dirty Dozen.” At the primary level, the taxonomies were classified into either organizational-type factors or individual-type factors. At the secondary level, the organizational-type and individual-type factors were combined into one comprehensive list. At the primary causal level, the leading organizational factor was poor procedures or poor quality of information that is available to the maintenance personnel and the leading individual factor was a lack of awareness. At the secondary causal level, the leading factor was poor procedures or quality of information.
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Citation
Patankar, M. and Taylor, J., "Analyses of Organizational and Individual Factors Leading to Maintenance Errors," SAE Technical Paper 2001-01-3005, 2001, https://doi.org/10.4271/2001-01-3005.Also In
References
- ASRS 2001 http://asrs.arc.nasa.gov
- Hobbs, A 2001 The links between errors and error-producing conditions in aircraft maintenance Presented at the 15 th FAA/CAA/ Transport Canada Symposium on Human Factors in Aviation Maintenance and Inspection London, U.K.
- Rankin, B. Allen, J. 1996 Boeing introduces MEDA, Maintenance Error Decision Aid, Airliner April–June 20–27
- Reason, J. 1997 Managing the Risk of Organizational Accidents Aldershot, U.K Ashgate Publishing Ltd
- Taylor, J. Christensen T. 1998 Airline Maintenance Resource Management: Improving communication Warrendale, PA Society of Automotive Engineers Press