Transcript Document

Human Factors in Maintenance:
A Twenty Year Progress Report
…and still counting
William B. Johnson
Chief Scientific & Technical Advisor for
Human Factors in A/C Maintenance Systems
[email protected]
Federal Aviation
Administration
Agenda
• AVS Chief Scientist Program (1 slide)
• Report card on early recommendations (14
slides)
• Maintenance Human Factors Presentation
System (MHFPS) (6 slides)
Federal Aviation
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Administration
Aviation Safety Organization
CSTAs Report here
Over 6700 Employees dedicated to Aviation Safety
Federal Aviation
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Administration
What Year?
“In June of this year, the FAA sponsored a meeting of
representatives of the aviation industry to review problems
associated with aging aircraft. While much of this meeting
addressed issues of hardware, metal fatigue, and corrosion,
there was a discussion of human factors. Today’s meeting
reflects that growing interest in human factors and its
potential contribution to continuing aviation safety.”
Dr. Bill Shepherd
FAA Office of Aviation Medicine
October, 1988
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Administration
Recommendation Topics from 1988
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Communication must be improved
Build error data bases
Improve FAA 147 school curricula
Supply of qualified maintenance personnel is inadequate
• Training technologies must advance
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“Gate time” pressure must be controlled
Conduct task analysis of mechanic/engineer job
Establish a R&D centers/process
Technical manuals
Federal Aviation
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Administration
Communication must improve
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Meetings like this one
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18 International Conferences on HF in Maintenance
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Pick up any aviation magazine
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New Guidance, OPS Manual, Web Sites and HF Guide
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Go to any conference
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Standard terms like:
• Dirty Dozen
• Swiss Cheese
• Voluntary reporting
• Just culture
• Safety Management Systems
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Administration
Build error data bases
• Boeing MEDA
• UK Confidential Incident Reporting Programme (CHIRP)
• NASA Aviation Safety Reporting System (ASRS)
• FAA’s Aviation Safety Reporting System (ASAP)
• Recent ICAO SMS activity
• But we can still do a better job of sharing
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Improve FAA 147 school curricula
• Good progress in Europe?
• HF Training required for certification
• Recurrent training
• Poor progress in US
• HF not required
• Thanks for 1200+ EASA certificates in US
Federal Aviation
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Supply of qualified maintenance personnel is
inadequate
• An international challenge for sure
• Supply of qualified maintenance personnel is inadequate
• Desire or glamour is gone – holidays, weekends, less pay & benefits, etc.
• Cost to obtain license and time required is equivalent to BA degree
• Confounded by layoffs and contract maintenance in US
• Labor shortage affects the work environment
• Human resources
• Fatigue potential
• Increased risk
• Does this belong on an HF checklist?
Federal Aviation
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Administration
Recommendation Topics from 1988
How are we doing so far ???
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•
•
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Communication must be improved
Build error data bases
Improve FAA 147 school curricula
Supply of qualified maintenance personnel is inadequate
• Training technologies must advance
•
?•
•
•
“Gate time” pressure must be controlled
Conduct task analysis of mechanic/engineer job
Establish a R&D centers/process
Technical manuals
Federal Aviation
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Administration
Training technologies must advance
• Desktop simulation (with real time)
• Improved CBT
• Improved embedded training systems
• Improved manufacturer documentation for training
• Good examples of WBT have emerged
• ….however, in US, type-training is reduced
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“Gate time” pressure must be controlled
• Improved staff awareness of error
• Improved procedural design and compliance
• Becoming more complex due to decrease in manpower
• Pressure is there…threats are there
• Safety Culture is critical
• Plan for Mx & Ramp LOSA
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Conduct task analysis of mechanic/engineer job
• Completed by university in US
• Approved maintenance organizations can do
• Software products and process available
• Should be an SMS component
• M-LOSA may help
• There are opportunities for improvement
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Establish a R&D center/process
• FAA Mx HF R&D program
• European Adams2 and HILAS programs
• Airbus, Boeing and other manufacturer attention to Mx HF
• FAA established HQ ASI – with budget
• FAA established Chief Scientific & Technical Advisor
• EASA searching for “Human Factors Expert”
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Technical manuals
• Much improved since 1988 but more needed
• Standardized formats across manufacturers
• New on-board tech. pubs. for new aircraft
• Web-based distribution
• …and “Not following published procedures remains the
#1 challenge”
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Final scorecard from 1988
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Communication must be improved
Build error data bases
Improve FAA 147 school curricula
Supply of qualified maintenance personnel is inadequate
• Training technologies must advance
•
•
•
•
“Gate time” pressure must be controlled
Conduct task analysis of mechanic/engineer job
Establish a R&D centers/process
Technical manuals
Federal Aviation
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Administration 15
Did not make 1988 list
• “These mechanics, working at starting wages, find it difficult
to make ends meet and often require second jobs.”
• “…shortage of mechanics…..This leads to overtime and
longer than normal hours and again, contributes to the
fatigue of an employee and associated vulnerability.”
• “…night maintenance….The mechanic has to do his
business during the day and often goes to work tired as a
result.”
Norman Grubb
VP Engineering
Henson Airlines
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Agenda
• AVS Chief Scientist Program
• Report card on early recommendations
• Maintenance Human Factors Presentation
System (MHFPS)
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MHFPS System Contents
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Approximately 170 PowerPoint Slides (Many with speaker notes)
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11 FAA Video Snippets (produced in 2007)
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38 Animations (produced by Lufthansa Technical Training)
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A short, medium, and long presentation
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7 content specific presentations (e.g., HF Overview, Fatigue, Error, etc.)
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Launch Menu on DVD
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2
History of Human Factors
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Mx Human Factors has Evolved in 20+ Years!
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3
Human Factors Spectacles
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What did you Learn about Human Factors Spectacles
from the Introductory Video?
What was the premise of the human factors spectacles video?
List 10 things that you see while driving with your human factors spectacles
List 10 things that you see in this class with your human factors spectacles
List 10 things that you see at work with your human factors spectacles
List 11 things that see at home with the human factors spectacles?
List ……. in the mirror?
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The Maintenance Human Factors Presentation System MHFPS
In US:
[email protected]
In EU:
[email protected]
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Summary
• AVS Chief Scientist Program
• Report card on early recommendations
Maintenance Human Factors Presentation
System (MHFPS)
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Thank you,
Bill Johnson
10.08.08
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