Aviation safety depends on minimizing error in all facets of the system. While the role of #ightdeck human error has
received much emphasis, recently more attention has been directed toward reducing human error in maintenance and
inspection. Aviation maintenance and inspection tasks are part of a complex organization, where individuals perform
varied tasks in an environment with time pressures, sparse feedback, and sometimes di$cult ambient conditions. These
situational characteristics, in combination with generic human erring tendencies, result in varied forms of error. The most
severe result in accidents and loss of life. For example, failure to replace horizontal stabilizer screws on a Continental
Express aircraft resulted in in-#ight leading-edge separation and 14 fatalities. While errors resulting in accidents are most
salient, maintenance and inspection errors have other important consequences (e.g., air turn-backs, delays in aircraft
availability, gate returns, diversions to alternate airports) which impede productivity and e$ciency of airline operations,
and inconvenience the #ying public. This paper reviews current approaches to identifying, reporting, and managing
human error in aviation maintenance and inspection. As foundation for this discussion, we provide an overview of
approaches to investigating human error, and a description of aviation maintenance and inspection tasks and environmental
characteristics.
Aviation safety depends on minimizing error in all facets of the system. While the role of #ightdeck human error hasreceived much emphasis, recently more attention has been directed toward reducing human error in maintenance andinspection. Aviation maintenance and inspection tasks are part of a complex organization, where individuals performvaried tasks in an environment with time pressures, sparse feedback, and sometimes di$cult ambient conditions. Thesesituational characteristics, in combination with generic human erring tendencies, result in varied forms of error. The mostsevere result in accidents and loss of life. For example, failure to replace horizontal stabilizer screws on a ContinentalExpress aircraft resulted in in-#ight leading-edge separation and 14 fatalities. While errors resulting in accidents are mostsalient, maintenance and inspection errors have other important consequences (e.g., air turn-backs, delays in aircraftavailability, gate returns, diversions to alternate airports) which impede productivity and e$ciency of airline operations,and inconvenience the #ying public. This paper reviews current approaches to identifying, reporting, and managinghuman error in aviation maintenance and inspection. As foundation for this discussion, we provide an overview ofapproaches to investigating human error, and a description of aviation maintenance and inspection tasks and environmentalcharacteristics.
正在翻譯中..
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