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Factors Leading to Human Error in Commercial Aviation Line Maintenance.

机译：导致商业航空线路维护中人为错误的因素。

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摘要

Since World War II, commercial aviation, in partnership with aircraft manufacturers and regulatory agencies, has endeavored to promote safety by increasing system reliability. This effort has fostered a learning culture in the industry, moving many carriers toward becoming a high reliability organization (HRO). A core HRO characteristic is a preoccupation with detecting conditions leading to system failure. The Federal Aviation Administration, in partnership with the National Aeronautics and Space Administration, established the Aviation Safety Reporting System (ASRS) to provide a vehicle for personnel to self-report safety concerns. This study examined 361 ASRS cases voluntarily reported by maintainers from 2002 to 2007. The Human Factors Analysis Classification System-Maintenance Extension (HFACS-ME) was used to code conditions that can precipitate failures in pre- and postflight servicing, planned maintenance, and unplanned maintenance. The findings identified 4 specific latent conditions, or 15% of those provided by HFACS-ME, that can affect maintenance: adverse mental state, inadequate training or preparation, inadequate communication, and inadequate assertiveness. The results showed how these four conditions make up 66% of the factors influencing error on the flight line. These results may be used for commercial aviation maintenance to increase maintainer awareness of conditions leading to maintenance error. This awareness can promote the safety refinement of specific human intervention patterns through self-realization by line maintenance personnel. Implications for positive social change include improving workforce awareness of latent conditions that could lead to improved commercial aviation safety.
机译：自第二次世界大战以来，商用航空与飞机制造商和监管机构合作，致力于通过提高系统可靠性来提高安全性。这项工作培育了业界的学习文化，使许多运营商迈向了高可靠性组织（HRO）。 HRO的核心特性是对导致系统故障的检测条件的关注。联邦航空管理局与国家航空航天局合作建立了航空安全报告系统（ASRS），为人员提供了自我报告安全问题的工具。这项研究调查了2002年至2007年间由维护者自愿报告的361例ASRS病例。人为因素分析分类系统维护扩展（HFACS-ME）用于编码可能导致飞行前和飞行后服务，计划内维护和计划外故障的条件。保养。研究结果确定了4种特定的潜在状况，或HFACS-ME所提供的状况的15％，它们可能会影响维持：精神状态不良，训练或准备不足，沟通不足以及自信不足。结果表明，这四个条件如何构成影响飞行路线误差的因素的66％。这些结果可用于商业航空维修，以提高维修人员对导致维修错误的状况的认识。通过生产线维护人员的自我认识，这种意识可以促进对特定人工干预模式的安全改进。对积极的社会变革的影响包括提高工作人员对潜在条件的意识，这可能会导致商业航空安全性得到改善。

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  • 作者

    Froslee, Hans Michael.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Psychology Industrial.;Sociology Organizational.;Sociology Organization Theory.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 133 p.
  • 总页数 133
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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