Human Factors in Aviation - 2013 (EGYCPS)
Human Factors in Aviation - 2013 (EGYCPS)
Human Factors in Aviation - 2013 (EGYCPS)
Objective
To raise awareness of human
error and human limitations.
1. Human Error
2. Communication
3. Performance
4. Situational Awareness
5. Pilot Decision Making
6. Attitudes and Behaviours
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Sources
Human Factors for Aviation: Basic Handbook
Pilot Error
Pilot Error is an action or decision of the pilot that, of not
caught and corrected, could contribute to the occurrence of
an accident or incident. Inaction and indecision are included
in the definition.
The pilot is found to be a broad cause or factor in what
percentage of all accidents?
84% - and 91% of all fatal accidents!
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Accident Rates
The good news:
We’re getting better.
Almost every year since WWII, accident and fatal accident rates
have fallen.
Aviation Accidents
100
90
80
70 Human Error
60
% 50
40
30
20
10 Machine Error
0
1903 Present Day
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
61% descent/landing
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Part #1
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Composition:
• From Sea Level to approx. 300,000 ft. the composition of the
atmosphere remains relatively constant.
• It is composed of approximately:
• 78% nitrogen
• 21% oxygen
• 1% other gases
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Atmospheric Pressure:
• Pressure is 29.92” Hg at Sea Level
Respiration:
• Air we breathe is cleaned and humidified in the nose and
throat and transferred by the airways to the lungs
• Oxygen transfer takes place in the lungs through the thin
walled membranes called alveoli
• Since oxygen pressure is higher in the alveoli than in the
blood, oxygen easily passes through the membrane walls and
into the blood
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Oxygen Transfer:
• At Sea Level, the pressure difference between the
atmospheric pressure of the oxygen component of air is much
higher than the pressure of oxygen in the blood
• Thus oxygen transfers easily into the bloodstream
• At 10,000 ft, the partial pressure of oxygen in the air is only ½
that of sea level, thus, oxygen transfer is not as effective
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Hypoxia:
• Hypoxia is when inadequate oxidation of the body’s tissues occurs
Types of Hypoxia:
• Hypoxic Hypoxia
• Anaemic Hypoxia
• Stagnant Hypoxia
• Histotoxic Hypoxia
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Stagnant Hypoxia:
• caused by reduced blood supply to the tissues
• most common cause is high G-loads
• blood drains to the feet, leaving the brain without an adequate
supply
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Histotoxic Hypoxia:
• caused by interference from enzymes that require the oxygen to
produce energy
• it is a type of chemical poisoning
• certain drugs or medicine can cause it
• can be caused by high blood alcohol levels
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Hypoxia
Symptoms of Hypoxia:
What an observer would see What you would experience
MENTAL MENTAL
Euphoria
Poor Performance Euphoria
Confusion Good Performance
Impaired Judgement
PHYSICAL PHYSICAL
Dizziness
Increased Respiration
Nausea
Poor Co-ordination
Headaches
Unconsciousness
Tingling
BEHAVIOURAL VISION
Blurring
Aggression
Tunnel Vision
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Night Vision:
Prevention of Hypoxia
1. Avoid flying above 10000’ without O2.
2. Avoid flying above 5000’ at night.
3. Higher altitude flying will require a pressurized cabin.
A B747 flying at 45000’ will maintain a cabin pressure
altitude of approx. 8000’.
Accomplished by taking high pressure air from the
compressor of a turbine engine.
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Causes of Hyperventilation
Over breathing
Air intake is increased, CO2 exhaust is increased
Ratio of O2 and CO2 changing causes the body’s acid-base balance
changes
The body reduces oxygen pressure at the brain
Ultimately results in a type of BRAIN HYPOXIA
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Effects of Hyperventilation
Warning signs include:
Dizziness
Feeling of “pins and needles” on hands and feet
• Above 8,000 ft
• take 3-4 deep breaths of oxygen if it is available
• if symptoms persist, problem is hyperventilation and should
be treated as such
• otherwise, immediately descend below 10,000 ft if oxygen is
not available
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
• If a dental cavity has trapped air beneath a loose filling, this may
cause severe pain due to the air expanding as you climb
• If pain is felt on the ascent, return to a lower altitude and let your
dentist know A.S.A.P.
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
• The sufferer will look ill, and may appear to be having a heart attack
• Pilots are more common to get bubbles in the brain, while divers are
more common to get them in the spinal cord
Scanning Techniques
Pilot must scan a large area in a regular way without
missing small objects.
Moving objects are easier to see
Aircraft on a collision course seem to be stationary and are not
detected until the last few seconds
Be aware of your aircraft’s blind spots
A dirty windscreen interferes with good vision
Sector Scan
Divide sky into 300 segments, slowly focus on each.
Remember: scan 100 above AND below horizon
Use peripheral vision to detect movement
Use central vision to lock-on and recognize.
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Night Vision
At night:
Central (cone) vision is very light dependent.
We use the rods in the periphery of the retina to see.
It is necessary to look 100-150 to one side of an object to see it
most clearly.
Dark Adaptation:
Takes approximately 30 minutes
Can be impaired by very brief exposure to bright light
Retina is extremely sensitive to hypoxia (smokers?)
Where possible, oxygen should be used from the ground up
when night flying
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
DERP
Design Eye Reference Point
“Position of the pilot's eyes for the best view of
instruments and outside the cockpit.”
Kinesthetic Illusions
“Flying by the seat of the pants”.
Describes the subconscious orientation sense we use in flight.
When peripheral vision is limited (IMC), this sense can be
dangerously unreliable.
Experience teaches us that gravity pulls us down.
In a coordinated turn in IMC, what pulls us down?
When kinesthetic sensations and the instruments disagree, the
instruments are right!
Much instrument experience is required to learn to ignore this
sometimes disorientating sense.
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Visual Illusions
1. White-out and Black Holes
2. False Horizons
3. Vectional Illusions
4. Autokinesis
False Horizons
Haze layers
Cloud tops
Ground lights and stars may be confused
Vectional Illusions
Illusions of false movement
E.g. car beside you creeping forward at a stoplight.
E.g. going to an IMAX movie.
Helicopter hovering over moving water
Airplane cruising at low altitude
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Autokinesis
A small fixed light viewed steadily at night appears to move!
Actually caused by the eyes losing fixation, drifting away and then
jumping back to the target.
Pilots have done collision avoidance maneuvers away from
stationary lights, believing they are moving aircraft.
Linear Accelerations
•Information provided by otoliths
•Aircraft acceleration (pitch up illusion)
•Pilot senses head being tilted backwards
•Tendency is to pitch the nose down on take-off (especially at night and in
IMC)
•TSB: “…the aircraft struck the ground at a steep angle on the runway
heading.”
•Aircraft deceleration (pitch down illusion)
•Tendency to pitch the nose up (stall)
•Can occur on transition to approach
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Angular Accelerations
•Information provided by semi-circular canals
•Can cause opposite turning illusion after pilot rolls out of a turn
•Graveyard Spiral
•A spin or spiral recovery in IMC could lead to a second in the opposite
direction
•Coreolis Effect
•Caused by inappropriate head movements (can create a violent sensation of
tumbling)
•Turning the head sharply (particularly against the turn) is extremely
hazardous
•The Leans (pilot feels banked attitude when straight and level)
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Positive G
Experienced during a steep turn, an inside loop, or a pull-out
Drains blood away from the head, towards the feet
+2G: Grey-out (vision becomes dim)
+4G: Black-out (temporary loss of vision)
Over +6G: pilot loses consciousness due to brain hypoxia
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Negative G
Experienced in a push-over and an outside loop
Poorly tolerated by the pilot
Acceleration is from the foot to the head creating high blood
pressure in the eyes
“red-out” (a red haze in vision) is experienced
-5G may cause the rupture of small blood vessels in the eyes
Prolonged negative G will cause brain damage
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Alcohol stays in the fluids of the ear longer than in the blood
– causing illusions and nausea
Omissions
Errors
Delaying tasks
Accepting a lower standard than usual
Fixating
Regressing to an earlier, easier answer
Physical changes (shaking, sweating)
Freezing, giving up, panicking
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
What to do?
Acute stress (such as an in-flight
emergency) can be relieved by ending
the situation
Chronic stress (life stress) requires
elimination of some stressors, as well as
good diet, exercise, and social activities
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Human Error
We all commit errors
Any time an action does not produce
the desired result
Something we do
Something we fail to do
THINGS THAT INTERFERE
WITH OUR PERFORMANCE
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Human Error
Part 3 looks at some factors affecting human error and pilot
decision making (PDM)
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Methods Of Communication
What What
you say experts say
Verbal ? 7%
100% 100%
Ref.: Albert Mehrabian
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
COMMUNICATION MODEL
A C
B
Filters Filters
A + B + C = What's said
B = What's understood
B = About % efficiency
30
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Communication Model
30% efficiency of 7% verbal communication is poor.
That’s why proper radio procedures are so important!
IFR Communication: Who do we deal with during IFR flight?
To support IFR flight?
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
ASSERTIVENESS
ASSERTIVENESS
Aggressive
Assertive
Passive
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Performance
Different tasks; different approach
Two different types performance:
a) Conscious
b) Automatic
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Automatic Performance
Develops only with practice
Very fast
Can do several things at once
Repetitive
Little conscious attention
Skill-Based
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Conscious Performance
Two different kinds:
a) Rule- Based
b) Knowledge-Based
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Rule -Based
Slower
Sequential
Can only actually think about one thing at a
time
Requires effort
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Knowledge-Based
Not familiar with the situation
Not sure how to deal with it
Use all the resources available to solve the
problem
Performance
Performance is based largely on experience and skill
Stay within your limits
Manage stress and other human factors
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Situational Awareness
Knowing where you are, where you are going, and what is
happening around you
Situational Awareness
Use your radio
Scan for traffic
Expectancy is great – don’t assume the same thing will
happen that you expect
Don’t ignore bad news
Don’t fixate
Don’t overload yourself with tasks:
Aviate, Navigate, Communicate
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Human Factors
Medical human factors
Pilot decision making
Any questions?
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
1. SKILL
2. PROFICIENCY
3. DISCIPLINE
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
1. OUR AIRCRAFT
2. OUR TEAM
3. OUR ENVIRONMENT
4. OUR RISKS
5. OURSELVES
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
2. Everyone knows that there are safety margins built into all
the regulations
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
“ WATCH THIS! ”
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
WINSTON CHURCHILL
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
“KNOW THYSELF”
Socrates
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
get-home-it is
anti-authority
machismo
invulnerability
impulsiveness
resignation
complacency
Psychological airworthiness
physical health is only half of the equation. How well do
you understand and appreciate your psychological
health?
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Systematic review
Annual systems quiz, exam or
review of previous exams
Experienced-based
inquiry
Use actual flight occurrences to
trigger further study
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Advantages of teamwork
increased reliability
mutual support
Hazards of teamwork
interpersonal relationships and egos
incompetent team members
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Communicate effectively
Distribute workload fairly
Maintain alertness
Manage time carefully
Monitor & crosscheck systems regularly
Provide feedback
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
means maximizing
mission effectiveness and safety through effective utilization
of all available resources.
Fuel is equal to options. The more fuel you have the more
options.
You only have too much fuel when you are on fire.
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Regulatory environment:
ATC regulations
Risks to discipline
Risks to skill and performance
Risks to knowledge
Aircraft related risks
Organization based risk
Environmental risks
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
Controlling risk:
accepted
reduced, or
avoided
Summary of risk management
do not accept unnecessary risk
make risk decisions at the appropriate time
accept risk when benefits outweigh costs.
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
1. Climb if required
3. Buy time
4. Seek information
1. Define roles
2. Manage distractions
3. Reduce overload
4. Avoid complacency
5. Test assumptions
6. Intervene
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
.
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
develop cross-check
distribute workload
be assertive when noting deviations
assess the situation & devise a plan of action
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012
1. Rule-based decisions
2. Knowledge-based decisions
Egyptian Civilian Pilots Syndicate EGYCPS -- Scientific Committee Saturday, December 22, 2012