mishaps by the number human factors. title goes here what human factors can lead to mishaps? human...
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Mishaps by the Number Human Factors
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TITLE GOES HERE
What human factors can lead to mishaps?
Human Factor Discussion
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TITLE GOES HEREHuman Factor Categories
There are 147 human factors to choose from when recording mishaps.
Common human factors include:
• Distraction
• Situational awareness
• Fatigue
• Checklist discipline
• Poor judgment/decision making errors
• Procedural errors
What do these human factors cost in aviation and ground safety?
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TITLE GOES HEREAviation Human Factor Mishaps FY 09-13
Total USAF: $520,528,667
Total ANG: $31,439,991
Aviation Leading Human Factors Class A USAF Mishaps
1. Channelized Attention
2. Procedural Error
3. PC208 Complacency
4. Risk Assessment
5. Error Due to Misperception
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TITLE GOES HEREGround Human Factor Mishaps FY 09-13
USAF wide spent $306,113,584 on 43,569 reports
$2,342,724 spent on ground mishaps due to human error between FY 09-13
Total ANG Lost Workdays: 16,236 days
USAF Fatalities:
1. Personal Motor Vehicle (71% of all fatalities)
a. PMV-4 (Motor Vehicle): 89
b. PMV-2 (Motorcycle): 95
2. Sports, Rec, Fitness: 37
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TITLE GOES HEREHuman Factor Mishaps
Human factors a result of:
• 73% of all Class-A Mishaps between 2001 and 2011
• 94% of all Class-A Mishaps between 2009 and 2014
• $493M in Class-A mishaps from 2002-2012
• 45 USAF wide lives lost FY 09-13 because the easily identifiable human factor was ignored.
DQ: What precautions do you or your wing take to prevent human factor mishaps?
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TITLE GOES HEREHuman Factor: Seasonal
Late December through Mid February is the 60 day period for highest numberof human factor related mishaps.
Aspects contributing to this increased rate:
● Darker time of the year
● Worst weather time of the year ● Post-holiday stress
● Post holiday season flying ramp up
What can you do at your wing to prevent post-holiday human factor mishaps?
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TITLE GOES HERESolutions to Mitigate
Human Factors (Distraction, Situational Awareness, Risk Assessment)
• Commander involved ORM
• Personal Risk Assessment
• Squadron scheduling tools (TACC)
• Comprehensive Programs (FlyAwake, AMMO)
• Sleep Kits (WFSK)
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TITLE GOES HEREHuman Factors: Fatigue
Total Lost Workdays FY 09-13 from fatigue:
2550 days equates to 6.98 years of lost time
Majority of cases are acute fatigue which is identifiable
Signs of Fatigue to look for:
● Slowed, slurred speech, blurred vision
● Wandering & disconnected thoughts
● Constant yawning, head nodding
● Incorrect reading of equipment, forgetting to communicate with crew, missing a reference point
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TITLE GOES HEREHuman Factors: Fatigue
Unique ANG Fatigue Issues:
• Combining Civilian & Military Job
• Commuting to/from ANG Unit
• 12 days straight without break
• Excessive non-mission requirements
• Airline Specific issues
• RPA Specific shift work
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TITLE GOES HEREHuman Factors: Fatigue
Alcohol Fatigue Related Study
• After 17 hours awake–the equivalent of two beers for someone weighing 160 lbs.
• After 24 hours awake–the equivalent of four beers for someone weighing 160 lbs.
Performance effects of fatigue:1. Lapses of attention (microsleeps)2. Increases performance variability3. Slows reaction
Do you notice a dip in your performance level after being
awake 13 hours?
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TITLE GOES HERESolutions to Mitigate
Operational Strategies to reduce fatigue:
• Napping
• Bright Light
• Get up & move around
• Caffeine (carefully)
• Engage in stimulating conversation
Negative effects of caffeine dosing:
• Increased heart rate
• Irritability
• Possible impairment of fine motor skills
• Withdrawal
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TITLE GOES HEREAdditional Discussion
What solutions do you think would be useful to implement on the daily level to reduce human factor mishaps?
What strategies do you do on a daily basis to mitigate risk?