domingo, 3 de febrero de 2013

How to reduce Human Error and Increase Safety

Thanks to all for your comments, they help me to make this blog better every day.

I have seen lately that there are really great ideas to reduce human error in the aviation industry, but sometimes lack of leadership or interest from the Top Management create a wave of latent conditions that sooner or later will end in a mayor incident or accident.

For me, the are three big items to be considered that will help to increase safety levels inside any operation:

1. TRAINING: Training is the most important defense against human error. You can manage the most complex task or system with proper training. I Feel like the industry and regulators have forgotten that effective and continius training is the key to a safe operation.

But training is not only for the operative personel (pilots, flight dispatchers, mechanics, ATC controllers), Top Management should also be trained in matters such as Human Factors and SMS, so they can interact with the operative personnel and get a better picture about the importance of their decisions in daily operations.

With training we are also able to increase experience and problem solving skills, and those skills will help the human operator to take action, think and take effective decisions if problems affect the operation.

When humans are properly trained and have the required skills to manage technology, the safety of a system is increased and the possibility of mismanaging errors and undesired states is reduced.

2. TECHNOLOGY: Technology is so important nowadays that no one can live withou it. We have technology involved in almost everything, but technology needs to be a tool for the human, not a threat.

When humans have the proper knowledge to use that technology everything goes well, because the he/she is in the capacity of using that technology to reduce workload; having more time to monitor the progress of the flight and increasing the situational awareness levels.

But when technology is not understand, or humans have insufficient training to manage that technology, it will probably have catastrophic results. Just take a look at AF447, those guys were completely lost when the auto pilot disengaged due to unreliable speed, and have no idea of what to do with that particular situation. Humans need to manage technology, but they can't let technology manage them. If technology fails during a flight we can't loose and airplane full of people because of it, we need to take control and fly that aircraft to safe.

In order to use technology as a tool to increase safety, humans need to be properly trained and acquire the required skills to understand that technology and be able to manage it.

3. SAFETY CULTURE: And finally to complete our task we need the proper environment to let humans feed and grow safety inside the system. This can only be done if the required tools are installed and humans have faith and confidence in the safety system.

But to archive this goals we need that Top Management understands and backs changes (and investment) in how safety is managed inside the organization. We also need them to understand that error is a normal component of aircraft operations, and blaming and punishing people won't help to reduce error incidence. That's what we call safety culture.

A strong and reliable safety report system does a lot to help us in this task, but we also need some proactive tools like FDA to acquire data from normal operations. We also need hi skilled personnel in the safety department to analyze and convert that data in safety recommendations, and once again we need Top Management to get involved in this process, and give resources to comply with those safety recommendations.

When Top Management of an organization understands safety as a priority, not as a problem, the system will have the required tools and personnel to create a proactive safety system dedicated to recommend changes to avoid risks.

Those are my five cents, and I will talk deeper about this three concepts in later posts. What is important now is that we all need to help the aviation industry to increase safety, and we also need regulators to understand that the safest way to operate is not always the one big airlines and aircraft manufacturers want, because sometimes they are only aimed to reduce costs.

 

1 comentario:

  1. Victor, thank you for a great post. Proper training enables flight crews to not think about how to... but to do, enabling them to use their brain cells for the unusual and unexpected. Freeing them to think about the issue, not about the flying.

    Technology is great. But we need to remember as the gatekeepers of safety, to not allow technology to lead us into complacency.

    Safety culture... something we all talk about. But as training footprints are shortened, ground schools cancelled and done by disk... what is the message of a safety culture? Not sure.

    But we must all strive to make the industry better, and safer.

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