Human Factors Awareness Training

Module 9 :: Case Studies Summary

• Alaskan Airlines Flight 261 • Human Factor Contributing Elements

• Teamwork

• Resources

• Communication

• Awareness

Case Study Summary

• Comair Flight 5191 • Human Factor Contributing Elements

• Lack of Assertiveness• Communication• Resources• Lack of Awareness• Complacency• Pressure• Teamwork

Case Study Summary

• NASA- Columbia • Human Factor Contributing Elements

• Communication

• Lack of Assertiveness

Case Study Summary

• B-767 Rudder Lube • Human Factor Contributing Elements

• Resources

• Awareness

• Knowledge

• Communication

Case Study Summary

• B-767 Nose Landing Gear Damage during a maintenance taxi procedure.

• Human Factor Contributing Elements

• Resources

• Awareness

• Knowledge

• Complacency

• Distraction

• Communication

Case Study Summary

• FOD damage during a maintenance run

• Human Factor Contributing Elements

• Resources

• Awareness

• Complacency

• Communication

Case Study Summary

• The Titanic • Human Factor Contributing Elements

• Resources

• Knowledge

• Fatigue

• Communication

• Teamwork

Case Study Summary

• Airbus Engine Run Damage • Human Factor Contributing Elements

• Communication

• Awareness

• Resources

• Lack of Knowledge

• Teamwork

Case Study Summary

• Air Ontario Flight 1363 • Human Factor Contributing Elements

• Pressure

• Resources

• Lack of Knowledge

• Distraction

• Lack of Assertiveness

• Communication

• Teamwork

• Stress

Case Study Summary

• Tenerife • Human Factor Contributing Elements

• Pressure

• Lack of Knowledge

• Distraction

• Communication

• Lack of Assertiveness

• Teamwork

• Awareness

Case Study Summary

• Delta Airlines Flight 1288 • Human Factor Contributing Elements

• Lack of Knowledge

• Awareness

• Resources

• Norms

Case Study Summary

• Helios Airlines B-737• Human Factor Contributing

Elements• Complacency• Communication• Awareness• Norms• Teamwork

Case Study Summary

• British Airways Flight 5390 (BAC1-11)

• Human Factor Contributing Elements

• Environment• Resources• Fatigue• Failure to follow procedures• Stress

Case Study Summary

• American Airlines Flight 191 • Human Factor Contributing Elements

• Communication• Resources• Lack of Knowledge• Norms

Case Study Summary

• Continental Express Flight 2574

• Human Factor Contributing Elements

• Communication• Lack of Assertiveness• Teamwork

Case Study Summary

• Air Florida Flight 90 • Human Factor Contributing Elements

• Communication• Lack of Assertiveness• Poor Decision-making skills• Teamwork

Case Study Summary

• Thank you for participating in the JMCC Human Factors Awareness Training Modules

• Please complete the course critique and evaluation form

• Go forth and apply your newfound knowledge on the path to a safer and more productive aviation work environment

Human Factors Awareness Training