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The types of human error associated with briefing of relief in air traffic control operations are described. The factors associated with these errors are examined.
Safety related problems are reported which occur as a consequence of information transfer deficiencies that arise when air/ground communications are (or should be) used as a resource in inflight emergency situations. The system factors, the human errors, and the associated causes of these problem are defined.
The NASA Ames Research Center proposed a man-vehicle systems research facility to support flight simulation studies which are needed for identifying and correcting the sources of human error associated with current and future air carrier operations. The organization of research facility is reviewed and functional requirements and related priorities for the facility are recommended based on a review of potentially critical operational scenarios. Requirements are included for the experimenter's simulation control and data acquisition functions, as well as for the visual field, motion, sound, computation, crew station, and intercommunications subsystems. The related issues of functional fidelity and level of simulation are addressed, and specific criteria for quantitative assessment of various aspects of fidelity are offered. Recommendations for facility integration, checkout, and staffing are included.
The impact of mechanical-reliability practice on the Saturn/Apollo launch program is considered with reference to the interrelationship of analysts and designers with management. Rocket engine development, ground testing, and launch facilities in the Saturn/Apollo program are discussed, and the Saturn reliability approach is examined in regard to management style, decision making, human error control, and reliability analyses. It is noted that the use of conservative design philosophy contributed to achieved reliability.
Information seeking by human operators of technical systems is considered. Types of information and forms of presentation are discussed and important issues reviewed. This broad discussion provides a framework within which flight management is considered. The design of an onboard computer-based information system for aircraft is discussed. The aiding possibilities of a computer-based system are emphasized. Results of an experimental evaluation of a prototype system are presented. It is concluded that a computer-based information system can substantially lessen the frequency of human errors.
An analysis of incident data obtained from the NASA Aviation Safety Reporting System (ASRS) has been made to determine the problem areas in general aviation single-pilot IFR (SPIFR) operations. The Aviation Safety Reporting System data base is a compilation of voluntary reports of incidents from any person who has observed or been involved in an occurrence which was believed to have posed a threat to flight safety. This paper examines only those reported incidents specifically related to general aviation single-pilot IFR operations. The frequency of occurrence of factors related to the incidents was the criterion used to define significant problem areas and, hence, to suggest where research is needed. The data was cataloged into one of five major problem areas: (1) controller judgment and response problems, (2) pilot judgment and response problems, (3) air traffic control (ATC) intrafacility and interfacility conflicts, (4) ATC and pilot communication problems, and (5) IFR-VFR conflicts. In addition, several points common to all or most of the problems were observed and reported. These included human error, communications, procedures and rules, and work load.
The current research is focused on detection of human error and protection from its consequences. A program for monitoring pilot error by comparing pilot actions to a script was described. It dealt primarily with routine errors (slips) that occurred during checklist activity. The model to which operator actions were compared was a script. Current research is an extension along these two dimensions. The ORS fault detection aid uses a sophisticated device model rather than a script. The newer initiative, the model-based and constraint-based warning system, uses an even more sophisticated device model and is to prevent all types of error, not just slips or bad decision.
The Orbital Maneuvering Vehicle (OMV) presents a series of challenges to the human operator. Some are unique to the OMV system itself, and are largely due to remote control versus control from the cockpit. Other challenges are not necessarily unique to the OMV, but are characteristic of many man-machine space flight systems. All of these challenges affect the operator's ability to perform his portion of the mission, and could lead to human error which might jeopardize the vehicle, mission, or both. It is imperative to make every effort to design the control and displays to facilitate the operator's task. The experimental program should address the perceptual, mediational, and motor dimensions of operator performance. With this in mind, a literature review with relevant design considerations was initiated, and a comprehensive outline of control/display parameters were developed. Out of this, a series of questions not answered in the literature was derived which can be converted into experimental protocols for the simulation program. A major task of the aircraft pilot as well as the OMV operator is prediction. Certain display principles have proved to enhance the pilot's ability to predict. A brief examination of some of these principles in relationship to OMV may be useful.
The fundamental principles of human-factors (HF) analysis for aviation applications are examined in a collection of reviews by leading experts, with an emphasis on recent developments. The aim is to provide information and guidance to the aviation community outside the HF field itself. Topics addressed include the systems approach to HF, system safety considerations, the human senses in flight, information processing, aviation workloads, group interaction and crew performance, flight training and simulation, human error in aviation operations, and aircrew fatigue and circadian rhythms. Also discussed are pilot control; aviation displays; cockpit automation; HF aspects of software interfaces; the design and integration of cockpit-crew systems; and HF issues for airline pilots, general aviation, helicopters, and ATC.
The general topic was in the area of display design alternatives for improved man-machine performance. The intent was to define and assess a display design concept oriented toward providing this task-oriented information. The major focus of this concept deals with the processing of data into parameters that are more relevant to the task of the human operator. Closely coupled to this concept of relevant information is the form or manner in which this information is actually presented. Conventional forms of presentation are normally a direct representation of the underlying data. By providing information in a form that is more easily assimilated and understood, a reduction in human error and cognitive workload may be obtained. A description of this proposed concept with a design example is provided. The application for the example was an engine display for a generic, twin-engine civil transport aircraft. The product of this concept was evaluated against a functionally similar, traditional display. The results of this evaluation showed that a task-oriented approach to design is a viable concept with regard to reducing user error and cognitive workload. The goal of this design process, providing task-oriented information to the user, both in content and form, appears to be a feasible mechanism for increasing the overall performance of a man-machine system.
A simulation test of the six-battery nickel-cadmium mission to determine battery life and electrical power system (EPS) performance characteristics for the Hubble Space Telescope (HST) program, is described. The basic HST power system requirements are to provide power generation, energy storage, and EPS control and distribution for 2.5 years with the nickel-cadmium (NiCd) batteries at an end of life solar array of 2 years. Mission simulation life testing begain in April of 1986, and the batteries have completed their 2.5 year mission requirement. Conditions as close as practical to the actual predicted mission profiles were used. These included solar array degradation, load variations, beta angle changes, temperature changes (with excursions to 10 C), battery reconditioning, safemode simulations, and off-normal roll activities. Discounting system cycling interruptions caused by hardware, software, human error, and periodic updates and revisions, the HST EPS breadboard hardware operated continuously for 30 months and demonstrated the power system's ability to meet the HST requirement.
This paper presents the results from an experimental study aimed at ultimately automating the mixing of propellants in order to minimize unintended variations usually attributed to human error. The water heater and delivery system of a one-pint Baker-Perkins (APV) vertical mixer are automated with computer control. Various innovations are employed to introduce economy and low thermal inertia. Some of these include twin heaters/reservoirs instead of one large reservoir, a compact water mixer for achieving the desired temperature quickly, and thorough insulation of the entire water system. The completed system is tested during two propellant mixes. The temperature uniformly is proven through careful measurements employing several local thermocouples.
The general topic was in the area of display design alternatives for improved man-machine performance. The intent was to define and assess a display design concept oriented toward providing this task-oriented information. The major focus of this concept deals with the processing of data into parameters that are more relevant to the task of the human operator. Closely coupled to this concept of relevant information is the form or manner in which this information is actually presented. Conventional forms of presentation are normally a direct representation of the underlying data. By providing information in a form that is more easily assimilated and understood, a reduction in human error and cognitive workload may be obtained. A description of this proposed concept with a design example is provided. The application for the example was an engine display for a generic, twin-engine civil transport aircraft. The product of this concept was evaluated against a functionally similar, traditional display. The results of this evaluation showed that a task-oriented approach to design is a viable concept with regard to reducing user error and cognitive workload. The goal of this design process, providing task-oriented information to the user, both in content and form, appears to be a feasible mechanism for increasing the overall performance of a man-machine system.
Key problem areas in the management and transfer of information in the National Airspace System, contributing to human errors are identified. Information-management aspects supporting the user's ability to assess prevailing situations accurately with adequate time to make an informed decision are considered. The relationship between judgment biases and requirements for managing weather information is illustrated by examining such hazardous weather phenomena as microbursts and windshears. The system of air-ground communication relying almost exclusively on voice transmissions is discussed, and recommendations in the areas of communications procedures and technology development are provided.
The NASTRAN Manuals in the substructuring area are all geared toward instant success, but the solution paths are fraught with many traps for human error. Thus, the probability of suffering a fatal abort is high. In such circumstances, the necessity for diagnostics that are user friendly is paramount. This paper is written in the spirit of improving the diagnostics as well as the documentation in one area where the author felt he was backed into a blind corner as a result of his having committed a data oversight. This topic is aired by referring to an analysis of a particular structure. The structure, under discussion, used a number of local coordinate systems that simplified the preparation of input data. The principle features of this problem are introduced by reference to a series of figures.
Recommendations are presented for reducing the operational cost of the Space Shuttle. Operational cost drivers at the launch site are identified by examining Shuttle operational data collected over the past two and a half years, and arguments are presented for incorporating support and maintainability criteria in the design process. It is also shown that the increased application of automation to evaluate systems and conduct operations will provide ways to reduce launch operations costs in addition to other benefits, such as increasing the speed of the total checkout, reducing manpower requirements, reducing the possibility of human error, and minimizing documentation changes.
The integration of human and machine intelligence in space systems is outlined with respect to the contributions of artificial intelligence. The current state-of-the-art in intelligent assistant systems (IASs) is reviewed, and the requirements of some real-world applications of the technologies are discussed. A concept of integrated human-machine intelligence is examined in the contexts of: (1) interactive systems that tolerate human errors; (2) systems for the relief of workloads; and (3) interactive systems for solving problems in abnormal situations. Key issues in the development of IASs include the compatibility of the systems with astronauts in terms of inputs/outputs, processing, real-time AI, and knowledge-based system validation. Real-world applications are suggested such as the diagnosis, planning, and control of enginnered systems.
This paper describes the full-mission flight simulation facility at the NASA Ames Research Center. The Man-Vehicle Systems Research Facility (MVSRF) supports aeronautical human factors research and consists of two full-mission flight simulators and an air-traffic-control simulator. The facility is used for a broad range of human factors research in both conventional and advanced aviation systems. The objectives of the research are to improve the understanding of the causes and effects of human errors in aviation operations, and to limit their occurrence. The facility is used to: (1) develop fundamental analytical expressions of the functional performance characteristics of aircraft flight crews; (2) formulate principles and design criteria for aviation environments; (3) evaluate the integration of subsystems in contemporary flight and air traffic control scenarios; and (4) develop training and simulation technologies.