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At least 55 records · Page 3

Skills, rules and knowledge in aircraft maintenance: errors in context

Automatic or skill-based behaviour is generally considered to be less prone to error than behaviour directed by conscious control. However, researchers who have applied Rasmussen's skill-rule-knowledge human error framework to accidents and incidents have sometimes found that skill-based errors appear in significant numbers. It is proposed that this is largely a reflection of the opportunities for error which workplaces present and does not indicate that skill-based behaviour is intrinsically unreliable. In the current study, 99 errors reported by 72 aircraft mechanics were examined in the light of a task analysis based on observations of the work of 25 aircraft mechanics. The task analysis identified the opportunities for error presented at various stages of maintenance work packages and by the job as a whole. Once the frequency of each error type was normalized in terms of the opportunities for error, it became apparent that skill-based performance is more reliable than rule-based performance, which is in turn more reliable than knowledge-based performance. The results reinforce the belief that industrial safety interventions designed to reduce errors would best be directed at those aspects of jobs that involve rule- and knowledge-based performance.

Aircraft↗

Ground Taxi Navigation Problems and Training Solutions

Adverse weather conditions can put considerable strain on the National Airspace System. Even small decreases in visibility on the airport surface can create delays, hinder safe movement and lead to errors. Studies of Aviation Safety Reporting System (ASRS) surface movement incidents support the need for technologies and procedures to improve ground operations in low-visibility conditions. This study examined 139 ASRS reports of low-visibility surface movement incidents at 10 major U.S. airports. Errors were characterized in terms of incident type, contributing factors and consequences. The incidents in the present sample were comprised of runway transgressions, taxiway excursions and ground conflicts. The primary contributing factors were Airport Layout and Markings, Communication and Distraction. In half the incidents the controller issued a new clearance or the flight crew took an evasive action and in the remaining half, no recovery attempt was made because the error was detected after the fact. By gaining a better understanding the factors that affect crew navigation in low visibility and the types of errors that are likely to occur, it will be possible to develop more robust technologies to aid pilots in the ground taxi task. Implications for crew training and procedure development for low-visibility ground taxi are also discussed.

Quinn, Cheryl↗

Resilience, ASRS, and the Narrative about Human Error

We present a study of weather-related incident reports submitted to NASA’s Aviation Safety Reporting System (ASRS) by air carrier pilots in the US. Using specific examples, we examine the relevant aspects of human performance and resilience management exhibited during these incidents. We describe the common narrative about human error and how ASRS data can be used to change it.

resilience↗

Physically based correction of systematic errors of Rotating Shadowband Irradiometers

Accurate measurements of direct normal, diffuse horizontal and global horizontal irradiance (DNI, DHI and GHI) are needed for meteorological studies and are essential for the solar resource assessment at potential solar power plant sites. Often, these potential sites are remote and hence require robust sensors that require minimal maintenance that are not affected strongly by soiling. Therefore, Rotating Shadowband Irradiometers (RSI) are widely used for resource assessment. To achieve the required accuracy, corrections for the raw values of RSIs depending on systematic temperature, incidence angle and spectral errors must be used, and a thorough calibration of the sensor head must be applied. The existing correction functions are derived from comparisons of RSIs to thermopile radiometers at selected sites and therefore empirical. Their accuracy is considered to be site dependent. In this work a new correction and calibration method is presented that removes the systematic errors using a physical approach. It is based on information of the sensor properties as well as measurements of its directional response, and incorporates the atmospheric conditions at the measurement site. In this case, no empiric relations obtained from a specific site are required. The method requires estimates of the current DHI and GHI spectra during each measurement of the RSI. Based on these spectra, a spectral correction, which includes a spectrum dependent temperature correction, can be made without employing empirical relationships. The new physical calibration and correction method is tested at three sites and reaches similar results compared to the empirical functions. This is already achieved with rudimentary estimations of the GHI and DHI spectra and we expect that these estimations can be improved in the future. The results indicate that the physical approach reduces the problematic location dependence of the current calibration and correction methods. The physical correction and calibration method show promise for a further improvement of the RSI accuracy.

47 OTHER INSTRUMENTATION↗

Human Error Assessment and Reduction Technique (HEART) and Human Factor Analysis and Classification System (HFACS)

Research results have shown that more than half of aviation, aerospace and aeronautics mishaps incidents are attributed to human error. As a part of Quality within space exploration ground processing operations, the identification and or classification of underlying contributors and causes of human error must be identified, in order to manage human error.This presentation will provide a framework and methodology using the Human Error Assessment and Reduction Technique (HEART) and Human Factor Analysis and Classification System (HFACS), as an analysis tool to identify contributing factors, their impact on human error events, and predict the Human Error probabilities (HEPs) of future occurrences. This research methodology was applied (retrospectively) to six (6) NASA ground processing operations scenarios and thirty (30) years of Launch Vehicle related mishap data. This modifiable framework can be used and followed by other space and similar complex operations.

human error↗

Human Error Assessment and Reduction Technique (HEART) and Human Factor Analysis and Classification System (HFACS)

Research results have shown that more than half of aviation, aerospace and aeronautics mishaps incidents are attributed to human error. As a part of Safety within space exploration ground processing operations, the identification and/or classification of underlying contributors and causes of human error must be identified, in order to manage human error. This research provides a framework and methodology using the Human Error Assessment and Reduction Technique (HEART) and Human Factor Analysis and Classification System (HFACS), as an analysis tool to identify contributing factors, their impact on human error events, and predict the Human Error probabilities (HEPs) of future occurrences. This research methodology was applied (retrospectively) to six (6) NASA ground processing operations scenarios and thirty (30) years of Launch Vehicle related mishap data. This modifiable framework can be used and followed by other space and similar complex operations.

mishaps↗

Design and technology considerations for the far ultraviolet spectroscopic explorer (FUSE) telescope

An initial assessment of telescope designs satisfying the basic requirements derived for the FUSE mission is presented. A review of recent optical coating technology indicates that normal incidence telescope designs are viable only for wavelengths greater than about 600 A. It is noted that glancing incidence telescope designs, such as the Wolter Type II or thg Wolter-Schwarzschild, are the only designs with acceptable throughputs for the entire FUSE spectral range. Initial design trade studies have established the fundamental framework for the selection of an optimum Type II design satisfying the FUSE science and engineering requirements. It is also found that current optical fabrication technology, e.g., computer controlled polishing, can accommodate meter class glancing incidence components with figure errors commensurate with 1-2 arcsec imaging.

Davila, P. S. M.↗

The response function of modulated grid Faraday cup plasma instruments

Modulated grid Faraday cup plasma analyzers are a very useful tool for making in situ measurements of space plasmas. One of their great attributes is that their simplicity permits their angular response function to be calculated theoretically. An expression is derived for this response function by computing the trajectories of the charged particles inside the cup. The Voyager Plasma Science (PLS) experiment is used as a specific example. Two approximations to the rigorous response function useful for data analysis are discussed. The theoretical formulas were tested by multi-sensor analysis of solar wind data. The tests indicate that the formulas represent the true cup response function for all angles of incidence with a maximum error of only a few percent.

Barnett, A.↗

Response function of modulated grid Faraday cup plasma instruments

Modulated grid Faraday cup plasma analyzers are a very useful tool for making in situ measurements of space plasmas. One of their great attributes is that their simplicity permits their angular response function to be calculated theoretically. An expression is derived for this response function by computing the trajectories of the charged particles inside the cup. The Voyager plasma science experiment is used as a specific example. Two approximations to the rigorous response function useful for data analysis are discussed. Multisensor analysis of solar wind data indicates that the formulas represent the true cup response function for all angles of incidence with a maximum error of only a few percent.

Barnett, A.↗

Determination of ionospheric conductivities from FUV auroral emissions

The purpose of this paper is to examine the viability of using Lyman-Birge-Hopfeld (LBH) emission ratios to infer auroral conductances and to quantify the strengths and weaknesses of this technique. We show that column-integrated Hall and Pedersen conductances may be determined from a single remote measurement of a pair of auroral LBH emissions, one in the region of strong O2 absorption (1464 A) and one lying outside of this region (1838 A). The dependence of the determined conductivities on incident average energy, total energy flux, and changes in solar and magnetic activity levels is examined. We show that, for eneriges above 5 keV, auroral conductances may be scaled by the square root of the incident energy flux with errors less than about 20%. For lower energies, however, the scaling may deviate significantly from a power of 0.5. We provide appropriate scaling factors as a function of average energy. We also note that the choice of either a Gaussian or Maxwellian distribution can significantly affect low-energy (less than keV) conductance calculations. Finally, we quantify the conditions under which the mean energy of a Gaussian energy distribution may differ significantly from the characteristic energy.

Germany, G. A.↗

Measurements of micron-scale meteoroids and orbital debris with the Space Dust (SPADUS) instrument on the upcoming ARGOS P91-1 mission

The space dust (SPADUS) experiment, to be launched into a sun-synchronous polar orbit at an altitude of 833 km onboard the USAF ARGOS P91-1 mission, will provide time-resolved measurements of the intensity, size spectrum and geocentric trajectories of dust particles encountered during the nominal three year mission. The experiment uses polyvinylidene fluoride dust sensors with a total detector area of 576 sq cm. The SPADUS will measure particle sizes between 2 and 200 microns, particle velocities between 1 and 10 km/s to better than 4 percent, and the direction of incidence with a mean error of 7 percent. These data will identify the particles as being debris or of natural origin.

McKibben, R. B.↗

Development of Methodology for Programming Autonomous Agents

A brief report discusses the rationale for, and the development of, a methodology for generating computer code for autonomous-agent-based systems. The methodology is characterized as enabling an increase in the reusability of the generated code among and within such systems, thereby making it possible to reduce the time and cost of development of the systems. The methodology is also characterized as enabling reduction of the incidence of those software errors that are attributable to the human failure to anticipate distributed behaviors caused by the software. A major conceptual problem said to be addressed in the development of the methodology was that of how to efficiently describe the interfaces between several layers of agent composition by use of a language that is both familiar to engineers and descriptive enough to describe such interfaces unambivalently

Erol, Kutluhan↗

Altitude deviations: Breakdowns of an error-tolerant system

Pilot reports of aviation incidents to the Aviation Safety Reporting System (ASRS) provide a window on the problems occurring in today's airline cockpits. The narratives of 10 pilot reports of errors made in the automation-assisted altitude-change task are used to illustrate some of the issues of pilots interacting with automatic systems. These narratives are then used to construct a description of the cockpit as an information processing system. The analysis concentrates on the error-tolerant properties of the system and on how breakdowns can occasionally occur. An error-tolerant system can detect and correct its internal processing errors. The cockpit system consists of two or three pilots supported by autoflight, flight-management, and alerting systems. These humans and machines have distributed access to clearance information and perform redundant processing of information. Errors can be detected as deviations from either expected behavior or as deviations from expected information. Breakdowns in this system can occur when the checking and cross-checking tasks that give the system its error-tolerant properties are not performed because of distractions or other task demands. Recommendations based on the analysis for improving the error tolerance of the cockpit system are given.

Palmer, Everett A.↗

An Investigation of Differential Deposition for Figure Corrections in Full-Shell Grazing-Incidents X-Ray Optics

We are investigating differential deposition as a way of correcting small figure errors inside full-shell grazing-incidence x-ray optics. The optics in our study are fabricated using the electroformed-nickel-replication technique, and the figure errors arise from fabrication errors in the mandrel, from which the shells are replicated, as well as errors induced during the electroforming process. Combined, these give sub-micron-scale figure deviations which limit the angular resolution of the optics to approx. 10 arcsec. Sub-micron figure errors can be corrected by selectively depositing (physical vapor deposition) material inside the shell. The requirements for this filler material are that it must not degrade the ultra-smooth surface finish necessary for efficient x-ray reflection (approx. 5 A rms), and must not be highly stressed. In addition, a technique must be found to produce well controlled and defined beams within highly constrained geometries, as some of our mirror shells are less than 3 cm in diameter.

Gubarev, Mikhail V.↗

Advances in statistical methods for cancer surveillance research: an age-period-cohort perspective

Background: Analysis of Lexis diagrams (population-based cancer incidence and mortality rates indexed by age group and calendar period) requires specialized statistical methods. However, existing methods have limitations that can now be overcome using new approaches. Methods: We assembled a “toolbox” of novel methods to identify trends and patterns by age group, calendar period, and birth cohort. We evaluated operating characteristics across 152 cancer incidence Lexis diagrams compiled from United States (US) Surveillance, Epidemiology and End Results Program data for 21 leading cancers in men and women in four race and ethnicity groups (the “cancer incidence panel”). Results: Nonparametric singular values adaptive kernel filtration (SIFT) decreased the estimated root mean squared error by 90% across the cancer incidence panel. A novel method for semi-parametric age-period-cohort analysis (SAGE) provided optimally smoothed estimates of age-period-cohort (APC) estimable functions and stabilized estimates of lack-of-fit (LOF). SAGE identified statistically significant birth cohort effects across the entire cancer panel; LOF had little impact. As illustrated for colon cancer, newly developed methods for comparative age-period-cohort analysis can elucidate cancer heterogeneity that would otherwise be difficult or impossible to discern using standard methods. Conclusions: Cancer surveillance researchers can now identify fine-scale temporal signals with unprecedented accuracy and elucidate cancer heterogeneity with unprecedented specificity. Birth cohort effects are ubiquitous modulators of cancer incidence in the US. The novel methods described here can advance cancer surveillance research.

60 APPLIED LIFE SCIENCES↗

A Data-Driven Approach to Recognizing and Understanding Human Contributions to Aviation Safety

Data-driven decisions about safety management and design of safety-critical systems are limited by the available data, which influence, and are influenced by, how decision makers characterize problems and identify solutions. In the commercial aviation domain, large volumes of data are collected and analyzed on the failures and errors that result in infrequent incidents and accidents, but in the absence of data on safety-producing behaviors, safety management and system design decisions are based on a small sample of non-representative safety data. Analysis of aviation accident data suggests that human error is implicated in up to 80% of accidents, which has been used to justify future visions for aviation in which the roles of human operators are greatly diminished or eliminated in the interest of creating a safer aviation system. However, failure to fully consider the human contributions to aviation safety represents a significant and largely unrecognized risk when making policy decisions about safety management and system design. Opportunities exist to leverage the vast amount of data that have already been collected, or could be easily obtained, to increase our understanding of human contributions to safety in commercial aviation. This presentation will focus on those opportunities as well as the challenges associated with collecting and analyzing data on operators’ safety-producing behaviors.

Safety↗

Human Performance Contributions to Safety in Commercial Aviation

In the commercial aviation domain, large volumes of data are collected and analyzed on the failures and errors that result in infrequent incidents and accidents, but in the absence of data on behaviors that contribute to routine successful outcomes, safety management and system design decisions are based on a small sample of non- representative safety data. Analysis of aviation accident data suggests that human error is implicated in up to 80% of accidents, which has been used to justify future visions for aviation in which the roles of human operators are greatly diminished or eliminated in the interest of creating a safer aviation system. However, failure to fully consider the human contributions to successful system performance in civil aviation represents a significant and largely unrecognized risk when making policy decisions about human roles and responsibilities. Opportunities exist to leverage the vast amount of data that has already been collected, or could be easily obtained, to increase our understanding of human contributions to “things going right” in commercial aviation. The principal focus of this assessment was to identify current gaps and explore methods for identifying human “success” data generated by the aviation system, from personnel and within the supporting infrastructure.

Holbrook, Jon B.↗