SAFE WAY TO AIR CRASH
 

Contributed By Aryama Sanyal, DGM ATC, Ahmedabad Airport

'Human performance Factors' is one of the main causal factor in the majority of aircraft accidents. If the accident rate is to be decreased ,Human Factors issues in aviation need to be better understood and appreciated and proactively applied. By proactive application it is meant that Human Factors knowledge should be applied and integrated during the systems design and certification process and all operational and workplace design, that is, before the systems and the people become operational.


The human element is the most flexible, adaptable and valuable part in the aviation system. "Human Errors " leading to air accidents and near misses is of no help in their prevention because though probing into the causes may lead us to WHERE the system breakdown has occurred but no guidance as to WHY it has broken down. A human error may be due to design procedures in the system, inadequate training or poor standard operating procedures and checklists being maintained. The contemporary SAFETY thinking requires that the human error should be the starting point rather the stop rule in the event of incident or accident and their prevention.


In 1975 Hawkins elaborated the interface of human factors, that is, the live ware with the hardware or machines and software, that is, the procedures, symbiology etc. and the environment in his very famous SHEL MODEL depicted below.


The boundaries in the interface between these various systems are not smooth as can be seen in the model. And any mismatch in them can lead to incident or accident. To achieve matching in the various aspects a clear understanding of the central component in the model i.e. the Human component is paramount. The limitations of the human being in terms of physical size and shape, the physical needs, their input characteristics like efficiency, skills, well being in work place, health and fatigue, their information processing skills and boundaries, their output characteristics and environmental tolerances.
 

The human being or the human factor is the hub of the SHEL model and all the remaining components must be adapted and matched to this central component.


To understand the importance of 'Human Factor' in aviation ,let us look into the causal factors in a few air crashes.
1. In December 1972- an L1011 crashed in the Florida Everglades. On investigation it was found that duties were not properly allocated and the whole flight crew became preoccupied with a landing gear indicator light bulb which led to the accident.
2. In 1974, a B707 crashed during approach in Pago-Pago in Samoa, with a loss of 96 lives. A visual illusion related to black hole phenomenon was a causal factor.
3.In 1974, a DC10 crashed because a cargo door failed, it opened and blew out during take off.
4.In 1987 an MD 80 crashed on take off in Detroit. The pilots had not set the flaps, thus violating the standard operating procedures.
In the recent years air traffic has incrasead multi folds all over the world.The introduction of huge,wide bodied larger and faster aircraft together with an increasing number of smaller aircraft has required ATC to handle a greater variety of aircraft in the same designated airspace with greater stress levels than before.Also in many parts of the world , future Air Traffic demands are expected to exceed the capabilities of current ATC systems, which must hence evolve or be replaced to operate safely and efficiently to match the demands.

      Sectorization of the airspace is not the perfect solution in today's growing traffic scenario because of extra co-ordination and liasion work involved. The solutions that can be devised which can take careof the Human Factors are-

  • the provision of better data to ATC

  • more replacement of manual functions with automation

  • well kept automated data handling and presentation

  • More automated assistance for cognitive human tasks such as problem solving and decision making

  • more flexible use of airspace, based on operational requirements rather than geographical boundaries 

  • A change from short- term, tactical interventions which solve problems that arise, to strategic preplanning of efficient traffic flows to prevent problems from arising

Today, we need to design and devise aviation systems taking care of the requirements and limitations of the ‘Human performance factors’. The applicability of these factors are required in all technological innovations such as satellite based navigational systems like PBN. We need to identify all the Human factor consequences and to resolve the associated problems not only of display, control, integration inter faces, communications, understanding, memory, but also of team roles, attitudes, norms and ethos to achieve the SAFETY we are looking for .Ultimately we require a system where in there are so many  safety chains so that human performance error become the first safety ring break-down and does not lead to breaking down of all rings and leading to accidents and incidents.