Integration of Multiple Non-Normal Checklist Procedures into a Single Checklist Procedure for Transport Aircraft: A Preliminary Investigation

Checklists are used by the flight crew to properly configure an aircraft for safe flight and to ensure a high level of safety throughout the duration of the flight. In addition, the checklist provides a sequential framework to meet cockpit operational requirements, and it fosters cross-checking of the flight deck configuration among crew members. This study examined the feasibility of integrating multiple checklists for non-normal procedures into a single procedure for a typical transport aircraft. For the purposes of this report, a typical transport aircraft is one that represents a midpoint between early generation aircraft (B-727/737-200 and DC-10) and modern glass cockpit aircraft (B747-400/777 and MD-11). In this report, potential conflicts among non-normal checklist items during multiple failure situations for a transport aircraft are identified and analyzed. The non-normal checklist procedure that would take precedence for each of the identified multiple failure flight conditions is also identified. The rationale behind this research is that potential conflicts among checklist items might exist when integrating multiple checklists for non-normal procedures into a single checklist. As a rule, multiple failures occurring in today's highly automated and redundant system transport aircraft are extremely improbable. In addition, as shown in this analysis, conflicts among checklist items in a multiple failure flight condition are exceedingly unlikely. The possibility of a multiple failure flight condition occurring with a conflict among checklist items is so remote that integration of the non-normal checklists into a single checklist appears to be a plausible option

Aeronautical engineering: A continuing bibliography with indexes (supplement 271)

This bibliography lists 666 reports, articles, and other documents introduced into the NASA scientific and technical information system in October, 1991. Subject coverage includes design, construction and testing of aircraft and aircraft engines; aircraft components, equipment and systems; ground support systems; and theoretical and applied aspects of aerodynamics and general fluid dynamics

Human factors of flight-deck checklists: The normal checklist

Although the aircraft checklist has long been regarded as the foundation of pilot standardization and cockpit safety, it has escaped the scrutiny of the human factors profession. The improper use, or the non-use, of the normal checklist by flight crews is often cited as the probable cause or at least a contributing factor to aircraft accidents. An attempt is made to analyze the normal checklist, its functions, format, design, length, usage, and the limitations of the humans who must interact with it. The development of the checklist from the certification of a new model to its delivery and use by the customer are discussed. The influence of the government, particularly the FAA Principle Operations Inspector, the manufacturer's philosophy, the airline's culture, and the end user, the pilot, influence the ultimate design and usage of this device. The effects of airline mergers and acquisitions on checklist usage and design are noted. In addition, the interaction between production pressures and checklist usage and checklist management are addressed. Finally, a list of design guidelines for normal checklists is provided

Context-Enabled Visualization Strategies for Automation Enabled Human-in-the-loop Inspection Systems to Enhance the Situation Awareness of Windstorm Risk Engineers

Insurance loss prevention survey, specifically windstorm risk inspection survey is the process of investigating potential damages associated with a building or structure in the event of an extreme weather condition such as a hurricane or tornado. Traditionally, the risk inspection process is highly subjective and depends on the skills of the engineer performing it. This dissertation investigates the sensemaking process of risk engineers while performing risk inspection with special focus on various factors influencing it. This research then investigates how context-based visualizations strategies enhance the situation awareness and performance of windstorm risk engineers. An initial study investigated the sensemaking process and situation awareness requirements of the windstorm risk engineers. The data frame theory of sensemaking was used as the framework to carry out this study. Ten windstorm risk engineers were interviewed, and the data collected were analyzed following an inductive thematic approach. The themes emerged from the data explained the sensemaking process of risk engineers, the process of making sense of contradicting information, importance of their experience level, internal and external biases influencing the inspection process, difficulty developing mental models, and potential technology interventions. More recently human in the loop systems such as drones have been used to improve the efficiency of windstorm risk inspection. This study provides recommendations to guide the design of such systems to support the sensemaking process and situation awareness of windstorm visual risk inspection. The second study investigated the effect of context-based visualization strategies to enhance the situation awareness of the windstorm risk engineers. More specifically, the study investigated how different types of information contribute towards the three levels of situation awareness. Following a between subjects study design 65 civil/construction engineering students completed this study. A checklist based and predictive display based decision aids were tested and found to be effective in supporting the situation awareness requirements as well as performance of windstorm risk engineers. However, the predictive display only helped with certain tasks like understanding the interaction among different components on the rooftop. For remaining tasks, checklist alone was sufficient. Moreover, the decision aids did not place any additional cognitive demand on the participants. This study helped us understand the advantages and disadvantages of the decision aids tested. The final study evaluated the transfer of training effect of the checklist and predictive display based decision aids. After one week of the previous study, participants completed a follow-up study without any decision aids. The performance and situation awareness of participants in the checklist and predictive display group did not change significantly from first trial to second trial. However, the performance and situation awareness of participants in the control condition improved significantly in the second trial. They attributed this to their exposure to SAGAT questionnaire in the first study. They knew what issues to look for and what tasks need to be completed in the simulation. The confounding effect of SAGAT questionnaires needs to be studied in future research efforts

Fehlervermeidung und Prozessmonitoring in komplexen und dynamischen Großschadenslagen

In dieser Arbeit wird der Frage nachgegangen, inwieweit eine Computerunterstützung in komplexen, kritischen Arbeitsbereichen zu einer Harmonisierung der Handlungsabläufe und zur Verhinderung von Fehlern (z. B. Gedächtnisfehlern) beitragen kann. Als Beispiel eines komplexen und dynamischen Arbeitsbereiches wird das Agieren von Behörden und Organisationen mit Sicherheitsaufgaben (BOS) in Großschadenslagen betrachtet. Motiviert durch den großen Erfolg von Checklisten in der Luftfahrt und in der Intensivmedizin, wird in dieser Arbeit eine systematische Übertragung des Checklisten-Prinzips auf den deutschen BOS-Bereich vorgeschlagen. Hierfür wird ein Rahmenwerk eines intelligenten elektronischen Checklisten-Assistenzsystems erarbeitet, das auch für alternative, soziotechnische Arbeitssysteme mit dem BOS-Bereich ähnlichen Merkmalen hilfreich zur Fehlervermeidung eingesetzt werden kann

An empirical investigation of post-completion error: A cognitive perspective.

Forgetting to retrieve your original after photocopying, forgetting to collect your card after a withdrawal from a cash machine, are examples of a specific type of omission error termed post-completion error (Byrne & Bovair, 1997). A post-completion error (PCE) is the omission of a "clean-up" step after the main goal of a task is fulfilled. The error phenomenon has the property of being infrequent but persistent it does not occur very often and, yet, it continues to occur now and again. This thesis is an empirical investigation of PCE to examine factors that provoke or mitigate the error. The investigation consists of two series of experiments. The first series of experiments is an extension of Byrne & Bovair's finding of the effect of high working memory demand on the increased occurrences of PCE. A novel paradigm was designed and adopted in the experiments it was found that PCE also occurs in problem-solving tasks, which impose a high demand on working memory load. Results from the experiments also suggest that the use of static visual cues may reduce the error rate. The second series of experiments investigates the effect of interruption on PCE in a procedural task paradigm. Based on the activation-based goal memory model (Altmann & Trafton, 2002) predictions were made on the effect of interruption position and duration on the error. Results show that PCE is more likely to occur with interruption occurring just before the post-completion step. Interruption occurring earlier in the task has no effect on PCE rate it was found to be the same as having no interruptions at all. Moreover, interruption as brief as 15 seconds was found to be disruptive enough to increase PCE rate. The same disruptive effect was also obtained for other non-PCEs. The scarcity and disparate nature of the existing theoretical approaches to PCE motivated a meta-theoretical analysis of PCE. The analysis has resulted in the identification of the major criteria required for an adequate account of PCE. Although a complete cognitive model of PCE is beyond the scope of the current thesis, the meta-theoretical analysis offers new insights into the understanding of PCE and aids future theoretical development. The current thesis constitutes a methodological advance in studying PCE. New factors that provoke or mitigate the occurrence of the error were identified through empirical investigations. New insights into the understanding of the error were also possible through a meta-theoretical analysis within a coherent theoretical structure