Showing posts with label disasters. Show all posts
Showing posts with label disasters. Show all posts

Monday, February 16, 2009

Accidents: The human factors


Synopsis: Contributing factors exist not just in the person but also in the dynamic, sometimes unknown surroundings.


Both novices and experienced personnel contribute to the human error causing 70 percent of accidents.

Levels of failure

Reporting systems are usually ineffective in identifying these human failures. Hence, while engineering or mechanical failures have significantly been reduced, human error ratios over four decades remain the same.

Researchers say that they actually occurs at four different levels that need appropriate analysis:


  • Unsafe acts of operators, like errors or violations by aircrew.
  • Preconditions for unsafe acts like physical, mental or psychological health of operators or crew resource mismanagement.
  • Unsafe supervision, like inadequacy or violations of supervision, poorly planned operations, and failure to correct known problems.
  • Organizational influences like resources management, organizational climate or operational processes.
Personality?

A study in 2001 held that a quarter of ‘human error’ accidents are attributable to personality. High or low scores on certain traits correlate with the ability to avoid accidents or be prone to them:

  • Dependability – conscientious and socially responsible
  • Agreeableness – not aggressive or self-centred
  • Openness – learning from experience and accepting suggestions from others.

High scores on the first two and low scores on the last decrease the likelihood of accidents. Low scores on first two causes competitiveness, and non-compliance with safety regulations. High score on the last leaves people dreamy and increases accident risk.


Profiles

Studies on pilot profiles however, failed to find a typical personality type. Important traits are intelligence, self-confidence, emotional maturity, adaptability, extraversion, and action orientation with desire for challenge and success. Combat pilots score highly on abstract thinking, stress tolerance, decisiveness and resilience.

Essentially operators in hazardous jobs need to be practical, sober and dependable. But a point with jet pilots appears to be a close relationship with their fathers. Also of the first 23 US astronauts in space flight, 21 were ‘first-born’.

Regarding gender, men in aviation score higher in competitiveness but lower in expressivity and striving for achievements. Women pilots appear to be more extraverted, agreeable and conscientious, having less openness and neuroticism than their male counterparts.



The surroundings

But some say labels merely enable people to blame their mistakes on their personality type. The point is factors exist not just in the person but also in the dynamic, sometimes unknown surroundings represented by:


  • Technology
  • Procedures
  • Physical and non-physical environment
  • Other people

People generally don’t go out with intention of causing accidents, but how they react to situations is important. That means interactions between the individual and objects or people around them are just as important.

The dynamics

Researchers believe that tests homogenize groups and the resulting average obtained becomes the ‘right stuff’. This obscures variability, and actual motivations for the job, because training and operational performances tend to differ.

Operations brings into focus adaptability, coping with stress, and a more crucial aspect to success – teamwork. Rising environmental pressures can cause personality conflicts, with operators either internalizing negativity or projecting it on others. This interferes with interpersonal relationships and individual contributions to team effort.


Comments/opinions, anyone??

References for “Accidents” blogposts:

All 155 Survive as Pilot Ditches Plane in Hudson

A human error analysis

Are you accident prone? (twmacademy.com)

Identifying the accident prone

Personality studies in air crew

Thursday, February 12, 2009

Accidents: Deviations from plan


Synopsis: A combination of random factors contributes to disaster happening - or being averted.


We tend to believe that forces beyond us control disasters. They happen following Murphy’s Law that everything that can go wrong, does. And, the people affected survive only by luck or chance.

Unexpected events

Disasters grow out of unexpected events interrupting or interfering with routine proceedings. They precipitate deviations from planned behaviour that invoke risks.

For example, the now-famous American Airways airliner 15(4)9 took off on a routine flight from La Guardia Airport, with about 156 people on board.

The flight path, however, crossed that of migratory birds. The plane collided with a flock of geese, within minutes of take off. Bird-hits are said to cost the American aviation industry up to 600 million USD annually.


Water rescue

The event caused both engines of the plane cut out, preventing its return to land. Using the icy waters as the only accessible runway, the captain ditched the plane into the Hudson River.

The most impact passengers suffered were being thrown against the seat ahead. The plane also stayed intact and level in the water, so they could clamber out onto the wings and floating door.

But experts say even five minutes’ exposure in those freezing temperatures would still have caused severe hypothermia if not fatalities.

Responders speeded up the rescue process, even driving an inflatable boat onto the plane’s wing. Paramedics found one passenger had broken legs and others with less serious injuries. Everybody, including an infant, survived the ordeal.

Random factors

The bird-hit damage raised the potential of disaster. But the skill and presence of mind of the aircrew and first responders on the ground made it a miraculous escape instead.

Not one isolated event, but a combination of random error factors contributes to disaster happening - or being averted. These include:


  • Situational factors like atmospheric conditions
  • Individual factors like perception, cognition and physiological responses of people
  • Specific personal factors like vision, age, experience, perceptual style and perceptual-motor relationships
  • Psychological qualities of the people involved


The Hudson miracle wasn’t all due to providence. While situational factors were the driving forces for disaster, the human factors - individual, personal and psychological - of key people withstood their power.

Processing state

The pilot, an airways safety consultant, former fighter pilot and commercial pilot for nearly three decades, also had extensive glider experience. He glided the plane onto water so it didn’t break up on impact. Since 9/11, ground rescue workers have trained long and hard at disaster management in different scenarios. Their combined competencies ensured that all aboard the ill-fated liner disembarked safely.

Every industry invests in safety, putting precautionary barriers especially in hazardous job situations. But the mere presence of procedures doesn’t guarantee safety. Each procedure also has inherent weaknesses or ‘blind spots’ whereby it only works under certain conditions, or up to a point.

Bridging the gap between the plan and reality needs creative thinking. It also depends upon individual ‘processing state’ – functioning at full alert to expect the unexpected, or multitasking on autopilot with attention divided.


Cont’d 2…The human factors