Analyzing Human Error in Aircraft Ground Damage Incidents Caren A
International Journal of Industrial Ergonomics 26 (2000) 177}199 Analyzing human error in aircraft ground damage incidents Caren A. Wenner, Colin G. Drury* State University of New York at Buwalo, Department of Industrial Engineering, 342 Bell Hall, PO Box 606050, Buwalo, NY 14260, USA Received 10 June 1997; accepted 18 February 1998 Abstract Ground damage incidents (incidents in which airline personnel cause damage to an aircraft on the ground) occur as airline personnel are working on, or around, an aircraft on the ground, either on the ramp or at a maintenance facility. Each incident can be quite costly to the airline, with costs both tangible (repair costs and lost revenue) and intangible (passenger inconvenience, increased maintenance workload). Thus, airlines have a "nancial incentive to reduce the number of ground damage incidents that occur. One of the airline's most di$cult tasks has been to utilize the information collected in their existing error reporting systems to determine the common latent failures which contribute to typical ground damage incidents. In this study, 130 ground damage incidents from a major airline were reviewed to determine the active and latent failures. Twelve distinct hazard patterns (representing the active failures) were identi"ed, with three hazard patterns accounting for 81% of all ground damage incidents. Nine major latent failures were identi"ed, and the relationships between the hazard patterns and latent failures were examined in depth. This type of analysis allows the latent failures common to di!erent hazard patterns to be identi"ed, and provides a means for developing focused intervention strategies to prevent future ground damage.
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