Publication:
A human systems integration perspective to evaluating Naval Aviation mishaps and developing intervention strategies

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Authors
Cowan, Shawn R.
Subjects
Advisors
O'Connor, Paul E.
Date of Issue
2009-12
Date
Publisher
Monterey, California: Naval Postgraduate School
Language
Abstract
This thesis analyzed both the human factors involved in Naval Aviation mishaps and the results of a survey of the safety concerns of Naval aircrews. Naval Aviation mishap data between 2000-2008 revealed skill-based errors and coordination/communication/planning factors to be the leading causes of mishaps. In contrast, the Naval aircrews surveyed in 2008 believed ops tempo/workload, proficiency, complacency, and motivational exhaustion (burnout) to be the most likely causes of future mishaps. To address these concerns, a mishap intervention generation and evaluation methodology recently created by Shappell and Wiegmann (2006, 2009, in press) called the Human Factors Intervention Matrix (HFIX) was examined. Drawing upon the domains of human systems integration (HSI) and the Joint Capabilities Integration Development System's (JCIDS) doctrine, organization, training, material, leadership, personnel, and facilities (DOTMLPF) analysis, the HFIX methodology was revised and expanded. It is suggested that this revised framework will be useful to both the developers of future Naval aircraft systems and safety professionals in reducing the occurrence of human error-related mishaps.
Type
Thesis
Description
Human Systems Integration Report
Series/Report No
Department
Operations Research (OR)
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NPS Report Number
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Format
xxii, 139 p. : ill.
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Distribution Statement
Approved for public release; distribution is unlimited.
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