The Analysis of Safety Recommendation and Human Error Prevention Strategies in Flight Operations

摘要

This study applied Human Factors Intervention Matrix (HFIX) framework described by Wiegmann and Shappell. METHOD: The data set comprised of 31 incident investigation reports taken place between 2009 and 2011 and included 182 unique safety recommendations to reduce human errors. The results indicated that major recommendations were directed at organizational/administrative and human/crew approaches and the most effective interventions concentrated on decision errors and violations. This study has demonstrated that the HFIX framework can be applied to improve human errors by five different approaches. It also has suggested that decision error and violations are critical issues of flight safety and these can be improved by training and organizational administration.