The development and deployment of a maintenance operations safety survey

Human Factors

Volumn 58, Issue 7, 2016, Pages 986-1006

  Langer, Marie ^a   Braithwaite, Graham R ^a  

^a CRANFIELD UNIVERSITY   (United Kingdom)

Author keywords

LOSA; MOSS; Peer to peer observation; Threat and error management; Undesired state

Indexed keywords

AIRCRAFT ACCIDENTS; ERRORS; INFORMATION MANAGEMENT; MAINTENANCE; SURVEYS;

ERROR MANAGEMENT; LOSA; MOSS; PEER TO PEER; UNDESIRED STATE;

FIGHTER AIRCRAFT;

ACCIDENT; AIRCRAFT; CELL CULTURE MONITORING; CLINICAL TRIAL; ERROR; HUMAN; INFORMATION PROCESSING; NARRATIVE; PHYSICIAN; SAFETY; TRUST; ADULT; HOSPITAL SERVICE; PROCEDURES; STANDARDS;

ADULT; AIRCRAFT; HUMANS; MAINTENANCE; SAFETY MANAGEMENT;

EID: 85016090731     PISSN: 00187208     EISSN: 15478181     Source Type: Journal    
DOI: 10.1177/0018720816656085     Document Type: Review

References (60)

1. Air Accidents Investigation Branch. (2013). AAIB special bulletin (S3/2013). Retrieved from http://www.aaib.gov.uk/cms-resources.cfm?file=/AAIB%20S3-2013%20G-EUOE.pdf
2. Antonovsky, A., Pollock, C., & Straker, L. (2014). Identification of the human factors contributing to maintenance failures in a petroleum operation. Human Factors, 56, 306-321.
3. Bakeman, R. (2000). Behavioral observation and coding. In T. Reis & C. M. Judd (Eds.), Handbook of research methods in social and personality psychology (pp. 138-159). Cambridge, UK: Cambridge University Press.
4. Dekker, S. (2003). Failure to adapt or adaptations that fail: Contrasting models on procedures and safety. Applied Ergonomics, 34, 233-238.
5. Dekker, S. (2006). The field guide to understanding human error. Aldershot, UK: Ashgate.
6. Dhillon, B. S., & Liu, Y. (2006). Human error in maintenance: A review. Journal of Quality in Maintenance Engineering, 12, 21-36.
7. Dismukes, R. K., & Berman, B. (2010). Checklists and monitoring in the cockpit: Why crucial defenses sometimes fail (NASA/TM-2010-216396). Retrieved from http://human-factors.arc. nasa.gov/publications/NASA-TM-2010-216396.pdf
8. Drury, C. G., & Dempsey, P. G. (2012). Human factors and ergonomics audits. In G. Salvendy (Ed.), Handbook of human factors and ergonomics (4th ed.; pp. 1092-1121). Hoboken, NJ: Wiley.
9. Federal Aviation Administration. (2006). Line operations safety audits (FAA Advisory Circular No. 120-90). Retrieved from http://www.faa.gov/documentLibrary/media/Advisory-Circular/AC-120-90.pdf
10. Helmreich, R. L. (2000). On error management: Lessons from aviation. British Medical Journal, 320, 781-785.
11. Helmreich, R. L. (2001). A closer inspection: What really happens in the cockpit. Flight Safety Australia, 5, 32-35.
12. Helmreich, R. L. (2003). Threat and error in aviation and medicine: Similar and different. In G. Edkins & P. Pfister (Eds.), Innovation and consolidation in aviation: Selected contributions to the Australian Aviation Psychology Symposium 2000 (pp. 99-108). Aldershot, UK: Ashgate.
13. Henry, C., Berg, E., Down, G., Fallow, P., Knauer, M., Koivula, K., ⋯ Morley, J. (2010). Turning data into change: Application of Normal Operations Safety Survey (NOSS) findings. Retrieved from http://www.hf.faa.gov/HFPortalNew/Search/DOCs/Southampton%20NOSS%20Paper.pdf
14. Hobbs, A. (2004). Latent failures in the hangar: Uncovering organizational deficiencies in maintenance operations. ISASI Proceedings, 8, 63-66.
15. Hobbs, A. (2008). An overview of human factors in aviation maintenance (Aviation Research and Analysis Report No. AR-2008-055). Retrieved from http://www.atsb.gov.au/media/27818/hf-ar-2008-055.pdf
16. Hobbs, A., & Kanki, B. G. (2008). Patterns of error in confidential maintenance incident reports. International Journal of Aviation Psychology, 18, 5-16.
17. Hobbs, A., & Williamson, A. (2003). Associations between errors and contributing factors in aircraft maintenance. Human Factors, 45, 186-201.
18. International Air Transport Association. (2010). Safety report 2009 (46th ed.). Montreal, Canada: Author.
19. International Civil Aviation Organization (2002a). Human factors guidelines for safety audits manual. Montreal, Canada: Author.
20. International Civil Aviation Organization. (2002b). Line operations safety audit (LOSA). Montreal, Canada: Author.
21. International Civil Aviation Organization. (2008). Normal Operations Safety Survey (NOSS). Montreal, Canada: Author.
22. Kerlinger, F. N., & Lee, H. B. (2000). Foundations of behavioral research (4th ed.). Fort Worth, TX: Harcourt College.
23. Kinnison, H. A. (2004). Aviation maintenance management, New York, NY: McGraw-Hill.
24. Klinect, J. R. (2005). Line operations safety audit: A cockpit observation methodology for monitoring commercial airline safety performance (Doctoral dissertation). Retrieved from https://www.lib.utexas.edu/etd/d/2005/
25. Klinect, J. R. (2010, February). ExpressJet LOSA 2010 observer training [Handout]. ExpressJet, Houston, TX.
26. Klinect, J. R., Murray, P., Merritt, A., & Helmreich, R. L. (2003). Line operation safety audit (LOSA): Definition and operating characteristics. In Proceedings of the 12th International Symposium on Aviation Psychology (pp. 663-668). Dayton, OH: Wright State University.
27. Krippendorff, K. (2004). Content analysis: An introduction to its methodology (2nd ed.). Thousand Oaks, CA: Sage.
28. Leveson, N. G. (2004). A new accident model for engineering safer systems. Safety Science, 42, 237-270.
29. Lind, S. (2008). Types and sources of fatal and severe non-fatal accidents in industrial maintenance. International Journal of Industrial Ergonomics, 38, 927-933.
30. Liston, P. (2005). Human factors competence in aircraft maintenance (Unpublished doctoral dissertation). University of Dublin, Dublin, Ireland.
31. Ma, J., Pedigo, M., Blackwell, L., Gildea, K., Holcomb, K., Hackworth, C., & Hiles, J. J. (2011). The line operations safety audit program: Transitioning from flight operations to maintenance and ramp operations (DOT/FAA/AM-11/15). Retrieved from http://www.faa.gov/about/initiatives/maintenance-hf/losa/publications/media/losa-literature-review-2011.pdf
32. McDonald, N. (2003). Culture, systems and change in aircraft maintenance organization. In G. Edkins & P. Pfister (Eds.), Innovation and consolidation in aviation: Selected contributions to the Australian Aviation Psychology Symposium 2000 (pp. 39-57). Aldershot, UK: Ashgate.
33. McDonald, N. (2006). Organizational resilience and industrial risk. In E. Hollnagel, D. D. Woods, & N. Leveson (Eds.), Resilience engineering: Concepts and precepts (pp. 155-180). Aldershot, UK: Ashgate.
34. McDonald, N., Corrigan, S., Daly, C., & Cromie, S. (2000). Safety management systems and safety culture in aircraft maintenance organizations. Safety Science, 34, 151-176.
35. McKenna, J. T. (2002). Maintenance resource management programs provide tools for reducing human error. Flight Safety Digest, 21, 1-15.
36. Merritt, A. (2005, September). A glimpse at Archie: The LOSA Archive. Paper presented at the Third ICAO-IATA LOSA and TEM Conference, Kuala Lumpur, Malaysia.
37. Merritt, A., & Klinect, J. R. (2006). Defensive flying for pilots: An introduction to threat and error management. Retrieved from http://flightsafety.org/files/tem-dspt-12-6-06.pdf
38. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks, CA: Sage.
39. O'Leary, M. (2002). The British Airways human factors reporting programme. Reliability Engineering and System Safety, 75, 245-255.
40. Patankar, M. S., & Driscoll, D. (2004). Factors affecting the success or failure of aviation safety action programs in aviation maintenance organizations. Retrieved from http://www.hf.faa.gov/docs/508/docs/maintFY04ASAPrpt.pdf
41. Patankar, M. S., & Taylor, J. C. (2004). Risk management and error reduction in aviation maintenance. Aldershot, UK: Ashgate.
42. Pearl, A., & Drury, C. G. (1995), Improving the reliability of maintenance checklists (Phase V. Progress Report DOT/FAA/AM-93/xx). Washington, DC: Federal Aviation Administration.
43. Peterson, R. A. (1994). A meta-analysis of Cronbach's coefficient alpha. Journal of Consumer Research, 21, 381-391.
44. Pettersen, K. A., & Aase, K. (2008). Explaining safe work practices in aviation line maintenance. Safety Science, 46, 510-519.
45. Pettersen, K. A., McDonald, N., & Engen, O. A. (2010). Rethinking the role of social theory in socio-technical analysis: A critical realist approach to aircraft maintenance. Cognition, Technology and Work, 12, 181-191.
46. Reason, J. (1997). Managing the risks of organizational accidents. Aldershot, UK: Ashgate.
47. Reason, J., & Hobbs, A. (2003). Managing maintenance error: A practical guide. Aldershot, UK: Ashgate.
48. Reiman, T. (2011). Understanding maintenance work in safetycritical organizations: Managing the performance variability. Theoretical Issues in Ergonomics Science, 12, 339-366.
49. Robson, C. (2002). Real world research (2nd ed.). Oxford, UK: Blackwell.
50. Saleh, J. H., Marais, K. B., Bakolas, E., & Cowlagi, R. V. (2010). Highlights from the literature on accident causation and system safety: Review of major ideas, recent contributions, and challenges. Reliability Engineering and System Safety, 95, 1105-1116.
51. Skinner, M. (2010, March). CHIRP UK Confidential Human Factors Incident Reporting Programme. Paper presented at the IFA Technical Symposium, Dubai, UAE. Retrieved from http://www.ifairworthy.com/ppt/CHIRP.ppt
52. Stanton, N. A., Salmon, P. M., Rafferty, L. A., Walker, G. H., Baber, C., & Jenkins, D. P. (2013). Human factors methods: A practical guide for engineering and design. Farnham, UK: Ashgate.
53. Strauch, B. (2004). Investigating human error: Incidents, accidents, and complex systems. Aldershot, UK: Ashgate.
54. Thomas, E. J., Sexton, J. B., & Helmreich, R. L. (2004). Translating teamwork behaviors from aviation to healthcare: Development of behavioral markers for neonatal resuscitation. Quality and Safety in Health Care, 13, 57-64.
55. Thomas, M. J. W. (2004). Predictors of threat and error management: Identification of core nontechnical skills and implications for training systems design. International Journal of Aviation Psychology, 14, 207-231.
56. Tsagkas, V., Nathanael, D., & Marmaras, N. (2014). A pragmatic mapping of factors behind deviating acts in aircraft maintenance. Reliability Engineering and System Safety, 130, 106-114.
57. Ward, M., McDonald, N., Morrison, R., Gaynor, D., & Nugent, T. (2010). A performance improvement case study in aircraft maintenance and its implications for hazard identification. Ergonomics, 53, 247-267.
58. Weick, K. E. (1968). Systematic observational methods. In G. Lindzey & E. Aronson (Eds.), The handbook of social psychology: Volume 2. Research methods (2nd ed., pp. 357-451). Reading, MA: Addison-Wesley.
59. Wilkinson, J. (2000). Direct observation. In G. M. Breakwell, S. Hammond, & C. Fife-Schaw (Eds.), Research methods in psychology (2nd ed., pp. 224-238). London, UK: Sage.
60. Yin, R. K. (2011). Qualitative research from start to finish. New York, NY: Guilford Press.