International Civil Aviation Organization ADREP/ECCAIRS End-user course Module N° 6 Explanatory Factors SHELL Model Mexico City- 22-26 November, 2010 Explanatory factors • Persons and organizations concerned • Subject : SHELL item • Modifier Human Factors included in ADREP 2000 Occurrence n Event / phase of flight n Event / phase of flight Human Factors Descriptive factor subject + modifier Descriptive factor subject + modifier H n Org/person + EF subject + modifier Organization/p erson + EF subject (SHELL) + modifier S L E SHELL, modified by Hawkins 1987 L SHEL Model (Edwards, 1972) • Tenerife Accident Adaptation of SHEL model by Hawkins (Captain and HF consultant for KLM) Introduction L-L interface (CRM) SHELL Model • Risk inherent to human activity – Human is at the center of Safety • Risks lay in interactions between Human and its context • SHELL permits to identify factors that weaken the system in direct relation with persons and organisms Human centered system Disintegration forces SHELL Model Human / machine Hardware Machines, ergonomics, calculators... Human / system support Software Manuals, procedures, documentation Human / human Liveware Physical, psychological, workload... Liveware Communication, CRM… Environment Social, operational factors, ATC... Human / environment SHELL, modified by Hawkins 1987 SHELL Model (more detailed) LIVEWARE (HUMAN)HARDWARE/ SOFTWARE INTERFACE HARDWARE INFORMATION DATA SOURCES AUTOMATION AUTOMATIC SYSTEMS SOFTWARE/ FIRMWARE AUTOMATIC PROTECTIONS/ ALARMES COCKPIT EQUIPMENT COCKPIT DESIGN DATA SOURCES FIRMWARE AUTOMATION DESIGN AND FUNCTIONALITY AIRCRAFT EQUIPMENT OTHER THAN COCKPIT DESIGN COMMUNICATIONS MEDIA SOFTWARE USE OF AUTOMATION OTHER OPERATIONAL MATERIAL COCKPIT WARNINGS FLIGHT DECK MANUALS CHECKLISTS AND CHARTS ATC ALARMS/ALERTS ATC OPERATIONAL MATERIAL OTHER DEFENCES WARNINGS MAINTENANCE ENGINEERING MATERIAL AIRCRAFT MAINTENANCE EQUIPMENT SUITABILITY OF DESIGN/ ERGONOMICS FOR TRAINING PURPOSES OPERATIONAL MATERIAL – OTHER ATC EQUIPMENT SUITABILITY OF DESIGN FOR MAINTENANCE PURPOSES LIVEWARE (HUMAN) SYSTEM SUPPORT INTERFACE PROCEDURES SOPS TRAINING OTHER PROCEDURES BASIC/ INITIAL TRAINING EMERGENCY AND ABNORMAL PROCEDURES SIMULATOR TRAINING ATC PROCEDURES ON-THE JOB TRAINING AERODROME PROCEDURES EMERGENCY TRAINING MAINTENANCE PROCEDURES CRM/ TRM TRAINING COMPANY PROCEDURES RECURRENT TRAINING LIVEWARE (HUMAN) OTHER HUMAN - SYSTEM SYSTEM SUPPORT ISSUES MISCELLANEOUS TRAINING ISSUES PHYSICAL PHYSICAL CHARACTERISTICS SENSORY LIMITATIONS OTHER PHYSIOLOGICAL PSYCHOLOGICAL WORKLOAD MANAGEMENT HEALTH FITNESS LIFESTYLE ACTION ERROR JUDGEMENT ILLNESS INCAPACITATION PLANNING KNOWLEDGE ACQUISITION LEARNING ILLUSIONS FATIGUE ALERTNESS OTHER INFORMATION PROCESSING DECISION MAKING PRIORITIZATION TASK SCHEDULING EXPERIENCE AND QUALIFICATIONS TIMING RECENCY TASK SHEDDING SITUATIONAL AWARENESS ATTENTION PERCEPTION MONITORING PERSONALITY AND ATTITUDES SKILL TECHNIQUE ABILITY MENTAL EMOTIONAL STATE LIVEWARE (HUMAN) LIVEWARE (HUMAN) INTERFACE EXPERIENCE QUALIFICATIONS RECENCY AND KNOWLEDGE COMMUNICATIONS KNOWLEDGE TASK ALLOCATION OTHER WORKLOAD MANAGEMENT LIVEWARE (HUMAN) ENVIRONMENT INTERFACE PHYSICAL ENVIRONMENT PSYCHOSOCIAL AERODROME LANDING TAKEOFF SITE AIR TRAFFIC SERVICE JOB SATISFACTION INFORMATION WEATHER VISUAL CONDITIONS MORALE/MOTIVATION WORKSPACE ENVIRONMENT OTHER HUMAN-ENVIRONMENT INTERFACE CULTURAL ISSUES DOMESTIC ISSUES OTHER COMPANY MANAGEMENT MANNING REGULATORY ISSUES OPERATIONAL TASK DEMANDS PRESSURES LABOUR RELATIONS HIGH WORKLOAD TIME PRESSURES MANAGEMENT PERSONNEL POLICIES MANNING OPERATIONAL MENTAL PRESSURE TRAINING EXAMINATION CHECK SITUATION REGULATORY AUTHORITY POLICIES AND PRACTICES MISCELLANEOUS OPERATIONAL TASK DEMANDS INTERACTIONS TEAM SKILLS CRM/TRM SUPERVISION ORAL COMMUNICATIONS TEAM SKILLS/ CRM OPERATIONAL SUPERVISION WRITE READ COMMUNICATIONS FORMAL COORDINATION SUPERVISION DURING TRAINING VISUAL SIGNALS SHIFT/ WATCH TEAM CHANGEOVER QUALITY CONTROL OTHER INTERACTIONS STANDARDS REGULATORY ACTIVITIES OTHER HUMAN HUMAN INTERFACE REGULATORY PROCEDURES MONITORING (REGULATION) REGULATORY STANDARDS SURVEILLANCE REGULATION AUDIT INSPECTIONS CHECKS Module N° 6 Explanatory Factors SHELL Model