AMT 222: SHOP SUPERVISION AND MANAGEMENT MR. DEXTER YUSI AMT – 146859 Human Factors in Aviation Background and Justification Importance of Safety Civil Aviation Safety Record Causes of Accidents What is Human Factor? Benefits of Human Factor Training AVIATION INDUSTRY • Technology based • Employs 2 million people • Generates US$2,40,000 million revenue • Continuously growing • Success and Survival solely depends on SAFETY AVIATION SAFETY RECORD Quite impressive World wide accident rate of commercial large jet transport aircraft of the last three decades show a dramatic fall to 1.5 from 27 per million departures 616 million passengers travel on US carriers in 1988 with no fatalities 1987-1996 (a decade) 600 Airlines had no accidents at all HULL LOSS--World Wide Jet Fleet Accidents by Primary Cause (%) Causes Human Airplane Weather Maintenance Airport/ATC Misc Total 1988-97 70.5 10.0 5.0 6.0 3.0 5.5 1990-99 67.5 11.0 7.5 6.0 4.0 4.0 100.0 100.0 HULL LOSS and /or Fatal Accidents (By phase of Flight) (%) Phase Taxi Take off Climb Cruise Descent Approach Landing 1988-97 8 16 12 9 2 17 36 1990-99 8 14 13 6 5 13 41 5% flight time accounts for 60% of the accidents MAJOR AREAS OF ACCIDENTS Type 1990-97 1989-99 % Change 46 29 +21 +45 36 -23 126 157 +25 20 14 -30 Push back 38 Hit by vehicle 20 CFIT Landing RTO 47 WHAT ARE THE LESSONS LEARNED? Human Factor emphasis is paying Dividend at a slow pace Greater awareness has contributed to the reduction in CFIT Technology continues to play a major role in accident prevention Safety is a cost effective tool NEED FOR SAFETY ENHANCEMENT • Human error continues to dominate as the cause of aviation accidents (65 to 70 %) • Since 1970 the accident rate is relatively constant • As the number of flight departures increase, we can anticipate an increase in the absolute number of accidents. • Society does not understand the accident rates and is only concerned with the number of accidents irrespective of any decline in the global rates Accident investigation reports The crew reacted prematurely and in a way deviated from the laid down procedure Series of distractions and aggravations the cockpit The failure of the pilots to monitor flight instruments Flight crews’ failure to use check list Lack of team work amongst crew members in Human factors & Flight safety How can we prevent accidents? Examination of Industry’s accident investigation reports clearly establishes that different management of available resources could have prevented the accidents in majority of the cases What are the available resources? Q Q Q Q Q Q Q Q Aircraft systems Procedure Manuals and check lists Cockpit crew Flight Despatchers Cabin crew Maintenance personnel ATC What is Management? It is the coordinated use of the available resources to reach a goal Q Set the goal Q Evaluate risk Q Set the priorities Q Allocate resources Q Evaluate results Development of Aviation Safety 1960 - 1980 Lonesome Heroes (Pilot Error) 1980- 1990 Crew Resource Management (Synergy) 1990-1999 Systemic Year (Organisation Dimension) WHAT IS IN STORE FROM 2000 ONWARDS? Human Factors HF is the Social Movement of learning the limit of human ability and movement and performance, to analyze and apply the knowledge gained to the daily operations to in prevent Human Failure which is the major source of accidents Aviation What is Human Factor ? • Concerns with Optimizing the Relationship between People and their Activities by Systematic Application of Human Sciences Integrated with System Engineering. • It is about PEOPLE ; It is about PEOPLE in their Working Environment and it is about their Relationship with Machines and Procedures. What is CRM? QThe effective utilization of all available resources to achieve safe and efficient operation of a flight Q Focus of CRM training is on the functioning of the crew as an intact team, not simply as a collection of technically competent individuals Q CRM aims at improving crew performance MAINTENANCE RESOURCE MANAGEMENT • Aviation maintenance is a complex and demanding endeavor. Its success, which is ultimately measured by the safety of the flying public, depends on communication and teamwork. • Aviation maintenance operations are most successful when crews function as integrated, communicating teams rather than as a collection of individuals engaged in independent actions. MAINTENANCE RESOURCE MANAGEMENT • Over the past decade, the importance of teamwork in the maintenance setting has been widely recognized. The result has been the emergence of human factors training, Maintenance Resource Management (MRM) programs, and other teamcentered activities within the aviation maintenance community. • Maintenance Resource Management is a general process for improving communication, effectiveness, and safety in airline maintenance operations. Effectiveness is measured through the reduction of maintenance errors, and improved individual and unit coordination and performance. • MRM is also used to change the "safety culture" of an organization by establishing a pervasive, positive attitude toward safety. Such attitudes, if positively reinforced, can lead to changed behaviors and better performance. MAINTENANCE RESOURCE MANAGEMENT • Safety is typically measured by occupational injuries, ground damage incidents, reliability, and airworthiness. MRM improves safety by increasing the coordination and exchange of information between team members, and between teams of airline maintenance crews. • The details of MRM programs vary from organization to organization. However, all MRM programs link and integrate traditional human factors topics, such as equipment design, human physiology, workload, and workplace safety. Likewise, the goal of any MRM program is to improve work performance and safety. They do this by reducing maintenance errors through improved coordination and communication. MAINTENANCE RESOURCE MANAGEMENT • Not surprisingly, a prerequisite for implementing successful MRM is the will to do so. As with any program intended to be diffused throughout an organization, MRM must have the positive, explicit, and demonstrated support of senior management. A typical MRM training program addresses each of the following components: • 1. Understanding the maintenance operation as a system • 2. Identifying and understanding basic human factors issues • 3. Recognizing contributing causes to human errors • 4. Situation awareness • 5. Decision-making; Leadership MAINTENANCE RESOURCE MANAGEMENT • 6. Assertiveness (how to effectively speak up during critical times) • 7. Peer-to-peer work performance feedback techniques • 8. Stress management and fatigue • 9. Coordination and planning • 10. Teamwork and conflict resolution • 11. Communication (written and verbal) • 12. Norms • MRM is characterized by working together and using available resources to reduce errors and to promote safety. There is a growing body of evidence that team coordination among aviation crews improves safety, product quality, and system effectiveness. Maintenance Resource Management, as with other human-factors-oriented processes, is based on a systems approach. It incorporates a variety of human factors methods, such as job and work design, and considers the overall sociotechnical maintenance system ASSIGNMENT: • Research the 12 DIRTY DOZEN AND For each element create an aviation related scenario where these elements are being present then propose a solution for each scenario. • Research The Magnificent Seven | Aviation Pros - Paper Size: Letter (8.5 x 11) - Font Style: Times New Roman - Font Size: 12 - Line Spacing APA - Margins: Normal (File should be in pdf format) PRINCIPLE OF AIRCRAFT MAINTENANCE • No aircraft is so tolerant of neglect that it is safe in the absence of an effective inspection and maintenance programme. The processes that affect an aircraft are deterioration with age (e.g. fatigue, wear and corrosion) as well as chance failures (e.g. tire burst, excess structural loads). • Aircraft maintenance can be defined in a number of ways and the following may help understand the different aspects: • “Those actions required for restoring or maintaining an item in a serviceable condition including servicing, repair, modification, overhaul, inspection and determination of condition”. [World Airlines Technical Operations Glossary] • “Maintenance is the action necessary to sustain or restore the integrity and performance of the airplane” [Hessburg, 2001] • “Maintenance is the process of ensuring that a system continually performs its intended function at its designed-in level of reliability and safety.” [Kinnison and Siddiqui, 2013] Activity • Aircraft maintenance is that part of the process of aircraft technical activity which is conducted on aircraft whilst it remains in the line maintenance or base maintenance environment. Aircraft maintenance is intended to keep the aircraft in a state which will or has enabled a certificate of release to service to be issued. A hangar environment may be available but is often not necessary. The reasons for carrying out maintenance are neatly summarized by [Lam 2002]: 1.Aircraft safety – airworthiness at its heart 2.Keep aircraft in service – Availability, which is of key importance to an operator i.e. the aircraft can meet its schedule. 3.Maximize value of asset (airframe, engines and components) – of prime importance to the owner or lessor. Activity • Maintenance will consist of a mixture of preventive and corrective work, including precautionary work to ensure that there have been no undetected chance failures. There will be inspection to monitor the progress of wear out processes, in addition to: • Scheduled or preventive work to anticipate and prevent failures. • Unscheduled work – Repair maintenance and On-condition maintenance • In general terms, for preventive work to be worthwhile, two conditions should be met: 1.The item must be restored to its original reliability after maintenance action, and 2.The cost of maintenance action must be less than the failure it is intended to prevent. Light or Line Maintenance • This would typically include Pre-flight checks, daily checks (before first flight) fluids, failure rectification as well as minor, scheduled maintenance tasks as follows. According to EASA Part 145, AMC 145.A.10, line maintenance should be understood as “any maintenance that is carried out before flight to ensure that the aircraft is fit for the intended flight.” This may include: • Trouble shooting • Defect rectification • Component replacement, up to and including engines and propellers, with use of external test equipment if required • Scheduled maintenance and/or checks including visual inspections that will detect obvious failures but do not require extensive in depth inspection. It may also include internal structure, systems and powerplant items which are visible through quick opening access panels/doors • Minor repairs and modifications which do not require extensive disassembly and can be accomplished by simple means • EASA Part 145, AMC 145.A.10 also explains that “for temporary or occasional cases (ADs, SBs) the Quality Manager may accept base maintenance tasks to be performed by a line maintenance organization provided all requirements are fulfilled as defined by the competent authority”. It is also noted that “Maintenance tasks falling outside these criteria are considered to be Base Maintenance”. Base or Heavy Maintenance • Base maintenance may be referred to as heavy (or depth) maintenance, and consists of tasks that are generally more indepth and long-lasting than those above, but are performed less frequently. An MRO (maintenance, repair and overhaul) company will have to have large facilities and specialised equipment and staff to undertake base maintenance, and many operators contract-out this function. The different activities may include: • C and D Checks (block checks see Maintenance Programme) which will check for deterioration of the airframe, engines and systems, e.g. corrosion, fatigue • Removal of defects – implementation of Service Bulletins (SB) and Airworthiness Directives (AD), although this can also be done during Line maintenance. • Technology upgrade – fitting of Terrain Avoidance and Warning System (TAWS), Airborne Collision Avoidance System (ACAS) etc • Cabin reconfiguration, painting etc. Shop or Component Maintenance • The third form of maintenance can be termed as “Workshop” or just Shop maintenance. This covers maintenance on components when removed from aircraft e.g. engines, APU, seats. Sometimes this is carried out within the same organization as the Base Maintenance, but sometimes special companies carry out this work separately. Maintenance Intervals • The intervals of maintenance are parameters set within the Approved Maintenance Schedule (AMS), which is in turn based on the Maintenance Planning Document (MPD). These will be set according to different criteria, mostly depending on how well damage can be detected and failure predicted [CAA, 2017]: Necessity of Maintenance Management: • "Preventative process in which known deterioration of an Item is limited to an acceptable level by the maintenance actions • Carried out at periods related to time in service (e.g. calendar time, number of cycles, number of landings)." On-condition • “Preventative process in which Item are inspected or tested, at specified periods, to an appropriate standard to determine whether it can continue in service • Such an inspection / test may reveal a need for maintenance action. • Fundamental purpose of On-Condition is to remove an Item before its failure in service.” Units for Maintenance Intervals • Flight Hours (FH), for items that are in constant operation e.g. Fuel Pumps, Electric Generators • Flight Cycles (FC), for items operated once or twice per flight e.g. Landing gear, air starter, brakes, hull pressurisations • Calendar Time (Cal), for items exposed whether operated or not e.g. Fire Extinguishers, Corrosion to Structure • Operating hours, for items not operated every flight, or otherwise independent of FH or FC e.g. APU operation. Necessity of Maintenance Management: • Maintenance activities are related with repair, replacement and service of components or some identifiable group of components in a manufacturing plant so that it may continue to operate at a specified ‘availability’ for a specified period. • Thus maintenance management is associated with the direction and organisation of various resources so as to control the availability and performance of the industrial unit to some specified level. Necessity of Maintenance Management: • Thus maintenance management may be treated as a restorative function of production management which is entrusted with the task of keeping equipment/machines and plant services ever available in proper operating condition. • The minimization of machine breakdowns and down time has been the main objective of maintenance but the strategies adopted by maintenance management to achieve this aim have undergone great changes in the past. • Maintenance has been considered just to repair the faulty equipment and put them back in order in minimum possible time. • In view of the utilization of mostly general purpose/conventional machines with low production output, the demands on maintenance function were not very high. But with fast developments in the design, development and mechanisms of control such as electronic, NC and CNC in machine tools the manufacturing scenario has changed a lot. Importance of Maintenance Management: • Maintenance management is responsible for the smooth and efficient working of the industrial plant and helps in improving the productivity. • It also helps to keep the machines/equipment in their optimum operating conditions. Thus plant maintenance is an important and inevitable service function of an efficient production system. • It also helps in maintaining and improving the operational efficiency of the plant facilities and hence contributes towards revenue by decreasing the operating cost and improving the quality and quantity of the product being manufactured. Importance of Maintenance Management: • As a service function it is related with the incurrence of certain costs. The important component of such costs are — employment of maintenance staff, other minor administrative expenses, investment in maintenance equipment and inventory of repair components/ parts and maintenance materials. • Absence of plant maintenance may lead to frequent machine breakdown and failure of certain productive centres/services which in turn would result in stoppages of production activities, idle man and machine time, dislocation of the subsequent operations, poor quality of production, failure to meet delivery dates of product supply, industrial accidents endangering the life of workers/ operators and allied costs etc. Importance of Maintenance Management: • However, the importance of plant maintenance varies with the type of plant and its production but it plays a prominent role in production management because plant breakdown creates problems such as: • (i) Loss of production. • (ii) Rescheduling of production. • (iii) Materials wastage (due to sudden stoppage of process damages in process materials). • (iv) Need for overtimes, • (v) Need for work subcontracting. • (vi) For maximum manpower utilization workers may need alternative work due to temporary work shortages. • Hence, the absence of planned maintenance service proves costlier. So it should be provided in the light of cost benefit analysis. Since plant maintenance is a service function, it should be provided at the least possible cost but it is very important as discussed above. Objectives of Maintenance Management: • The purpose of maintenance management is to optimize the performance of productive facilities of an organization by ensuring that these facilities function regularly and efficiently. This can be achieved by preventing the failures or breakdowns if any, as far as possible and by minimizing the production loss due to failures. The main objectives of maintenance management are as follows: • (1) Minimizing the loss of productive time because of equipment failure to maximize the availability of plant, equipment and machinery for productive utilization through planned maintenance. • (2) To extend the useful life of the plant, machinery and other facilities by minimizing their wear and tear. • (3) Minimizing the loss due to production stoppages. • (4) To ensure operational readiness of all equipment’s needed for emergency purposes at all times such as fire-fighting equipment. • (5) Efficient use of maintenance equipment’s and personnel. The main objectives of maintenance management are as follows: • (6) To ensure safety of personnel through regular inspection and maintenance of facilities such as boilers, compressors and material handling equipment etc. • (7) To maximize efficiency and economy in production through optimum utilization of available facilities. • (8) To improve the quality of products and to improve the productivity of the plant. • (9) To minimize the total maintenance cost which may consist of cost of repairs, cost of preventive maintenance and inventory costs associated with spare parts/materials required for maintenance. • (10) To improve reliability, availability and maintainability. Functions of Maintenance Management: The important functions of maintenance can be summarized as follows: • (1) To develop maintenance policies, procedures and standards for the plant maintenance system. • (2) To schedule the maintenance work after due consultation with the concerned production departments. • (3) To carry out repairs and rectify or overhaul planned equipment/facilities for achieving the required level of availability and optimum operational efficiency. • (4) To ensure scheduled inspection, lubrication oil checking, and adjustment of plant machinery and equipment. • (5) To document and maintain record of each maintenance activity (i.e., repairs, replacement, overhauls, modifications and lubrication etc.). • (6) To maintain and carry out repairs of buildings, utilities, material handling equipment’s and other service facilities such as electrical installations, sewers, central stores and roadways etc. • (7) To carry out and facilitate periodic inspections of equipment and facilities to know their conditions related to their failure and stoppage of production. • (8) To prepare inventory list of spare parts and materials required for maintenance. • (9) To ensure cost effective maintenance. • (10) To forecast the maintenance expenditure and prepare a budget and to ensure that maintenance expenditure is as per planned budget.