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Human error in aviation operations

This report is a brief description of research being undertaken by the National Aeronautics and Space Administration. The project is designed to seek out factors in the aviation system which contribute to human error, and to search for ways of minimizing the potential threat posed by these factors. The philosophy and assumptions underlying the study are discussed, together with an outline of the research plan.

Billings, C. E.

Interaction of space radiation with matter

The physical interactions of high-energy space radiations with bulk matter are described with particular emphasis on the nuclear and electromagnetic interactions of solar and galactic cosmic rays. Methods of incorporating these interactions into radiation transport models which accurately describe the propagation of the incident cosmic rays and their subsequent-generation reaction products are also explained. Representative results for solar and galactic cosmic ray doses and dose equivalents are presented for various aluminum and water absorber depths. For the first time, the main contributions to human exposure in space from galactic cosmic rays will be presented on a component by component basis, including a breakdown of the dose-equivalent contributions into primary ions, heavy fragments, alpha particles, neutrons, and protons. For the galactic cosmic ray environment outside of the earth's magnetosphere, over 70 percent of the total dose equivalent results from only seven nuclear species (hydrogen, helium, carbon, oxygen, silicon, magnesium, and iron ions). Of these, the largest single contributor is cosmic ray iron and its secondaries, which account for nearly one-fourth of the unshielded total dose equivalent during solar minimum.

Townsend, L. W.

Space Architecture: The Role, Work and Aptitude

Space architecture has been an emerging discipline for at least 40 years. Has it arrived? Is space architecture a legitimate vocation or an avocation? If it leads to a job, what do employers want? In 2002, NASA Headquarters created a management position for a space architect whose job was to "lead the development of strategic architectures and identify high level requirements for systems that will accomplish the Nation's space exploration vision." This is a good job description with responsibility at the right level in NASA, but unfortunately, the office was discontinued two years later. Even though there is no accredited academic program or professional licensing for space architecture, there is a community of practitioners. They are civil servants, contractors and academicians supporting International Space Station and space exploration programs. In various ways, space architects currently contribute to human spaceflight, but there is a way for the discipline to be more effective in developing solutions to large scale complex problems. This paper organizes contributions from engineers, architects and psychologists into recommendations on the role of space architects in the organization, the process of creating and selecting options, and intrinsic personality traits including why they must have a high tolerance for ambiguity.

Griffin, Brand

NASA-STD-3001, Space Flight Human-System Standard and the Human Integration Design Handbook

NASA-STD-3001 Space Flight Human-System Standard Volume 1, Crew Health, Volume 2, Human Factors, Habitability and Environmental Health, and the Human Integration Design Handbook (HIDH) have replaced the Man-Systems Integration Standards (MSIS), NASA-STD-3000. For decades, NASA-STD-3000 was a significant contribution to human spaceflight programs and to human-systems integration. However, with research program and project results being realized, advances in technology, and the availability of new information in a variety of topic areas, the time had arrived to update this extensive suite of standards and design information. NASA-STD-3001, Volume 2 contains the Agency level standards from the human and environmental factors disciplines that ensure human spaceflight operations are performed safely, efficiently, and effectively. The HIDH is organized in the same sequence and serves as the companion document to NASA-STD-3001, Volume 2, providing a compendium of human spaceflight history and knowledge. The HIDH is intended to aid interpretation of NASA-STD-3001, Volume 2 standards and to provide guidance for requirement writers and vehicle and habitat designers. Keywords Human Factors, Standards, Environmental Factors, NASA

Whitmore, Mihriban

Human Factors of Remotely Piloted Aircraft Systems: Lessons from Incident Reports

An exploratory study is being conducted to examine the feasibility of collecting voluntary critical incident reports from RPAS pilots. Twenty-three experienced RPAS pilots volunteered to participate in focus groups in which they described critical incidents from their own experience. Participants were asked to recall (1) incidents that revealed a system flaw, or (2) highlighted a case where the human operator contributed to system resilience or mission success. Participants were asked to only report incidents that could be included in a public document. A total of 90 incidents were reported. Human factor issues included the impact of reduced sensory cues, traffic separation in the absence of an out-the-window view, control latencies, vigilance during monotonous and ultra-long endurance flights, control station design considerations, transfer of control between control stations, the management of lost link procedures, and decision-making during emergencies.

human factors

Resilience Modeling in Complex Engineered Systems with Human-Machine Interactions

In recent times, there has been a growing interest in resilience-based design. Resilience-based design operates on the concept that failures and unexpected events will happen, and when they occur, complex engineered systems should be able to operate within acceptable bounds and recover reasonably. Humans can contribute to the resilience of a system by quickly detecting unforeseen events and taking corrective measures. To this effect, researchers have proposed guidelines and design approaches that can help promote human-system resilience. However, there is no early design stage tool to validate if a system is indeed resilient after applying these guidelines and design methods. In this research, we integrate the Human Error and Functional Failure Reasoning (HEFFR) framework into the fmdtools toolkit to enable designers to model the combined (machine, human, and joint) failures, including their propagation and dynamic effects, during early design stages. This integrated tool also allows designers to model the effects of performance shaping factors, team dynamics, and human-machine interactions in systems of systems. A demonstrative example of a remotely operated rover is explored to demonstrate how this approach can be applied to understand resilience in complex engineered systems with human interactions.

Lukman Irshad

Formal Analysis of Human Automation Interaction: The Problem of Display Correctness

This presentation attempted to develop a quantitative method for evaluating the effectiveness of autoflight displays. Researchers sought to develop a methodology for evaluation of display correctness and develop a methodology for display synthesis. Topics covered included: mode awareness, industry/research contributions, human-machine interface analysis, research objectives, modeling, flight guidance project and evaluation.

Degani, Asaf

An Exploration Perspective of Beamed Energy Propulsion

The Vision for Exploration is currently focused on flying the Space Shuttle safely to complete our Space Station obligations, retiring the Shuttle in 2010, then returning humans to the Moon and learning how to proceed to Mars and beyond. The NASA budget still includes funds for science and aeronautics but the primary focus is on human exploration. Fiscal constraints have led to pursuing exploration vehicles that use heritage hardware, particularly existing boosters and engines, with the minimum modifications necessary to satisfy mission requirements. So, pursuit of immature technologies is not currently affordable by NASA. Beamed energy is one example of an immature technology, from a human exploration perspective, that may eventually provide significant benefits for human exploration of space, but likely not in the near future. Looking to the more distant future, this paper will examine some of the criteria that must be achieved by beamed energy propulsion to eventually contribute to human exploration of the solar system. The analysis focuses on some of the implications of increasing the payload fraction of a launch vehicle, with a quick look at trans-lunar injection. As one would expect, there is potential for benefit, and there are concerns. The analysis concludes with an assessment of the Technology Readiness Level (TRL) for some beamed energy propulsion components, indicating that TRL 2 is close to being completed.

Cole, John W.

Aviation human factors research in US universities: Potential contributions to national needs

Universities can and should make vital contributions to national needs in aviation human factors. However, to guide and utilize university research effectively we must understand what types of expertise and facilities universities can bring to bear on aviation problems. We should be aware of where relevant research is already underway and where untapped potential exists. How does the character of research in universities differ from and complement research in government and industry laboratories? What conditions would encourage universities to focus on national priorities and would promote high quality, relevant research? This paper attempts to address these issues. It is based on a survey conducted by the author, which included site visits to several universities, telephone interviews with faculty members at other universities, and a search of the aviation human factors research literature.

Dismukes, R. Key

Aviation human factors research in U.S. universities: Potential contributions to national needs

Univesity research can make vital contributions to national needs in aviation human factors (AHF). This article examines the types of expertise and facilities available in universities and explores how university capabilities complement the work of government laboratories. The AHF infrastructure is discussed and compared to other fields of applied research. Policy and funding issues are also examined. This study is based on a survey conducted by the author, which included site visits to several universities, telephone interviews with faculty members at other universities, and a search of the AHF research literature.

Key Dismukes, R.

Quantifying Pilot Contribution to Flight Safety During Dual Generator Failure

Accident statistics cite flight crew error in over 60% of accidents involving transport category aircraft. Yet, a well-trained and well-qualified pilot is acknowledged as the critical center point of aircraft systems safety and an integral safety component of the entire commercial aviation system. No data currently exists that quantifies the contribution of the flight crew in this role. Neither does data exist for how often the flight crew handles non-normal procedures or system failures on a daily basis in the National Airspace System. A pilot-in-the-loop high fidelity motion simulation study was conducted by the NASA Langley Research Center in partnership with the Federal Aviation Administration (FAA) to evaluate the pilot's contribution to flight safety during normal flight and in response to aircraft system failures. Eighteen crews flew various normal and non-normal procedures over a two-day period and their actions were recorded in response to failures. To quantify the human's contribution, crew complement was used as the experiment independent variable in a between-subjects design. Pilot actions and performance when one of the flight crew was unavailable were also recorded for comparison against the nominal two-crew operations. This paper details diversion decisions, perceived safety of flight, workload, time to complete pertinent checklists, and approach and landing results while dealing with a complete loss of electrical generators. Loss of electrical power requires pilots to complete the flight without automation support of autopilots, flight directors, or auto throttles. For reduced crew complements, the additional workload and perceived safety of flight was considered unacceptable.

Etherington, Timothy J.

Aerosols in Atmospheric Chemistry and Biogeochemical Cycles of Nutrients

Atmospheric aerosols have complex and variable compositions and properties.While scientific interest is centered on the health and climatic effects of atmospheric aerosols, insufficient attention is given to their involvement in multiphase chemistry that alters their contribution as carriers of nutrients in ecosystems. However, there is experimental proof that the nutrient equilibria of both land and marine ecosystems have been disturbed during the Anthropocene period. This review study first summarizes our current understanding of aerosol chemical processing in the atmosphere as relevant to biogeochemical cycles. Then it binds together results of recent modeling studies based on laboratory and field experiments, focusing on the organic and dust components of aerosols that account for multiphase chemistry, aerosol ageing in the atmosphere, nutrient (N, P, Fe) emissions, atmospheric transport, transformation and deposition. The human-driven contribution to atmospheric deposition of these nutrients, derived by global simulations using past and future anthropogenic emissions of pollutants, is put into perspective with regard to potential changes in nutrient limitations and biodiversity. Atmospheric deposition of nutrients has been suggested to result in human-induced ecosystem limitations with regard to specific nutrients. Such modifications favor the development of certain species against others and affect the overall functioning of ecosystems. Organic forms of nutrients are found to contribute to the atmospheric deposition of the nutrients N, P and Fe by 20%-40%, 35%-45% and 7%-18%, respectively. These have the potential to be key components of the biogeochemical cycles since there is initial proof of their bioavailability to ecosystems. Bioaerosols have been found to make a significant contribution to atmospheric sources of N and P, indicating potentially significant interactions between terrestrial and marine ecosystems. These results deserve further experimental and modeling studies to reduce uncertainties and understand the feedbacks induced by atmospheric deposition of nutrients to ecosystems.

dust

Identification of Human Factors in Unmanned Aviation Via Pilot Incident Reports

There is a need for incident data relevant to the operation of civilian unmanned aircraft systems (UAS) in the National Air Space (NAS). Currently, very limited incident and accident data are available from military sources, and the tightly-restricted civilian UAS industry has produced very few incident reports that could shed light on design issues relevant to human factors. An exploratory study is being conducted to examine the feasibility of collecting voluntary critical incident reports from UAS pilots, and using the information to identify areas where human factors guidelines will be of assistance. Experienced UAS pilots are participating in small focus groups in which they are prompted to describe critical incidents that either reveal a system flaw, or highlight a case where the human operator contributed to system resilience or mission success. The de-identified incidents are being analyzed to identify contributing factors, with a focus on design issues that either hindered or assisted the pilot in dealing with the incident. Preliminary findings will be described.

human factors

Measuring Atmospheric Carbon Dioxide from the NASA Orbiting Carbon Observatory-2 (OCO-2)

Fossil fuel combustion, deforestation, and other human activities are now adding almost 40 billion tons of carbon dioxide (CO2) to the atmosphere each year. These emissions are superimposed on an active natural carbon cycle that adds about 20 times as much CO2 to the atmosphere annually, and then reabsorbs a comparable amount, along with over half of the CO2 contributed by human activities. Interestingly, the identity and location of the natural “sinks” in the land biosphere and ocean that are responsible for absorbing this anthropogenic CO2 are still poorly understood. Because of this, it is impossible to accurately predict how these sinks will respond to a warming climate. Space based remote sensing provides new tools for studying the sources and sinks of CO2. The NASA Orbiting Carbon Observatory-2 (OCO-2) was launched in July 2014 and was inserted at the head of the 705-km Afternoon Constellation (A-Train) a month later.

Crisp, David

Geospatial Modeling of Asthma Population in Relation to Air Pollution

Current observations indicate that asthma is growing every year in the United States, specific reasons for this are not well understood. This study stems from an ongoing research effort to investigate the spatio-temporal behavior of asthma and its relatedness to air pollution. The association between environmental variables such as air quality and asthma related health issues over Mississippi State are investigated using Geographic Information Systems (GIS) tools and applications. Health data concerning asthma obtained from Mississippi State Department of Health (MSDH) for 9-year period of 2003-2011, and data of air pollutant concentrations (PM2.5) collected from USEPA web resources, and are analyzed geospatially to establish the impacts of air quality on human health specifically related to asthma. Disease mapping using geospatial techniques provides valuable insights into the spatial nature, variability, and association of asthma to air pollution. Asthma patient hospitalization data of Mississippi has been analyzed and mapped using quantitative Choropleth techniques in ArcGIS. Patients have been geocoded to their respective zip codes. Potential air pollutant sources of Interstate highways, Industries, and other land use data have been integrated in common geospatial platform to understand their adverse contribution on human health. Existing hospitals and emergency clinics are being injected into analysis to further understand their proximity and easy access to patient locations. At the current level of analysis and understanding, spatial distribution of Asthma is observed in the populations of Zip code regions in gulf coast, along the interstates of south, and in counties of Northeast Mississippi. It is also found that asthma is prevalent in most of the urban population. This GIS based project would be useful to make health risk assessment and provide information support to the administrators and decision makers for establishing satellite clinics in future.

Kethireddy, Swatantra R.

Why send humans to Mars?

The proposed Space Exploration Initiative (SDI) to launch a manned flight to Mars is examined in the current light of growing constraints in costs and other human requirements. Sharing the huge costs of such a program among a group of nations might become low enough for the project to be feasible. Robotic missions, equipped with enhanced artificial intelligence, appear to be capable of satisfying mission requirements at 10 percent or less, of the cost of a manned flight. Various additional pros and cons are discussed regarding both SDI generally and a Mars mission. It is suggested that R&D projects be pursued that can be better justified and can also contribute to human mission to Mars if eventually a decision to go is made.

Sagan, Carl

Controller Inhibition of Automated Conflict Resolutions in a Maximum NextGen Condition

With the continued projection of increases in air traffic density, operations in the National Airspace System are expected to exceed human capabilities in the near future. In order to address the bottleneck of human workload capacity, highly automated safety-critical systems are under development to support air traffic controllers. A human-in-the-loop experiment examined controllers transition through four NextGen automation stages: Current-Day, Minimum, Moderate, and Maximum. Maximum NextGen simulated a fully automated environment where the automation was responsible for detecting and resolving conflicts within simulation parameters in high-density airspace. By allocating these tasks to the automation, the controllers task changed. The human moved to primarily a supervisory position- typically only regaining control over separation assurance tasks during conflict situations deferred by the automation. While tasks were allocated a-priori between the controller and automated agent, controllers maintained authority to inhibit the automation from interacting with particular aircraft. Preliminary work is complete, where significant differences were found in inhibition frequency between simulation participants. However, the contexts in which the controllers inhibited the automation, and their reasons for doing so, remain unclear. This analysis attempts to identity factors contributing to human controllers inhibition of the automation in the Maximum NextGen condition.

adaptable automation

Observaciones de la Tierra desde la Estación Espacial Internacional

The International Space Station is a "global observation and diagnosis station." It promotes international Earth observations aimed at understanding and resolving the environmental issues of our home planet. A wide variety of Earth observation payloads can be attached to the exposed facilities on the station's exterior as well as within the Destiny module. The presence of a human crew also provides a unique capability for real-time observation of the Earth, and "on the fly" data collection using hand-held digital cameras, and the astronauts may also provide input to ground personnel programming the station's automated Earth observation systems. Several instruments are currently collecting data from the International Space Station; in addition, some instruments have completed their data collection missions, with other remote sensing systems in development or proposed by researchers from the partner countries, NASA, academic institutions, and corporations. The existing international partnerships, fundamental to the International Space Station, facilitate data sharing that can benefit people around the world and promote international collaboration on other Earth observation activities. The station contributes to humanity by collecting data on global climate, environmental change, and natural hazards using its unique complement of crew-operated and automated Earth observation payloads.

Sotomayor, Jorge L.