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This presentation provides an aviation SME's human factors analysis of selected Low Altitude and Controlled Flight Towards Terrain (CFTT) events involving Part 121 air carriers as reported to the Aviation Safety Reporting System (ASRS).
This presentation provides an aviation SME's human factors analysis of selected Low Altitude and Controlled Flight Towards Terrain (CFTT) events involving Part 135 and business jet operators as reported to the Aviation Safety Reporting System (ASRS).
This presentation provides an analysis of selected events involving Improper/Incomplete Maintenance Procedures as reported to the Aviation Safety Reporting System (ASRS).
ASRS is conducting a structured callback research project of wake vortex incidents reported to the ASRS at all US airports, as well as wake encounters in the enroute environment. This study has three objectives: (1) Utilize the established ASRS supplemental data collection methodology and provide ongoing analysis of wake vortex encounter reports; (2) Document event dynamics and contributing factors underlying wake vortex encounter events; and (3) Support ongoing FAA efforts to address pre-emptive wake vortex risk reduction by utilizing ASRS reporting contributions.
A recent detailed analysis of 107 ASRS incident reports focusing on interruptions and distractions as their primary feature revealed several interesting and surprising findings. Of those tasks that were interfered with, over 40% fell within the category of monitoring; for example, monitoring the autopilot flying the aircraft, monitoring the pilot flying, or monitoring the altimeter or navigation instruments for future action. Surprisingly, over 60% of the tasks that were considered distractions fell under the broad category of communication or conversation. Using these findings, we have developed an experimental paradigm that will help us understand the method by which pilots perform certain monitoring tasks. Specifically, we hope to determine the degree to which pilots rely on internal time mechanisms versus external cues as a means of successfully completing a monitoring task. In addition, we will incorporate a battery of competing aviation type tasks, including communication, to see how these tasks affect the process of monitoring. The long range goal of this research is to find operational solutions that facilitate effective monitoring in the presence of both sudden interruptions and distractions that lead to unintended multiple tasks situations.
Consideration is given to the nature and characteristics of problems involving dissemination of weather information, use of this information by pilots, its adequacy for the purpose intended, the ability of the air traffic control system to cope with weather related incidents, and the various aspects of pilot behavior, aircraft equipment, and NAVAIDS affecting flights in which weather figures. It is concluded from the study that skill and training deficiencies of general aviation pilots are not major factors in weather related occurrences, nor is lack of aircraft equipment. Major problem causes are identified with timely and easily interpreted weather information, judgement and attitude factors of pilots, and the functioning of the air traffic control system.
This presentation reviews voluntary safety reports received by NASA's Aviation Safety Reporting System pertaining to Hazardous Materials.
This paper discusses the use of computer-assisted instructions and flight simulations to enhance procedural and perceptual motor task training. Attention is called to the fact that incorporating the accident and incident data contained in reports filed with the Aviation Safety Reporting System (ASRS) would be a valuable training tool which the learner could apply for other situations. The need to segment the events is emphasized; this would make it possible to modify events in order to suit the needs of the training environment. Methods were developed for designing meaningful scenario development on runway incursions on the basis of analysis of ASRS reports. It is noted that, while the development of interactive training tools using the ASRS and other data bases holds much promise, the design and production of interactive video programs and laser disks are very expensive. It is suggested that this problem may be overcome by sharing the costs of production to develop a library of materials available to a broad range of users.
Airlines operating in the United States are required to operate under instrument flight rules (EFR). Typically, a clearance is issued via voice transmission from clearance delivery at the departing airport. In 1990, the Federal Aviation Administration (FAA) began deployment of the Pre-Departure Clearance (PDC) system at 30 U.S. airports. The PDC system utilizes aeronautical datalink and Aircraft Communication and Reporting System (ACARS) to transmit departure clearances directly to the pilot. An objective of the PDC system is to provide an immediate reduction in voice congestion over the clearance delivery frequency. Participating airports report that this objective has been met. However, preliminary analysis of 42 Aviation Safety Reporting System (ASRS) reports has revealed problems in PDC procedures and formatting which have caused errors in the proper execution of the clearance. It must be acknowledged that this technology, along with other advancements on the flightdeck, is adding more responsibility to the crew and increasing the opportunity for error. The present study uses these findings as a basis for further coding and analysis of an additional 82 reports obtained from an ASRS database search. These reports indicate that clearances are often amended or exceptions are added in order to accommodate local ATC facilities. However, the onboard ACARS is limited in its ability to emphasize or highlight these changes which has resulted in altitude and heading deviations along with increases in ATC workload. Furthermore, few participating airports require any type of PDC receipt confirmation. In fact, 35% of all ASRS reports dealing with PDC's include failure to acquire the PDC at all. Consequently, this study examines pilots' suggestions contained in ASRS reports in order to develop recommendations to airlines and ATC facilities to help reduce the amount of incidents that occur.
Safe operations of aircraft in the National Airspace System (NAS) may be attributed to many factors, including the application of a variety of safety nets (SNs) as a last line of defense. In preparation for the Next Generation Air Transportation System (NextGen), a review of Aviation Safety Reporting System (ASRS) reports for incidents with positive outcomes was conducted to investigate the importance of current safety nets. The examination of positive outcomes not only shows what went wrong, but also what went right to prevent accidents and “save the day.” More than 400 incident reports for 2015 from the voluntary ASRS reporting database were studied in detail to create event sequence diagrams (ESDs), illustrating the effectiveness of SNs. The developed ESDs are considered top-level, representative models and are limited with respect to being reliably quantitative because they are based on only reports from a single year. The ESDs could offer insights into human systems integration research, such as strategically using technologies as SNs without human interface or alleviating human workload with new technologies to provide resilient recovery from off-nominal conditions ensuring flight safety.
The purpose of this study was to analyze GPS related adverse events such as accidents and incidents (A/I), Aviation Safety Reporting System (ASRS) reports and Pilots Deviations (PDs) to create a framework for developing a human factors risk awareness program. Although the occurrence of directly related GPS accidents is small the frequency of PDs and ASRS reports indicated there is a growing problem with situational awareness in terminal airspace related to different types of GPs operational issues. This paper addresses the findings of the preliminary research and a brief discussion of some of the literature on related GPS and automation issues.
The NASA Aviation Safety Reporting System (ASRS) collects, analyzes, and distributes de-identified safety information provided through confidentially submitted reports from frontline aviation personnel. Since its inception in 1976, the ASRS has collected over 900,000 reports and has never breached the identity of the people sharing their information about events or safety issues. From this volume of data, the ASRS has released over 5,500 aviation safety alerts concerning potential hazards and safety concerns. The ASRS processes these reports, evaluates the information, and provides de-identified report information through the online ASRS Database at http://asrs.arc.nasa.gov. The NASA ASRS is also a founding member of the International Confidential Aviation Safety Systems (ICASS) group which is a collection of other national aviation reporting systems throughout the world. The ASRS model has also been replicated for application to improving safety in railroad, medical, fire fighting, and other domains. This presentation \vill discuss confidential, voluntary, and non-punitive reporting systems and their advantages in providing information for safety improvements.
The NASA Aviation Safety Reporting System (ASRS) collects, analyzes, and distributes de-identified safety information provided through confidentially submitted reports from frontline aviation personnel. Since its inception in 1976, the ASRS has collected over 1.4 million reports and has never breached the identity of the people sharing their information about events or safety issues. From this volume of data, the ASRS has released over 6,000 aviation safety alerts concerning potential hazards and safety concerns. The ASRS processes these reports, evaluates the information, and provides selected de-identified report information through the online ASRS Database at http:asrs.arc.nasa.gov. The NASA ASRS is also a founding member of the International Confidential Aviation Safety Systems (ICASS) group which is a collection of other national aviation reporting systems throughout the world. The ASRS model has also been replicated for application to improving safety in railroad, medical, fire fighting, and other domains. This presentation will discuss confidential, voluntary, and non-punitive reporting systems and their advantages in providing information for safety improvements.
The NASA Aviation Safety Reporting System (ASRS) collects, analyzes, and distributes de-identified safety information provided through confidentially submitted reports from frontline aviation personnel. Since its inception in 1976, the ASRS has collected over 1.4 M reports and has never breached the identity of the people sharing their information about events or safety issues. From this volume of data, the ASRS has released over 6,000 aviation safety alerts concerning potential hazards and safety concerns. The ASRS processes these reports, evaluates the information, and provides selected de-identified report information through the online ASRS Database at http:asrs.arc.nasa.gov. The NASA ASRS is also a founding member of the International Confidential Aviation Safety Systems (ICASS) group which is a collection of other national aviation reporting systems throughout the world. The ASRS model has also been replicated for application to improving safety in railroad, medical, fire fighting, and other domains. This presentation will discuss confidential, voluntary, and non-punitive reporting systems and their advantages in providing information for safety improvements.
This overview of the NASA Aviation Safety Reporting System (ASRS) will describe the genesis of the program, report processing procedures, and safety products that are produced from the ASRS data.
We present a study of weather-related incident reports submitted to NASA’s Aviation Safety Reporting System (ASRS) by air carrier pilots and air traffic controllers in the US. Using specific examples, we examine the weather-related risks reported and the relevant aspects of human performance and resilience management exhibited during these incidents. We describe our methods of lesson extraction to maximize learning, including the use of advance algorithms, and we conclude with a review of the weather-related risks encountered and the resilient practices employed to mitigate them.
This presentation provides an overview of NASA's Aviation Safety Reporting System (ASRS).
The relationships between pilot fatigue, pilot deviations, reported incidents, and time of day are examined. A sample of 200 Aviation Safety Reporting System (ASRS) reports were analyzed from 1985 and 200 reports from 1987, plus 100 reports from late 1987 and early 1988 that were selected because of possible association with fatigue. The FAA pilot deviation data and incident data were analyzed in relation to denominator data that summarized the hourly operations (landings and takeoffs of scheduled flights) at major U.S. airports. Using as numerators FAA data on pilot deviations and incidents reported to the FAA, the rates by time of day were calculated. Pilot age was also analyzed in relation to the time of day, phase of flight, and type of incident.