Aviation Human Factors Industry News

The following weekly issues have been generously provided by Roger Hughes, President, Decoding Human Factors, Inc.

They are excellent articles and deal with the all important subject of human factors.  Please have a read and let others know of this site.

Check back weekly for the latest news and thanks Roger for sharing this information.  Please share it with your fellow workers so we all can be just a bit Safer by learning from others mistakes.

Reading these can help maintain our awareness of Human Factors and remind us that "If we are Human - We also could make the error."

This is into its 9th year (2013)so there is a lot to be learned here.  

Thank you Roger for your 9 years of hard work and dedication to the Aviation Human Factors Newsletter!  We look forward to reading all the future editions in 2013.  - Renée Dupont-Adam 

• Volume 9, Issue 11 Mixture Cable Failure May Have Caused Hawaii Helo Accident (Mechanic says he is to blame but why did he make the mistake?) Cowls missing from both engines on BA A319 (A technical fault?) The key to doing better work is to reflect on what went wrong (Let's not repeat the same mistake twice) and much more.
  
  
• Volume 9, Issue 10 Two Pilots Fired After Brazilian Pop Star Takes Captain's Seat Mid-Flight (WHY would you do that?) Workarounds and AD Compliance Don’t Mix By John Goglia (Incorrect procedures, incorrect paperwork, etc.) 5S in Aviation Maintenance - Part I (What are the 5 S's?) and much more.
  
  
• Volume 9, Issue 9 Pilot Involved In Accident Admits To Alcohol Use (WHY would you do that?) Pilots sleep as flight attendant turns off autopilot on Bangkok-Delhi flight (Fatigue or stupidity?) Stop Trying to Create a Safety Culture (Safety Cultures are nothing new) and much more.
  
  
• Volume 9, Issue 8 CFIT Makes a Strong Comeback, Says FSF (Crew can ignore the warnings) Pilots' texts contributed to Missouri air ambulance crash: NTSB (Is Social Media distracting?) The Working Nights Health & Safety Guide(A must read for shiftwork) and much more.
  
  
• Volume 9, Issue 7 Pilot Falls Out Of Airplane (What?) Out of the Ashes: The True Story of How One Man
  Turned Tragedy into a Message of Safety (Excellent Book) More employers setting up nap rooms for weary workers (Combating Fatigue) and much more.
  
  
• Volume 9, Issue 6 Air France Crash Report: Captain Had Just One Hour Of Sleep (He had the don't care attitude) Why Safety Deserves a Capital S (Ask Gordon Dupont) Human Error Management workshop (See you in Sweden!) and much more.
  
  
• Volume 9, Issue 5 Worker Dies After Safety Warning Falls on Deaf Ears (Lack of Knowledge) Trends in Human Factors and MRM (Why do we make the decisions we do?) Air NZ: Flight safe despite pilot twice nodding off (More on the problmes with fatigue) and much more.
  
  
• Volume 9, Issue 4 Worker Dies After Safety Warning Falls on Deaf Ears(Stressors in your life) Nigeria: Dana Air Plane Crash Blamed On Human Error (The Dirty Dozen at work) Five Mistakes Companies Make with Ergonomics (Interesting article) and much more.
  
  
• Volume 9, Issue 3 NTSB: Mechanic checklists a lesson in Las Vegas area copter crash (The importance of a checklist) What Can You Do to Prevent Accidents Caused by Worker Fatigue? (Fatigue Management) To Error is Human … But Not With Aircraft (Written by our own Gordon Dupont) and much more.
  
  
• Volume 9, Issue 2.5 Screwdriver caused fatal NZ plane crash - report (Rogue Objects Kill) Embraer 190 overran after pilots ignored flap-fault procedure (Ecuador) (Why don't humans just follow procedures?) Human Factors Challenges - Part 3 (More from Dr. Bill Johnson) and much more.
  
  
• Volume 9, Issue 2 Human Factors Challenges - Part I (FAA - Dr. Bill Johnson) Safe Attitudes Make All the Difference (Safety a core value) Helicopter in 2011 East River Crash Was Too Heavy: NTSB (How could this be? What about the Weight and Balance?) and much more.
  
  
• Volume 9, Issue 1 Crashed Superjet was coded as fighter: investigators (Is this a Big deal?) Lack of training cited in fuel mix-up that brought down helicopter (Wow - lack of knowledge) Human Factors In Action (73% of Aviation Mishaps are due to Human Error in the airforce) and much more.

2013

• Volume 8, Issue 48 - Cold Conditions Demand Worker Awareness, Precautions (With the cold weather here, take precautions) Compelling Advice (10 effective communication tips) Waging a Crusade Against Stinkin' Thinkin' (Gotta love Zig Ziglar) and much more.
  
  
• Volume 8, Issue 47 - Wrong Bearing Blamed In Death Of Aircraft Maintenance Workers (How and why would this happen?) Human Factors training is just common sense... Or is it? (This is a MUST read) Just a Coffee Maker? by John Goglia (Thanks John, this is wonderful article) and much more.
  
  
• Volume 8, Issue 46 - Tigers and Ducks (It's the little things that add up) PPE Non-Compliance Worrisome (Why would anyone NOT Comply?) A Positive Attitude Can Be Contagious, research finds (Attitude is so very, very important) and much more.
  
  
• Volume 8, Issue 45 - Judgments Against Continental, Mechanic John Taylor Reversed (Thank Goodness!) LOT 767 gear-up crash probe advises checklist (Add it to the checklist) Four in 10 British pilots admit falling asleep in cockpit (Not good odds!) and much more.
  
  
• Volume 8, Issue 44 - Industrial action cloaked as aviation safety issue: justice (Love it!) Workarounds - Part 3 (Pressure can lead to a negative Norm) Foods that fight fatigue (It is important to know everything you can about fatigue) and much more.
  
  
• Volume 8, Issue 43 - Five-Year-Old Implicated In Fatal Crash (Where was the proper cockpit discipline?) Maintenance flaw led to Air Tahiti ATR engine fire (Why did they not check for tightness?) Texting in the Tower - From NASA’s Aviation Safety Reporting Systems (Social Media is a problem in EVERY occupation) and much more.
  
  
• Volume 8, Issue 42 - The "B" Nut can be Deadly (Make sure you use the right tools) Report: British pilots asleep on the job (Wow, another case of fatigue?) Workarounds - Part 2 (Pressure can play a big role in companies where norms are present) and much more.
  
  
• Volume 8, Issue 41 - A Not So Routine Task (There is danger when we are complacent) Workarounds – Part I (Learn from Experience) Taking Sleeping Remedies Without Advice Increases Health Risks (How many of us do this to combat fatigue?) and much more.
  
  
• Volume 8, Issue 40 - Pilots Of Crash Plane Drunk (Why would they do that? Isn't it against the rules?) NTSB: Gulfstream Safety Culture A Factor In G650 Test Crash (A proper SMS could have or should I say would have saved lives) Think the Pilot’s Bill of Rights Doesn’t Apply to Mechanics? Think Again. - John Goglia (This is excellent information) and much more.
  
  
• Volume 8, Issue 39 Evolving the Safety Culture: Leading Indicators and Influencers (We must all strive to create the Safety Culture) Watch out for unhealthy responses to stress (You must manage stress or it will manage you) A Battle Plan for Jet Lag (This is excellent information) and much more.
  
  
• Volume 8, Issue 38 FAA Issues $400,000 Fine to Atlantic Southeast Airlines (Paperwork is just as important as the work itself) Forklift truck driver fined £150 for causing £1 million damage to aircraft(Human error on the ground) Texting While Tired (You shouldn't text and drive nor should you text and taxi an airplane) and much more.
  
  
• Volume 8, Issue 37 FAA Seeks GA Survey Input (Please help and take part) Sleep Apnea and Airline Safety (Sleep Apnea is more common then you think) Study Explains Why the Circadian Rhythm Affects Health (Watch that Circadium Rhythm low) and much more.
  
  
• Volume 8, Issue 36 NTSB: Undocumented Modifications Led to Reno Air Show Crash (Why would he NOT document - isn't that part of the job?) Singapore Airlines Flight 006: Human Factors Analysis (Just how many human errors were made?) FAA Announces New SMS Requirement (More on SMS) and much more.
  
  
• Volume 8, Issue 35 Air France 447 – Human Factors Overload (Who do you think was flying the plane, the adult or child?) Pilot's cellphone use may have been partial cause of
  fatal plane crash in B.C. (Social Media IS a BIG problem) It’s Not Always Easy to Just Say No by John Goglia (Sometimes you MUST be assertive) and much more.
  
  
• Volume 8, Issue 34 The Potential for Greatness is Everywhere (This is so true; Greatness takes disapline, etc.) Young Drivers View Drowsy Driving as Understandable (Lack of Awareness of the dangers of Fatigue) Watch out for unhealthy responses to stress (Dealing with excess stress is NOT easy) and much more.
  
  
• Volume 8, Issue 33 Engine Part Failure, Airbus Crew Distraction (Distraction is responsible for 15% of Aviation Accidents) Silver Airways flight lands at wrong W.Va. airport in
  1st week of service; no one injured (Lack of Awareness) Investigators Say Boy, Age 6, May Have Pulled Landing Gear Lever As Plane Touched Down (Lack of Knowledge) and much more.
  
  
• Volume 8, Issue 32 Brazil airline pilots flying international routes must retake English proficiency tests (Lack of Communication) The wrong maps, doors left open, bad wiring: is this why Costa Concordia really sank? (Human Error outside of Aviation) Improve Your Mental Toughness in 2 Minutes (Worth the read) and much more.
  
  
• Volume 8, Issue 31 American Airlines lauds NY worker's 70-year career (Congratulations! How remarkable!) NTSB: Pilot killed in Nevada crash was low on gas (Could it be pilot error?) FAA program gives amnesty for sleeping, report says (Sleep is essential) and much more.
  
  
• Volume 8, Issue 30 How human factor affects aviation safety (To Err is Human) Maintenance Safety Tip (Any tips are good tips) Identifying Alertness – The Nine Switches of Human Alertness (A book you may want to read) and much more.
  
  
• Volume 8, Issue 29 A Deadly Human Factor “The Loss of Situational Awareness” (Can be deadly) How human error turned Air France's minor technical problem into tragedy (Lack of Awareness?) Sleep Deprivation Blamed for JetBlue Pilot's March Meltdown (Fatigue can hurt us in so many ways) and much more.
  
  
• Volume 8, Issue 28 Rising Temperatures = Rising Threats (Threat Error Management) Planes, Trains, and Automobiles: How Sleepy Are Our Nation's Transportation Workers? (Fatigue AGAIN - interesting read) Feds say Metro safety culture to blame for worker deaths (Lack of a Safety Culture) and much more.
  
  
• Volume 8, Issue 27 Tenth anniversary of Überlingen accident: approach to safety has changed radically (Through this tragidy, a Safety Culture was born) Deadly Private-Plane Crashes Prompt U.S. Call for Basics (Human Error underlies the majority of private plane accidents) To Error is Human … But Not With Aircraft (We MUST learn from our errors) and much more.
  
  
• Volume 8, Issue 26 What A Character! (How do yu address Human Factors in your Organization?) Flight 255 survivor to speak in documentary (video) (She was only 4 years old when she became the ONLY survivor) NTSB: Deadly 2011 Bus (Fatigue does not just effect Aviations but it effects so many others as well) and much more.
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  Volume 8, Issue 25 Poor Disaster Response Sealed Fate of Dana Crash Victims – Expert (Lives could have been saved, why was the response so slow?) Air France Flight 447 Investigation: Pilots Not Properly Trained to Fly the Airbus A330? (Was it Lack of Knowledge?) "Get-there-itis" (I think we have all experienced this at one time or another in our lives - just push it to get home!) and much more.
  
  
• Volume 8, Issue 24 English Skills a Concern as Global Aviation Grows (Lack of Communication) 'Slip' spins drama in the skies (What was he thinking when he said that?) CDC Study Finds 30% of American Workers Sleep Less Than Six Hours a Night(Fatigue!) and much more.
  
  
• Volume 8, Issue 23 Company fined over aircraft engineer's death (Safety Nets were not sufficient) Airbus A380 wing flaw undetected for a decade (Was it lack of awareness or knowledge?) An appreciation of aviation safety trends (A Thumbs Up for Human Factors Education!!!!) and much more.
  
  
• Volume 8, Issue 22 When The minimum Wasn’t Enough (Have you heard those words before?) Sully’ Sullenberer on being a national hero and making a difference (A new novel worth the read) Pilot's Tip of the Week (Bullet Proof Thinking) and much more.
• Volume 8, Issue 21 Cause of Russian Jet Crash: Pilot Bravado? (Was it Lack of Knowledge? or was he just a Rouge? or?) Fatal '10 copter crash likely caused by improper maintenance, NTSB says (What interfered with his judgement to cause a Maintenance Error?) Solving the Problem of Sleep-deprived Pilots (Fatigue and how to solve it) and much more.
  
  
• Volume 8, Issue 20 USAF to rebuild its aerospace physiology expertise (More Human Factors training needed) Patient Safety Leaders Propose 'NTSB for Healthcare' (Human Factors training is NEEDED in the Medical field) The Number One Cause of Accidents: Human Error (Would you have guess as much?) and much more.
  
  
• Volume 8, Issue 19 Aviation Safety Suffers Further Setback Following Helios Conviction (Someone had to pay, correct?) Pilots’ Cockpit Argument Results In Both Being Fired (Lack of Communication and Lack of being a professional) History's deadliest plane crashes = 4904 Souls Lost (How many were caused by Human Error?) and much more.
  
  
• Volume 8, Issue 18 US industry voices concerns about aerospace workforce (Lack of Resources) Mind the gap (Why having a Just Culture is so very important) Safety Begins On The Ground (How VERY true) and much more.
  
  
• Volume 8, Issue 17 Texts, fatigue factors in Jetstar botched landing (The Dirty Dozen attack once again) Battling the effects of pilot fatigue (Fatigue is still such a problem) Catalina crash 'due to different expectations' (I don't think the mental pictures were matching) and much more.
  
  
• Volume 8, Issue 16 Watchdog 'ignored complaints' on dangerous flying (At risk behaviour) The Downside of Upside Down (Was this Lack of Knowledge? You judge!) Professionalism: A ‘Must Have’ For All Aviation Workers (Not just the pilots but EVERYONE) and much more.
  
  
• Volume 8, Issue 15 Boeing worker trapped under 787 leaves hospital (He tripped and fell) United Kingdom: New scheme takes off to cut airside accident (Health & Safety on the ramp) Lack of de-icing likely caused Russian plane crash (Why would they make that decision?) and much more.
  
  
• Volume 8, Issue 14 An Invisible Killer: The 1985 Crash of Delta 191 (Mother Nature) KLM 747 de-icer shunt echoed fatal Montreal collision (Lack of Knowledge, Distraction, etc.) LServisair found not guilty of safety violations in deicer’s death at Calgary airport (There is RISK in everything we do) much more.
  
  
• Volume 8, Issue 13 Continental To Appeal Manslaughter Verdict In Concorde Accident (New Evidence) DGCA asks airlines to fix work hours for maintenance staff (A form of fatigue management) Living and Working With the Reality of Risk (There is RISK in everything we do) much more.
  
  
• Volume 8, Issue 12 It's plane nuts! Jet plowed into work truck parked too close to taxiway and driver AND airline sue (He didn't think it would hit) High School Students Test Best with 7 Hours' Rest (REST is benefitial for everyone) Warning Signs of Fatigue (Excellent Poster) much more.
  
  
• Volume 8, Issue 11 FAA Human Factors Chief Wins IFA Award (Congratulations Dr. Bill Johnson) Riyadh MD-11F crash pilots failed to recognize bounce (Was it Lack of Knowledge or another contributing factor?) Crash: Buddha B190 near Kathmandu on Sep 25th
  2011, impacted terrain (Fatigue - do I need to say anything else?) much more.
  
  
• Volume 8, Issue 10 Dirty Dozen: Counteracting Complacency (Complaceny is everywhere)Do It Right The First Time! (Anything worth doing is worth doing it right the first time) LA Look at World Air Traffic From a Satellite Over a 24 Hour Period (This is really incredible) much more.
  
  
• Volume 8, Issue 9 US Airways airport worker dies in 'tragic accident' in Phoenix (What could have caused this tragic accident?) DGCA asks airlines to fix work hours for maintenance staff (A form of fatigue management) Living and Working With the Reality of Risk (There is RISK in everything we do) much more.
  
  
• Volume 8, Issue 8 Pilots' psychological state: A review (Human Factors) “Working Long Hours Doubles Depression Risk, Study Says (And causes Fatigue) NASA awards $73M for ATC human factors research (Research on how people interact) much more.
  
  
• Volume 8, Issue 7 NTSB Faults Cessna and FAA in Tailcone Icing (Lack of Awareness on the FAA's part) “He Yelled at Me to Stop!” (Murphy's Law) Safety is never an issue – until there is an “issue” (They often find that Human Factors played a part!) much more.
  
  
• Volume 8, Issue 6 Human error blamed for runway incident (Could it be fatigue? Distraction?) 15,000 fire extinguishers removed from planes worldwide after Welsh factory owner's fraud (Scary Stuff) Technician Shortage a Key Issue for Aviation Industry (Lack of Resources - people are resources too!) Sleep and Energy Among Top Health Trends for 2012 (Sleep is good) and much more.
  
  
• Volume 8, Issue 5 Bad bolt led to fatal 2010 helicopter crash (How could this happen?) Miscues behind US Airways Dash 8 damage(Lack of Communication strikes again) Marine helicopter mechanic in Afghanistan saves lives with maintenance discovery (Many people may still be alive today thanks to Lt. Col. Ian Clark) and much more.
  
  
• Volume 8, Issue 4 General Aviation Accident, Fatality Rates Drop in 2010 (We still have to thrive to be better) Airlines run up a safety debt?(Air travel will continue to grow) It’s Time to Renew Our Commitment to Safety (No one needs to die in an accident) and much more.
  
  
• Volume 8, Issue 3 "Special Safety Tip" - FAASafety.gov (How easy it is to overlook something!) Cyprus court acquits 4 ex-airline officials in 2005 - Helios plane crash that killed 121 people?(Human Error Again) Seven-Year Sentence For Repeat Airplane Thief (A Rogue?) and much more.
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  Volume 8, Issue 2 2011 shaping up to be 'safest ever' year for fliers (We MUST continue to strive for "Safer" planes) How would you paint your Dreamliner? (Cute, interactive link - try it!) 8 Ways To A Healthier Workday (How many of these do you do?) and much more.
  
  
• Volume 8, Issue 1 Tool forgotten inside, JetLite engine fails mid-flight (Why would anyone leave a tool inside?) Human Factors training is just common sense... Or is it? (Written by Gordon Dupont - EXCELLENT Article) Emirates tail-strike crew missed chances to catch weight error (But isn't that part of his job?) and much more.

2012

• Volume 7, Issue 45 China Eastern Airlines to improve English after safety breach (Lack of Communication) Fashion Model Mangled by Airplane Propeller is Among Hundreds Injured in Aviation (We NEED to put Safety Nets in place) 2011 safest year for air travel since 1945 (This is great but we must always strive to make aviation ALARP) and much more
  
  
• Volume 7, Issue 44 Office of Aviation Medicine (Fatigue, not just pilots and maintenance. What about the Flight Attendants?) Energy Crisis (Energy drinks, coffee, water - which is best?) 10 FACTS ABOUT DRINKING & DRIVING (Pay attention as many people push the limits) and much more
  
  
• Volume 7, Issue 43 North Sea helicopter crash report says gearbox failed after maintenance error (Was it Lack of Communication, Lack or Awareness or ? How many of the Dirty Dozen preconditions can you see? TOO MANY!) Pull the String (Very motivating!) Fatigue risk scheme considered for controllers (Fatigue Managment is so important for EVERYONE) and much more
  
  
• Volume 7, Issue 42 Does Common Sense Have a Mathematical Formula? (Interesting and well worth the read) “CAUTION!” DO NOT IGNORE A “CAUTION” IN THE PUB! (Great Advice) When All Else Fails... (Oh yes, Murphy is alive and well) and much more
  
  
• Volume 7, Issue 41 No Mechanic Is an Island - As the Wrench Turns by John Goglia (Communication is so very, very important) Pilot who had been drinking gets six months in prison (What was he thinking? and why would he be so stupid?) Pilots: Canadian SMS Proven Aviation Safety Tool (SMS will save lives) and much more
  
  
• Volume 7, Issue 40 The Downside of Upside Down (Instructions must be clear and consise) FAASTeam Maintenance Safety Tip (Don't forget your Human Factors checklist) Aviation Safety is a Team Sport (Teamwork is a MUST) and much more
  
  
• Volume 7, Issue 39 Fighting Pilot Fatigue on Military Charter Flights (Fatigue again, it's difficult to manage) US Airway’ Take 5 Approach (Distraction) New Human Factors Recurrent Course for Instructors to be Available in 2012 (Call System Safety Services and we would be pleased to help you with your reccurent training) and much more
  
  
• Volume 7, Issue 38 FAA cites improper repairs to Southwest planes (Why would you NOT follow proper procedures?) The fixation factors (Distraction and breathalyzers) How Ethnic Culture Affects Safety Culture (What is a Safety Culture?) and much more
  
  
• Volume 7, Issue 37 Navigator in Russian Crash Was Drunk, Report Says (Drinking and other human errors were all preventable) Families Push Obama on Pilot Fatigue Rules (We MUST have rules to help us deal with fatigue) Maintenance Standards: Why so high? (When we make a mistake, we have the ability to kill many people) and much more
  
  
• Volume 7, Issue 36 Pilot of jet in 2005 Teterboro crash sentenced to 6 months (Did he deserve prison time?) LoPresti Set To Roll Out Unpressurized Tires (Is this a Safety Net?) The APP that helps you sleep like a baby (More help in the battle of fatigue) and much more
  
  
• Volume 7, Issue 35 French Accident Bureau Convenes AF447 Human Factors Group (Why did they do what they did?) Concern in the cockpit: Does autopilot = rusty pilots? (Do they lack skills?) Fainting worker Sarah Maroney sues Qantas for almost $270,000 (Lack of Resources led to fatigue and fainting) and much more
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  Volume 7, Issue 34 NATA Puts Safety Training Programs Online (Available anytime, anywhere) Bone Tired? Make It Through The Day (Tips on how to deal with fatigue when it happens) Depression Rates More Common in High-Income Countries, Study Says (Very interesting study) and much more.
  
  
• Volume 7, Issue 33 The Magic of Mentoring (We can ALWAYS learn from others experiences) 'Macho attitudes' a danger for pilots (A rogue pilot, get-there-itis, pressure, etc can all lead to accidents) Checklist conundrum offers no easy answers (Complaceny can lead to you NOT using the checklist correctly or sometimes not at all) and much more.
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  Volume 7, Issue 32 Showing How Worker Fatigue Hurts the Bottom Line (There are so many dangers that come with fatigue) Safety booklet for pilots takes off (Highlighting the key Safety issues) Beating the Post-Vacation Blues (Now that summer is almost over, many of us are heading back to work) and much more.
  
  
• Volume 7, Issue 31.5 Report: CIAIAC publishes final report on fatal MD-82 takeoff accident Madrid, Spain (More then one factor plays a role) Bogus air engineer loses assets (A fake engineer?) NORMALIZATION OF DEVIANCE (Norms) and much more.
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  Volume 7, Issue 31 Sleeping in the Daytime (Managing Fatigue especially when shift work is a reality) Sleep Type Predicts Day and Night Batting Averages of Major League Baseball Players (Interesting states) National park deaths: Random or reckless?(Oh yes, we know all too well about Reckless behaviour)  and much more.
  
  
• Volume 7, Issue 30 NTSB releases Ludington plane crash photos, documents; Fuel system debris is focus of much of the probe (How did that get in the fuel?) Jeju Air criticized for pilot error (Believe it or not, pilots are human too) “I Ain’t Gonna Do This Stuff”(With a Human Factors workshop, you get out what you are willing to put in)  and much more.
  
  
• Volume 7, Issue 29 Build a Trust Fund (Trust and Safety go hand in hand) Beware The Icing Hazards Masked By Average Droplet Size, Scientists Warn (Interesting) Study: even one glass of beer, wine boosts car crash risk (Should we be adopting the drinking laws of Sweden?)  and much more.
  
  
• Volume 7, Issue 28 Technical Report - Aviation Maintenance: (Wow, this is MUST read) Report: FAA Should Address Pilot Commutes (Fatigue again) NTSB faults pilot in 2009 fatal crash. Pilatus PC-12/45, N128CM. Butte, Montana (People are famous for putting holes in Safety Nets)  and much more.
  
  
• Volume 7, Issue 27 Would Pilot 'Panic Button' Save the Day or Tie Hands? (What happens to the human?) $243,360 in Fines Issued to Maine Contractor for Fall Hazards (Protective measures are in place but it takes the human to make them work) Cell Phone: Weapon of Mass Distraction (You can't use a cell while driving a car but what about while working on a plane?)  and much more.
  
  
• Volume 7, Issue 26   Aviation Issues On NTSB 'Most Wanted' List (How many of these do you think involve Human Error?) Distracted Driver (EVERY human can get distracted) Corporate aviation safety management systems - a case study (Are you eating the right foods at night?)  and much more.
  
  Volume 7, Issue 25   Inattention led to plane's door opening in flight - report (But I thought I had followed procedure!) FAASTeam Maintenance Safety Tip (Training is ALWAYS a Safety Net) Night Shift Nugget (Are you eating the right foods at night?)  and much more.
  
  
• Volume 7, Issue 24   Fit for Work? (You may have had lots of time off work and lots of sleep but how do you know if you are Fit for Work?) Fit for Work Indicatior Opportunity (Here is your chance to try this New, Inventive system for 6 months) Pilot's bereavement 'crash factor' (His mind was just not on his job and the FFW would have likely picked that up)  and much more.
  
  
• Volume 7, Issue 23  From The FAA: SMS: What It Means for the AMT? (Sweat the small stuff and you avoid sweating the big stuff) Alaska Airlines replacing paper manuals with iPad (Much easier on the back) Sleep Problems Lead to Other Problems (You develop a I don't care attitude)  and much more.
  
  
• Volume 7, Issue 22  Blame the Pilots of Air France 447? Not So Fast (Follow the whole chain of events) Pilot error behind CAL 747 tailstrike incident (Human Error - oh no fatigue again) Torch Left in Nose Wheel Steering Cable Run (Distraction)  and much more.
   
• Volume 7, Issue 21  How alarming are Airport Ramp Accidents? (You mean ground crew are humans too?) FAA expresses concern over Technician Fatigue (It's about time the world woke up and paid attention to fatigue) 25 Signs you might be safety Geek (Stress is an occupational hazard)  and much more.
   
• Volume 7, Issue 20  FAA MX Fatigue Focus Newsletter - Latest Issue! (More info on the #1 Contributing Factor) Make Them Uncomfortable (Complacency - The Silent Killer) Jury awards $48 million in skydiving plane crash (Stress is an occupational hazard)  and much more.
   
• Volume 7, Issue 19  Flight Deck Chicken (Not following the rules can kill you) FAA Administrator wants MRO's Adopt SMS (SMS will reduce accidents and increase Safety) Showing How Workplace Stress Hurts the Bottom Line (Stress is an occupational hazard)  and much more.
   
• Volume 7, Issue 18  Aircraft Maintenance Duty Time Limits (Until June 13th, you can tell us your opinion) Solution for fatigued aviation workers eludes FAA (Fatigue is on the forefront) Human factors to blame for fatal crash of Air India Express flight from Dubai (How many of the Dirty Dozen preconditions can you see?)  and much more.
   
• Volume 7, Issue 17 Scientists: Controllers need naps on the job (Will this finally be able to solve the fatigue issue) Key workers falling asleep worries safety experts (Fatigue is a troubling trend) Safety Nets (Maintenance operations need similar safety nets)  and much more.
   
• Volume 7, Issue 16 PNG death crash pilot 'drunk with fatigue (Time and time again fatigue is the issue) Flight-Deck Basics is also Ramp Basics (Flight-deck Crew and Ramp Crew are both human) FAA Mandates Controller Wake-Up Calls (Read what the FAA's "interim" plan to deal with fatigue is)  and much more.
   
• Volume 7, Issue 15 'AI ignored safety rules during fire' (What interfered with his judgment at the critical moment?) FAASTeam Maintenance Safety Tip March 2011 (Let's talk about Pressure - there is NO Pressure in Aviation is there?) Five Ways to Make the Most From The Mistakes You Make (We all make mistakes but with every mistakes comes something we can learn from)  and much more.
   
• Volume 7, Issue 14 United Plane Flew Despite Smoke, Fumes in Cockpit (Why would they let the airplane fly?  Was it Lack of Awareness? - You decide!) Reagan air traffic incident renews fatigue debate (Fatigue raises it's ugly head again) NTSB Cites Fatigue, Poor Training In Fatal Crash (Fatigue, Lack of Teamwork and Lack of Communication - these factors all played a part in his decision that killed all on board)  and much more.
   
• Volume 7, Issue 13  NTSB challenges FAA for access to incident reports (We can all learn from incident reports so why can't we all get along?) OSHA timeline highlights 40 years of healthier workers, safer workplaces and a stronger America (This is fantastic!) Vibrating cockpit seat proposed for pilot alerts (This could be a great Safety Net for pilots - what do you think?)  and much more.
   
• Volume 7, Issue 12 As the Wrench Turns: Trapped Inside the Cargo Hold by John Goglia (Human factors everywhere, can you spot them?) Read Any Good Logbooks Lately? (How important written communication is!) Reflections After an Accident (Humans love to gamble - and sometimes it just doesn't pay off)  and much more.
   
• Volume 7, Issue 11 Return to service (Pilots and Maintenance are all part of the same team) A Safety Management Perspective (Risk Assessment) Drowsy Surgeons Should Inform Patients (Fatigue Management is not only important in our industry)  and much more.
   
• Volume 7, Issue 10 Captain Fantastic (This video really is fantastic) Rest Rules Could Create Pilot Shortage? (Managing fatigue is too important to ignore) PRESSURE (We never feel any pressure, do we?  and much more.
   
• Volume 7, Issue 9 FAA Validates US Airways’ Safety Management System (Thumbs up!) Dropped Tool at NASA May Have Damaged Shuttle (Could it be Human Errors at work?) Hiring for Safety (HUMAN Resources) and much more.
   
• Volume 7, Issue 8 Incorrect Maintenance Manual Procedures (Another human error at work) Challenger's Crew Remembered, 25 Years After Disaster (Human Errors that killed!) Boeing says 'immature' technology behind 787 delay (Interesting) and much more.
   
• Volume 7, Issue 7 No U.S. airline fatalities in 2010 (EXCELLENT!  This is what we strive for) FAA: Operations and maintenance errors behind SkyWest fine (Human Errors pile up!) NTSB Probable Cause Report (Human Error leads to deaths AGAIN) and much more.
   
• Volume 7, Issue 6 2011 William (Bill) O'Brien Aviation Maintenance Technician Awards Program (Recognition and Awards for Mechanics - do you know anyone whom qualifies?) Shaping Professionalism and Integrity in Aircraft Maintenance (Lack of Resources - HE HAD the best of intentions) 10 Decisions to Help Make 2011 Your Best Year Ever (How to make 2011 the BEST!!!) and much more.
   
• Volume 7, Issue 5 Fatigue Training: (A new fatigue awareness program) Maintenance, Pilot Mistakes Likely Caused Jet to Roll Off Runway (No one ever intends to make a mistake, yet the happen all the time) Disappointing 2010 for Airline Safety (Fatal Accidents Increased) and much more.
   
• Volume 7, Issue 4 C-17 crash report exposes cracks in USAF safety culture (Why would he deliberatly break the rules?) Baggage man asleep in plane's cargo hold (ZZZZzzzzz... ) The Ten Rules for Being Human (These are excellent!) and much more.
   
• Volume 7, Issue 3 Lessons Learned From Maintenance Mergers (There are many Human Factor Issue to consider - and how do you deal with them?) Language Lessons (Communication so VERY, VERY important) Another near-accident as planes land on wrong track at Ovda Airport (Poor Lighting?) and much more.
   
• Volume 7, Issue 2 Situational Awareness in Maintenance (Distraction - Read and watch the links of this accident and see how easily they form) Survey: Why Aren't More Women In Aviation? (yeah, why aren't they?) A Virtual Tour of the A380 (Wow, what a plane but when will it be ready?) and much more.
   
• Volume 7, Issue 1 Fatigue Countermeasure Training (FREE on-line training for Maintenance) Human Factors training is just common sense... Or is it? (Written by Gordon Dupont - EXCELLENT Article) French Court “Criminalizes” Concorde Accident (Was it Criminal or Human Error?) and much more.

2011

• Volume 6, Issue 43 An eBook dedicated to the founder of the Dirty Dozen by Charles Alday. Learning human factors from the pipeline industry (This book is a MUST read for anyone with interest in Human Factors) Airlines' lessons in safety for oil industry (Avoid complacency: "The assumption that safety is 'good enough' can only lead to disaster.")  QUESTION: What percentage of fatal car crashes involve a drowsy driver? (Fatigue - how we underestimate our ability to deal with it) and much more.
   
• Volume 6, Issue 42 Cream and sugar with your jet fuel? Plane water tanks mistakenly filled (Ground Crew are Humans Too and are such subject to Human Error) NTSB Reports Fuel Exhaustion In 2009 Greenville Accident (Lack of Awareness and Lack of Communication)  NTSB: Delta Pilot Was 'Fatigued' During Taxiway Landing (Fatigue - how we underestimate our ability to deal with it) and much more.   Thank you Roger for another year of amazing Aviation HF Newsletters that have inspired each and everyone of us!
   
• Volume 6, Issue 41 FAA Proposes Safety Management Systems For Airlines (SMS is important for EVERYONE, not just the little guys but the airlines as well!) FAASafety.gov (Human Factors in Aviation study) Drowsy Driving Prevention Week® Highlights Prevalent and Preventable Accidents (Driving or flying Drowsy is DEADLEY) and much more.
   
• Volume 6, Issue 40 The Human Relay: Fully Energized (Why it's so important to follow procedure) I’m a New Supervisor, Now What! - Lessons Learned from John Goglia (To be a Supervisor, you must first be trained in how to be one) Air India plane crash: 'Sleepy' pilot blamed (Fatigue does it again) and much more.
   
• Volume 6, Issue 39 Air controller 'fatigue threat' (Fatigue talked about so often because it is so important) Young woman becomes first Aircraft Maintenance Engineer (Women are human too, believe it or not?) Aerobic Exercise Relieves Insomnia (Exercise is so very important and is closely related with fatigue) and much more.
   
• Volume 6, Issue 38 New Products on the FAA Maintenance Fatigue Website (Fatigue Management is so very important and WILL save lives) Baker’s Dozen (Attitude can make or break each and everyone of us as well as the attitude of your organization) Human Factors in Aviation Communication (Communication is all so important) and much more.
   
• Volume 6, Issue 37 SHELL Model is the foundation to understanding Human Factors in Aircraft Maintenance (Creating Awareness) Flight Stress (All to common in our industry - good read) An Appetite for Life (Courage and Determination - truly and inspiring story) and much more.
   
• Volume 6, Issue 36 Crucial Knowledge - HF OnLine ‘Sampler’ Video (Human Factors) SMS for Mechanics (So very important) Investigators Suspect Pilot Distraction In Two Recent Airliner Incidents (Distraction) and much more. - Thanks so much Roger!!!
   
• Volume 6, Issue 35 BA passengers tried to halt 777 take-off after taxiing error (Lack of Communication) Safety call after jet's plunge over Norfolk (Confusion) Airline staffer dies in freak mishap at airport (More on fatigue) and much more.
   
• Volume 6, Issue 34 Dirty Dozen: Lack of Communication (Happens all too often) Is there a perfect time to take a nap? (Fatigue) Shift Start Times Impact Sleep and Alertness (More on fatigue) and much more.
   
• Volume 6, Issue 33 New Release of MX Fatigue Newsletter (Learn more about Fatigue) Bad Regulation—You Can Initiate Change (Learn to be assertive when things don't seem right) Lessons of Manchester runway fire (Every Accident has a lesson) and much more.
   
• Volume 6, Issue 32 Congress Passes Safety Management Law (Safety Management Systems)  FATIGUE ACCIDENT/INCIDENT CAUSATION TESTING SYSTEM (FACTS) (Fatigue) How to Get Control Of Your Time and Your Life (Time is Life) and much more.
   
• Volume 6, Issue 31 Plane Loses Engine Cover After Indianapolis Takeoff (Maintenance Issue) The FAA Safety Team (FAASTeam) (Important Update) New Guidelines Tell Co-Pilots to Speak Up (Learn how to be Assertive) and much more.
   
• Volume 6, Issue 30 Five Benefits of a Near-Miss Reporting Culture (SMS) Make Reporting a Daily Event (Great Idea) Recovery sleep’ can make up for lost ZZZs (Fatigue) and much more.
   
• Volume 6, Issue 29 Rush to Judgment - As the Wrench Turns by John Goglia (NTSB and determining the cause) US plane crash experts probe beyond black box (Human Error) Witnesses: Mechanic involved in helicopter crash a hero (Incredible story) and much more.
   
• Volume 6, Issue 28 Firm Reveals Ingredients for Successful Shiftworkers (So Important to understand Shiftwork) Summer Heat is a Real Safety Concern (Heat can be deadly) The Human Contribution (A must read on Human Factors) and much more.
   
• Volume 6, Issue 27 A Human Error Slip. Good Plan Poorly Executed (Lack of Awareness) 'FAircraft maintenance errors, FAR violations and using the Aviation Safety Reporting System (ASRS) (A must in a SMS) Feds: Captain could have prevented Denver accident (Could this be stress, Complacency or was it both?) and much more.
   
• Volume 6, Issue 26 Safety Nets (Fatigue proof your Organizations) 'Legends Of Flight': Aviation's Hits And Misses (You don't want to miss seeing this) Reducing Work Hours for Resident Physicians (We are all human and everyone suffers from fatigue) and much more.
   
• Volume 6, Issue 25 Pilots of Runaway Jet Won't Get Jobs Back (Distraction) 17 JUN 10 FAA Issues Runway Crossing Clearance Changes FAA Issues Runway Crossing Clearance Changes (Watch out for Complacency) Training & Safety: It’s All Human Factors (We are all human) and much more.  
   
• Volume 6, Issue 24 NTSB Warned That Future Pilots May Not Be Up To Snuff (Lack of Knowledge) FAA Publishes Advance Notice of Proposed Rulemaking On SMS (Lack of Knowledge or was it awareness, you decide) PRESSURE (#8 of the Dirty Dozen ) and much more.  
   
• Volume 6, Issue 23 Landing gear mishap spurs NTSB recommendations for maintenance training (Lack of Knowledge) Pilot Claims Her Bell 47D1 Manual Contained Improper
  Instructions (Lack of Knowledge or was it awareness, you decide) Delays in anti-pilot fatigue rules criticized (More on this important subject of fatigure) and much more.   Thank you again Roger for all your hard work and thank you for sharing it with all of us!
   
• Volume 6, Issue 22  IMAX 3-D 'Legends Of Flight' Set For June Premier (This is a MUST see) Interrupting a Nurse Makes Medication Errors More Likely (Distraction occurs in Every Industry) Six Ways to Avoid Misunderstandings (Communication (a 2-way street) is so very, very important) and much more.
   
• Volume 6, Issue 21  When the Maintenance Manual is Wrong (Get it corrected, Be assertive) Evidence Surfaces Of Passengers In The Cockpit Of Polish Airliner Which Crashed (Pressure to get there) Concorde crash trial: Continental Airlines to make final plea (The ONLY reason for discipline is to ensure that the error never happens again) and much more.
   
• Volume 6, Issue 20  Failure to Communicate (It's a 2 way street) Broadcast Safety Improvements (Improve your Safety Culture) ATSAP Program Shows High Number Of Air Traffic Errors (It is so important to report errors) To Sleep with Spouse or Not (Fatigue?) and much more. 
   
• Volume 6, Issue 19  AMT Day: A Proud Day (We are truly Professionals) Accident Underscores Importance of Tire Mx (Small mistakes can have BIG consequences) HF Classroom Training Aid (RTDM - Read The Dam Manual is the Safety net here) Cause of Chopper Crash Determined (Our errors can show up years later) and much more.  Thanks Roger for your dedication to our industry
   
•  Volume 6, Issue 18  Maintain Your Way To Greater Safety (Knowledge/Communication) Accident Investigation – Is there a Daytime Bias in your Operation? (Data Analyses) 2010 International Aviation Ground Safety Seminar (Training is always a Safety Net) Night Shift Linked to Sleep Problems in Younger Workers (Fatigue) and more..
   
•  Volume 6, Issue 17  Mechanic Left Drive Shaft Bolts Loose – A Very Close Call (Lack of Awareness) Panel on Cat No. 1 (Fatigue) Delta TechOps Named Aviation Week 'MRO of the Year - Outstanding Maintenance Group' (Congratulations) FAA To Pilots: Put Those Phones Away (Distraction) and more..
   
•  Volume 6, Issue 16  Boeing Completes First 787 Dreamliner Maintenance Training Class (Exciting!) Training That Won't Put Your Employees To Sleep! (Fatigue) Man falls asleep on Air Canada flight, wakes up on empty plane in a hangar (More Fatigue) The Health Risks of Shift Work (Human Factors) and more..
   
•  Volume 6, Issue 15  New Release of MX Fatigue Newsletter (Fatigue) American Airlines jet gets towed, gets broken (Lack of Communication) Poor maintenance started accident chain that resulted in Learjet high-speed runway departure (Lack of Knowledge) FAASafety.gov (Human Factors) and more..
   
•  Volume 6, Issue 14  FAA Implements Safety Management System (SMS) PRESS RELEASE (Safety Release) CONTINUING EDUCATION (Human Factors) Are You Hooked on Red Bulls or Coffee? Type 1 SugarAddiction (Human Factors) and more..
   
•  Volume 6, Issue 13  Check Those Latches! (Training) FAA To Fine Northwest Airlines For Improper indshield Inspections (What happened?) Post-maintenance Flights Are Critical (Interesting) and more..
   
•  Volume 6, Issue 12  The Biggest Myth in Aviation? (Safety) NTSB Chairman Warns Of Dangers From Fatigue (Fatigue can be so deadly) Pilot “Refusal To Take A Mandatory Drug Test” Wins Appeal (Interesting) and more..
   
•  Volume 6, Issue 11  Pilots Unaware Flight Should Have Been Daytime VMC Restricted (Lack of Awareness) Professionalism in Maintenance (Fit for Duty) Norms: One of the Proud “Dirty Dozen” of Aviation Human Factor related traps (NORMS) and more..
   
•  Volume 6, Issue 10  Helicopter Pilot, Passenger 'Jump' And Survive (Believe it or not?) System Safety Services - Misfortune Murphy Model (Fantastic Training Tool) Driving Safety (Distraction) and more..
   
•  Volume 6, Issue 9   NATIONAL SLEEP AWARENESS WEEK (Fatigue) Aviation safety rate: One accident for every 1.4 million flights (Training Pays Off) Accident: ABX Air Cargo B762 at San Francisco on Jun 28th 2008, on fire while parked, no arson (Lack of Awareness) and more..
   
•  Volume 6, Issue 8  Air Methods Exits Level 1 FAA Safety Management System Status (SMS) Doctors' skill checks need upgrade, says Burnham (Pressure) Here are 10 small steps to get you on the road to better health in 2010 (Always good to know) and more..  Again I would like to give a big Thank You to Mr. Roger Hughes as without him these EXCELLENT Newsletter would not be possible.
  
  
•  Volume 6, Issue 7  Flashlight found in tail cone of plane that crashed in Ellis County, safety board says (What could have happened?) Commuter plane hits LAX walkway, none injured (human error?) Crash jet 'not properly serviced' (Humans Again) and more..
   
•  Volume 6, Issue 6  The Big Red Knob (Distraction) Sleep strategies for shiftworkers (more on fatigue) and more...
   
•  Volume 6, Issue 5  NTSB Blames Crew in February 2009 Buffalo Crash (Lack of Communication) Lahood Raps USA Today's Maintenance Investigation (1,300 Maintenance Infractions) Shame on EU as Vietnam Leads the Way in Aviation Safety (Excellent Article) and more...
   
•  Volume 6, Issue 4  New Science on Sleep (Fatigue) Machinists Union Forms Online Community To Help Workers Through Difficult Times (Help with Stress/Pressure) "Position And Hold" Change Expected Soon (Oh yes, humans) and more...
   
•  Volume 6, Issue 3  New Release of MX Fatigue Newsletter (Fatigue) Helios ‘Mayday’ call chills courtroom (Chilling) Inspection reveals poor maintenance work by Jetstar Pacific (Human Error) and more...
   
•  Volume 6, Issue 2  Babbitt Takes Professionalism Speech To The U.S. Senate Aviation Subcommittee (Human Factors) Alcohol Testing Mandatory for Pilots on Flights to and from India (Another HF) Midnight Shift Nugget (Fatigue) and more...
   
•  Volume 6, Issue 1  Federal Aviation Administration (Human Factors) Worn steering cable blamed for Airlink J41 runway (Another HF Error?) Fresh checks ordered on Super Puma fleet after rotor fears (Pressure) and more...