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題名:應用「人為失誤預測模組 (HET)」分析戰機座艙「人-機介面」潛在風險因素
書刊名:復興崗學報
作者:李倫文李文進許悅玲林國彬
作者(外文):Li, Lun-wenLi, Wen-chinHsu, Yueh-lingLin, Kau-bin
出版日期:2009
卷期:95
頁次:
主題關鍵詞:人為因素預測模組人為失誤風險評估Human errorsHuman error templateRisk assessment
原始連結:連回原系統網址new window
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  • 共同引用共同引用:3
  • 點閱點閱:38
本研究應用國際上最新發展之「人為失誤預測模組(Human Error Template,HET)」,分析IDF戰機在降落階段時可能會誘發飛行員犯錯的潛在人為失誤之模式。HET是以檢查表形態,包含十二項錯誤模式,做為預測人為失誤之方法,並應用「階層任務分析(Hierarchical Task Analysis, HTA)」,將每一個任務所需執行的步驟分析到最底層,分析者必頇辨認出每一任務步驟潛在錯誤模式發生之機率,與對飛行安全影響程度之嚴重性。有44位飛行員參與本次研究,結果顯示HET檢查表具有良好的內部一致性信度,α係數分別介於.60至.85之間;另外,發現影響上述兩個任務步驟最大潛在風險因素為「忘記執行」、「任務執行不完整」、「重複執行任務」及「太晚執行任務」等4項錯誤模式,最後本研究以「V1.1.1檢查起落架指示器」之「重複執行任務」的錯誤模式為範例,以風險矩陣為概念,利用事件肇發可能性、嚴重度及風險水準(可能性與嚴重度相乘),嘗試建構軍事飛行風險評估指標,將HET導入飛安管理實務中,以確保飛行安全。
This research applies the latest formal technique for human error prediction--Human Error Template (HET)--to evaluate the potential risks of human errors in the IDF flight operations during approach and landing. HET is a checklist style approach to error prediction that comes in the form of an error pro forma containing twelve error modes. HET is applied to each bottom level task step in a hierarchical task analysis (HTA) of the task in question. The technique requires the analyst to indicate which of the HET error modes is credible for each task step, the probability of error and the criticality of error, based upon their judgment. A total of 44 fighter pilots participated in this study. This research finds that there was high reliability with α value between .60 and .85. The high likelihood of error modes committed by pilots during performing approach and landing include ‘Fail to execute’; ‘Task execution incomplete’; ‘Task repeated’ and ‘Task executed too late’. There is a rising need to investigate further impact to flight safety for such errors caused by understanding its criticality and likelihood for risk assessment. The research aims are to control the potential risks of human errors in the military operations and provide a basis for improving software and hardware design and tactic training to enhance flight safety.
期刊論文
1.李文進、許悅玲、Don, Harris、林國彬(20081200)。飛安人為失誤預測模組(HET):從階層任務分析(HTA)到標準作業程序(SOP)。空軍學術雙月刊,607,3-27。  延伸查詢new window
2.Braithwaite, G. R.、Caves, R. E.、Faulkner, J. P. E.(1998)。Australia Aviation safety-Observations from the lucky country。Journal of Air Transport Management,4(1),55-62。  new window
3.Dekker, S.(2001)。The Re-invention of Human Error。Human Factors and Aerospace Safety,1(3),247-266。  new window
4.Funk, K.、Lyall, B.(1999)。Flight deck automation issues。International Journal of Aviation Psychology,9,109-123。  new window
5.Li, W. C.、Harris, D.、Chen, A.(2007)。Eastern Minds in Western Cockpits: Meta-analysis of human factors in mishaps from three nations。Aviation Space and Environmental Medicine,78(4),420-425。  new window
6.Stanton, N. A.、Baber, C.(2002)。Error by design: methods for predicting device usability。Design Studies,23,363-384。  new window
7.Stanton, N. A.、Harris, D.、Salmon, P. M.、Demagaiski, J. M.、Marshall, A.、Young, M. S.、Waldmann, T.(2006)。Predicting design induced pilot error using HET--A new formal human error identification method for flight decks。The Aeronautical Journal。  new window
8.李文魁、張有恆(20050300)。飛航安全風險評估模式之構建。運輸計劃,34(1),145-175。new window  延伸查詢new window
9.Li, W.C.、Harris, D.(2006)。Pilot error and its relationship with higher organizational levels: HFACS analysis of 523 accidents。Aviation Space Environmental Medicine,77(10),1056-1061。  new window
研究報告
1.Wood, D.、Sarter, N.(1998)。Learning from Automation Surprises and Going Sour Accidents。CA:NASA Ames。  new window
圖書
1.Civil Aviation Authority(1998)。Global Fatal Accident Review 1980-1996 (CAP 681)。London:Civil Aviation Authority。  new window
2.Chapanis, A.(1999)。The Chapanis Chronicles: 50 years of Human Factors Research, Education, and Design。Santa Barbara, CA:Aegean Publishing Company。  new window
3.Federal Aviation Administration(1996)。Report on the Interfaces between Flightcrews and Modern Flight Deck Systems。Washington, DC:Federal Aviation Administration。  new window
4.ICAO(2006)。Line Operations Safety Audit(LOSA)。  new window
5.Webster's(2002)。Random House Webster's Everyday Thesaurus。New York:Random House, Inc.。  new window
6.Wood, R. H.(1996)。Aviation safety management programs: A management handbook。England, Colorado:Jeppeson。  new window
7.Stanton, N.A.、Salmon, P.M.、Walker, G.H.、Baber, C.、Jenkins, D.P.(2005)。Human Factors Methods: A Practical Guide for Engineering and Design。London:Ashgate。  new window
8.Guilford, J. P.、Fruchter, B.(1978)。Fundamental Statistics in Psychology and Education。New York, NY:McGraw-Hill。  new window
9.黃芳銘(2007)。結構方程模式:理論與應用。臺北市:五南圖書出版股份有限公司。  延伸查詢new window
10.交通部民用航空局(2001)。機場風險管理參考手冊。臺北市:交通部民用航空局。  延伸查詢new window
其他
1.中華航空公司(2002)。員工教育訓練教材。  延伸查詢new window
2.交通部民用航空局(2007)。安全管理系統。  延伸查詢new window
3.Funk, K.,Lyall, B.,Suroteguh, C.(1999)。Meta-Analysis,http://flightdect.ie. orst .edu/FDAI/Meta-Analysis.html。  new window
圖書論文
1.Reinhard, B.(1994)。Factor affecting coefficient alpha: A mini Monte Carlo study。Advanced in social science methodology。Greenwich, CT:JAI Press。  new window
 
 
 
 
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