LEARNING FROM AUTOMATION SURPRISES AND "GOING SOUR" ACCIDENTS. IN: COGNITIVE ENGINEERING IN THE AVIATION DOMAIN

The paper summarizes the pattern that has emerged from research incident reports, and accident investigation. It attempts to understand why problems arise and points to new investment strategies that can help dealing with the perceived human error problem, make automation more of a team player, and maintain and improve safety. Broad patterns have been identified behind the details of particular incidents and accidents; also recognized is the need to better guard against the kind of incident where people and the automation seem to mismanage a minor occurrence or nonroutine situation into larger trouble - the going sour scenario. This scenario is a symptom of breakdowns in coordination between people and machines that in turn are a symptom of overall system complexity, at both operational and organizational levels.

• Availability:
  • Find a library where document is available. Order URL: http://worldcat.org/isbn/0805823158
• Corporate Authors:

  Lawrence Erlbaum Associates, Incorporated

  10 Industrial Avenue
  Mahwah, NJ  United States  07430-2262
• Authors:
  • Woods, D D
  • Sarter, N B
• Publication Date: 2000

Language

• English

Media Info

• Features: References;
• Pagination: p. 327-353
• Serial:
  • Publication of: Lawrence Erlbaum Associates, Incorporated
  • Publisher: Lawrence Erlbaum Associates, Incorporated

Subject/Index Terms

• TRT Terms: Automation; Aviation safety; Cockpits; Crash investigation; Flight decks; Human error; Human factors; Incident management; Maintenance personnel; Personnel performance
• Subject Areas: Aviation; Safety and Human Factors;

Filing Info

• Accession Number: 00965662
• Record Type: Publication
• ISBN: 0805823158
• Files: TRIS
• Created Date: Nov 7 2003 12:00AM