Human Errors in Helicopter Maintenance: overview of recommendations for improving safety

Fabien Bernard, Raphael Paquin, Kévin Dos-Santos
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引用次数: 0

Abstract

The maintenance is defined as the second cause of aviation incidents or accidents. Indeed, 12% of all aviation accidents were due to human factors/ergonomics (HFE) issues during maintenance activity (Hobbs, 2000). However, regarding the aviation history, Human performance has been studied from the very beginning in the aviation field, especially regarding fixed wing accidents (Maurino et al., 1993; Wiener & Nagel, 1988). Initially, the reliability of machines was the primary concern, and many attempts were made to improve the technology of the devices (Maurino et al., 1993; Wiener & Nagel, 1988). During the following decades, HFE raised as a discipline to design the flight deck and to investigate the interaction between human (pilot) and machine, particularly, during the training phase of the pilot in a simulator (Wiener & Nagel, 1988; Horeman et al., 2015). Safety and comfort in the cockpit and the passenger cabin were also improved by considering HFE principles during the subsequent decades (Spenser, 2008). The consideration of Human Factors in maintenance is more recent. Integrating HFE in maintainability increases the quality of maintenance activities and reduces the rate of mistakes/errors (Gruber et al., 2015). The design engineers in the maintainability department interact and collaborate with other engineering departments (e.g., aerodynamic, hydraulic and electric integration, and architecture) and support disciplines including aircraft maintenance manual to consider maintenance & HF criteria during design phases. This interaction could raise HFE culture between them could effectively affect the future maintenance activity. However, aviation accidents are not the only problem that demonstrates the need to improve HFE for maintenance activities. The health and safety of maintenance operators is also a key contributor to maintenance errors (Hobbs, 2000). Various studies have already highlighted the fact that maintenance activities can cause health problems (musculoskeletal disorders, stress, and high mental workload) and workplace accidents (AFIM, 2004; European Agency for Safety and Health at Work, 2010). In a survey of 2,500 maintenance operators from various industries (automotive, train, and aeronautics), AFIM showed that 62% of respondents considered their occupation to be dangerous. Another study performed in Europe showed that 15%–20% of accidents at work occurred in the field of maintenance, suggesting that maintenance tasks are the most dangerous activities in an industry (European Agency for Safety and Health at Work, 2010).In order to reduce the risk of error, and also improve the work condition of maintenance operator, one of the solution is to better understand the current feedback of customer’s daily activity. Airbus Helicopters has launched a huge campaign of preventive Human Factors analysis. In this frame, the most sensitive maintenance tasks on existing helicopters have been studied to impact the design, procedure, maintenance tools and training. These maintenance tasks mainly concern sensitive mechanical system (Main Rotors, Main Rotor Drives, Tail Rotor, Tail Rotor Drives and Rotor Flight Control) regrouping lots of critical parts. In this article, we will first present a brief background of Human Factors in aviation maintainability. Then we will describe the methodologies and tools used to assess Human Factors dimensions during the observation of sensitive maintenance tasks. Additionally, we will introduce the main results and outcomes of all this analysis, all tasks and helicopters combined. We will provide some safety recommendations and improvement in the design & maintenance procedure for future development, mainly by highlighting six categories (Work at Height, Foreign Object Damages, Incorrect assembly, Number of Operators requested to perform the maintenance task, Damage prevention, Damage identification).
直升机维修中的人为错误:提高安全性的建议概述
维修被定义为航空事故或事故的第二大原因。事实上,12%的航空事故是由于维修活动中的人为因素/人体工程学(HFE)问题造成的(Hobbs, 2000)。然而,在航空史上,航空领域从一开始就研究人的性能,特别是固定翼事故(Maurino et al., 1993;Wiener & Nagel, 1988)。最初,机器的可靠性是主要关注的问题,并且进行了许多尝试来改进设备的技术(Maurino et al., 1993;Wiener & Nagel, 1988)。在接下来的几十年里,HFE作为一门学科来设计飞行甲板,并调查人(飞行员)和机器之间的相互作用,特别是在模拟器中的飞行员训练阶段(Wiener & Nagel, 1988;霍尔曼等人,2015)。在随后的几十年里,驾驶舱和客舱的安全性和舒适性也通过考虑HFE原则得到了改善(Spenser, 2008)。在维修中考虑人为因素是最近才出现的。将HFE集成到可维护性中可以提高维护活动的质量并降低错误/错误率(Gruber et al., 2015)。可维护性部门的设计工程师与其他工程部门(如气动、液压和电气集成、建筑)进行互动和协作,并支持包括飞机维护手册在内的学科,在设计阶段考虑维护和HF标准。这种相互作用可以提高它们之间的HFE培养,从而有效地影响未来的维护活动。然而,航空事故并不是证明需要改进维修活动的HFE的唯一问题。维修操作员的健康和安全也是造成维修错误的一个关键因素(Hobbs, 2000)。各种研究已经强调,维修活动可能导致健康问题(肌肉骨骼疾病、压力和高脑力负荷)和工作场所事故(AFIM, 2004年;欧洲工作安全和健康机构,2010年)。AFIM对来自不同行业(汽车、火车和航空)的2500名维修人员进行了调查,结果显示,62%的受访者认为他们的职业是危险的。在欧洲进行的另一项研究表明,15%-20%的工作事故发生在维修领域,这表明维修任务是一个行业中最危险的活动(欧洲工作安全和健康机构,2010年)。为了降低出错的风险,也为了改善维修人员的工作状态,解决方案之一是更好地了解客户日常活动的当前反馈。空中客车直升机公司发起了一项大规模的预防性人为因素分析活动。在此框架下,对现有直升机上最敏感的维修任务进行了研究,以影响设计、程序、维修工具和培训。这些维修任务主要涉及敏感机械系统(主旋翼、主旋翼驱动、尾旋翼、尾旋翼驱动和旋翼飞行控制)的关键部件的重组。在本文中,我们将首先简要介绍航空维修性中的人为因素的背景。然后,我们将描述在观察敏感维护任务期间用于评估人为因素维度的方法和工具。此外,我们将介绍所有这些分析的主要结果和结果,所有任务和直升机的组合。我们将在设计和维修程序中提供一些安全建议和改进,以供将来的发展,主要是通过强调六个类别(高空作业,异物损坏,错误组装,要求执行维修任务的操作人员数量,损坏预防,损坏识别)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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