SlideShare a Scribd company logo
•HELIOS FLIGHT 522 AIRCRAFT ACCIDENT
•ALOHA AIRLINES FLIGHT 243 ACCIDENT
SHEL FACTORS
MOHD FARID BIN MOHD FAUZI 53212215012
FARAH SHAFINAZ BINTI AHMAD AZZAN 53212215030
AFREENA AFIEN BINTI MOHD AZRI OOI 53212215008
AMIRA ATIKAH BINTI RAUP 53212215007
SITI NOR AIN BINTI HARIS 53212215026
MOHAMMAD SUBAIL CHOWDHURY 53212215047
PREPARED BY:
PREPARED FOR:
DR. MOHAMED IDRUS BIN ABD MOIN
5 CASES
1. Helios Airways Flight 522
2. Aloha Airlines Flight 243
3. Singapore Airlines Flight 006
4. Tenerife airport disaster
5. Crossair Flight 498
INTRODUCTION OF SHEL MODEL
A conceptual model using 4 blocks
to represent interaction between
the different components of
“Human Factors”.
S – Software
H – Hardware
E – Environment
L – Livewire
1. Software
 Interaction with technology, system
rules and SOP’s
2. Hardware
 Controls / Surfaces, Displays and
functional systems
3. Environment
 The “Climate”; Social / Economic,
as well as Natural v “Operating”
Environments
4. Livewire
 Human interaction; Flight crew ->
Cabin Crew -> Engineers etc.
Interface between categories:
Essentially it suggests that any
interaction involving human
beings is always less than
“perfect” –
Hence the importance of;
“HUMAN FACTORS”
CASE 1 :
HELIOS FLIGHT 522 AIRCRAFT ACCIDENT
SEQUENCE OF EVENTS
• 14 AUG 05, crashed north of Marathon & Varnavas, Greece.
• Wreckage located near Grammatiko community 40 km from
Athens.
• All 121 on board were killed.
• Before take-off, crew failed to correctly set pressurisation system.
• Result, gradual decompression. All on board suffering Hypoxia.
• Captain’s conversation with engineer, confirmed he was suffering
hypoxia.
• When Greek air space entered, ATC not contacted. 2 Hellenic Air
Force F-16 fighters scrambled.
• F-16 pilots saw F/A Andreas Prodromou at controls, (trainee
pilot), attempting control of aircraft, (consciousness due to portable
oxygen).
• Aircraft crashed due to lack of fuel. Engines failed in quick
succession.
SHEL MODEL AND
HUMAN FACTOR RELATIONSHIP
 In this instance, none of significance
 Pressurisation set to “Manual” instead of “Auto” - Importance of SOP’s!
 “Cabin altitude” horn misidentified as a take-off configuration warning
 An “Oxy ON” warning light misinterpreted as “systems” were
overheating.
 Attempt at cogitative thought in a “Hypoxic” environment, (loss of cabin
pressure)
 Re-enforces vital importance of recognition of symptoms and
adherence to drills
 Cultural differences, East German Captain, Cypriot First Officer, “lack of
common language”
 Engineer during discussion identified Hypoxia. Didn’t really “press
point” to the Captain
CASE 2 :
ALOHA AIRLINES FLIGHT 243 ACCIDENT
SEQUENCE OF EVENTS (AQ243)
 Aircraft departed normally , bound to Honolulu
 No unusual occurrences were noticed during the pre-departure
inspection of the aircraft
 While flying, 18 feet of the upper cabin structure suddenly being
ripped away due to a structural failure
 Result in decompression in flight
 Able to land safely at Kahului Airport on Maui
SHEL MODEL AND
HUMAN FACTOR RELATIONSHIP
 The engineering inspector might misinterpreted during his inspection or lack of
focus
 Possibility of not fully equipped of equipment during inspection
 The environment of the workplace might contributes and leads to a weak
working performance
 Lack of interactions between engineers and pilots during the pre flight checks
HUMAN FACTOR CASES ANALYSIS

More Related Content

What's hot

CAV_2323_CHAPTER_1_INTRODUCTION_TO_HUMAN.pptx
CAV_2323_CHAPTER_1_INTRODUCTION_TO_HUMAN.pptxCAV_2323_CHAPTER_1_INTRODUCTION_TO_HUMAN.pptx
CAV_2323_CHAPTER_1_INTRODUCTION_TO_HUMAN.pptx
Endris Mohammed
 
Human factors training
Human factors trainingHuman factors training
Human factors training
Global Air Training
 
Threat and Error Management in Aviation
Threat and Error Management in AviationThreat and Error Management in Aviation
Threat and Error Management in Aviation
Tilak Ramaprakash
 
Human factors - Maintenance and inspection
Human factors - Maintenance and inspectionHuman factors - Maintenance and inspection
Human factors - Maintenance and inspection
Lahiru Dilshan
 
Human factors topic 1 introduction
Human factors topic 1   introductionHuman factors topic 1   introduction
Human factors topic 1 introductionManoj Kasare
 
CS5032 Case study Kegworth air disaster
CS5032 Case study Kegworth air disasterCS5032 Case study Kegworth air disaster
CS5032 Case study Kegworth air disasterIan Sommerville
 
Airworthiness: Preventive Maintenance
Airworthiness:  Preventive MaintenanceAirworthiness:  Preventive Maintenance
Airworthiness: Preventive Maintenance
FAA Safety Team Central Florida
 
Crew Resource Management
Crew Resource ManagementCrew Resource Management
Crew Resource Management
Lisa West
 
FAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MRO
FAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MROFAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MRO
FAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MRO
Amnat Sk
 
Procedure for Safe Ground Handling Practices - (Sample for Edition)
Procedure for Safe Ground Handling Practices - (Sample for Edition)Procedure for Safe Ground Handling Practices - (Sample for Edition)
Procedure for Safe Ground Handling Practices - (Sample for Edition)Andrew Louis
 
Causes of Airplane Accidents
Causes of Airplane AccidentsCauses of Airplane Accidents
Causes of Airplane Accidents
dorismmahoney
 
Aircraft accident investigation ppt
Aircraft accident investigation   pptAircraft accident investigation   ppt
Aircraft accident investigation ppt
PraveenKotari1
 
Airside Hazards And Risks
Airside Hazards And RisksAirside Hazards And Risks
Airside Hazards And Risks
Oil and Gas HSE Specialist
 
Human factor basic
Human factor  basicHuman factor  basic
Human factor basic
S P Singh
 
Consequences of Errors in Aviation
Consequences of Errors in AviationConsequences of Errors in Aviation
Consequences of Errors in Aviation
Omar Hayat Khan, MSc
 
Airside Safety
Airside SafetyAirside Safety
Airside Safety
Mohamed Tayfour
 
Helicopter Aviation: Human Factors
Helicopter Aviation: Human FactorsHelicopter Aviation: Human Factors
Helicopter Aviation: Human Factors
IHSTFAA
 
Airworthiness Management
Airworthiness ManagementAirworthiness Management
Airworthiness Management
S P Singh
 
Aircraft performance 2
Aircraft performance 2Aircraft performance 2
Aircraft performance 2
Nazmul Alam
 
Tenerife airport disaster
Tenerife airport disasterTenerife airport disaster
Tenerife airport disaster
EsraKurtulu
 

What's hot (20)

CAV_2323_CHAPTER_1_INTRODUCTION_TO_HUMAN.pptx
CAV_2323_CHAPTER_1_INTRODUCTION_TO_HUMAN.pptxCAV_2323_CHAPTER_1_INTRODUCTION_TO_HUMAN.pptx
CAV_2323_CHAPTER_1_INTRODUCTION_TO_HUMAN.pptx
 
Human factors training
Human factors trainingHuman factors training
Human factors training
 
Threat and Error Management in Aviation
Threat and Error Management in AviationThreat and Error Management in Aviation
Threat and Error Management in Aviation
 
Human factors - Maintenance and inspection
Human factors - Maintenance and inspectionHuman factors - Maintenance and inspection
Human factors - Maintenance and inspection
 
Human factors topic 1 introduction
Human factors topic 1   introductionHuman factors topic 1   introduction
Human factors topic 1 introduction
 
CS5032 Case study Kegworth air disaster
CS5032 Case study Kegworth air disasterCS5032 Case study Kegworth air disaster
CS5032 Case study Kegworth air disaster
 
Airworthiness: Preventive Maintenance
Airworthiness:  Preventive MaintenanceAirworthiness:  Preventive Maintenance
Airworthiness: Preventive Maintenance
 
Crew Resource Management
Crew Resource ManagementCrew Resource Management
Crew Resource Management
 
FAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MRO
FAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MROFAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MRO
FAA HUMAN FACTOR IN AVIATION MAINTENANCE HF MRO
 
Procedure for Safe Ground Handling Practices - (Sample for Edition)
Procedure for Safe Ground Handling Practices - (Sample for Edition)Procedure for Safe Ground Handling Practices - (Sample for Edition)
Procedure for Safe Ground Handling Practices - (Sample for Edition)
 
Causes of Airplane Accidents
Causes of Airplane AccidentsCauses of Airplane Accidents
Causes of Airplane Accidents
 
Aircraft accident investigation ppt
Aircraft accident investigation   pptAircraft accident investigation   ppt
Aircraft accident investigation ppt
 
Airside Hazards And Risks
Airside Hazards And RisksAirside Hazards And Risks
Airside Hazards And Risks
 
Human factor basic
Human factor  basicHuman factor  basic
Human factor basic
 
Consequences of Errors in Aviation
Consequences of Errors in AviationConsequences of Errors in Aviation
Consequences of Errors in Aviation
 
Airside Safety
Airside SafetyAirside Safety
Airside Safety
 
Helicopter Aviation: Human Factors
Helicopter Aviation: Human FactorsHelicopter Aviation: Human Factors
Helicopter Aviation: Human Factors
 
Airworthiness Management
Airworthiness ManagementAirworthiness Management
Airworthiness Management
 
Aircraft performance 2
Aircraft performance 2Aircraft performance 2
Aircraft performance 2
 
Tenerife airport disaster
Tenerife airport disasterTenerife airport disaster
Tenerife airport disaster
 

Viewers also liked

Maritime Navigational Risk Analysis of Shipping North Slope Liquified Natural...
Maritime Navigational Risk Analysis of Shipping North Slope Liquified Natural...Maritime Navigational Risk Analysis of Shipping North Slope Liquified Natural...
Maritime Navigational Risk Analysis of Shipping North Slope Liquified Natural...
alaskalng
 
Small angle stability longitudinal
Small angle stability longitudinal Small angle stability longitudinal
Small angle stability longitudinal
Muhammad Adli Bin Ja'affar
 
Helios 522 Hand Out
Helios 522 Hand OutHelios 522 Hand Out
Helios 522 Hand Out
guest4f592b
 
Port management System
Port management System Port management System
Port management System
Khwaja Yunus Ali Medical University
 
Regs4ships Presentation 2010
Regs4ships Presentation 2010Regs4ships Presentation 2010
Regs4ships Presentation 2010RichardEastham
 
Sms ii implemention
Sms ii implementionSms ii implemention
Sms ii implemention
S P Singh
 
Port management and operations
Port management and operations Port management and operations
Port management and operations
Maheshkumar Chande
 
Management Comunication
Management ComunicationManagement Comunication
Management Comunication
Deri
 
Behaviour-based safety (BBS) is the “application of science of behaviour chan...
Behaviour-based safety (BBS) is the “application of science of behaviour chan...Behaviour-based safety (BBS) is the “application of science of behaviour chan...
Behaviour-based safety (BBS) is the “application of science of behaviour chan...Indohaan Technology
 
Small angle stability
Small angle stability Small angle stability
Small angle stability
Muhammad Adli Bin Ja'affar
 
Strategic Management in Maritime Ports
Strategic Management in Maritime PortsStrategic Management in Maritime Ports
Strategic Management in Maritime Ports
Paradigma Consulting
 
Risk Mitigation with Compliance Calendars
Risk Mitigation with Compliance CalendarsRisk Mitigation with Compliance Calendars
Risk Mitigation with Compliance Calendars
Triumvirate Environmental
 
Communication in Organization
Communication in OrganizationCommunication in Organization
On Board Security Risk Management
On Board Security Risk ManagementOn Board Security Risk Management
On Board Security Risk Management
Anten
 
Draft survey calculation_sheet_2010.1
Draft survey calculation_sheet_2010.1Draft survey calculation_sheet_2010.1
Draft survey calculation_sheet_2010.1Paulo Ricardo
 
Marpol Annex VI Chapter IV- GHG Emissions and Energy Efficiency Regulations
Marpol Annex VI Chapter IV- GHG Emissions and Energy Efficiency RegulationsMarpol Annex VI Chapter IV- GHG Emissions and Energy Efficiency Regulations
Marpol Annex VI Chapter IV- GHG Emissions and Energy Efficiency Regulations
Mohammud Hanif Dewan M.Phil.
 
India :Ports Sector Report_August 2013
India :Ports Sector Report_August 2013India :Ports Sector Report_August 2013
India :Ports Sector Report_August 2013
India Brand Equity Foundation
 
Maritime Security and Security Responsibilities
Maritime Security and Security ResponsibilitiesMaritime Security and Security Responsibilities
Maritime Security and Security Responsibilities
Mohammud Hanif Dewan M.Phil.
 

Viewers also liked (20)

Human factors
Human factorsHuman factors
Human factors
 
Safety at Sea May 2012
Safety at Sea May 2012Safety at Sea May 2012
Safety at Sea May 2012
 
Maritime Navigational Risk Analysis of Shipping North Slope Liquified Natural...
Maritime Navigational Risk Analysis of Shipping North Slope Liquified Natural...Maritime Navigational Risk Analysis of Shipping North Slope Liquified Natural...
Maritime Navigational Risk Analysis of Shipping North Slope Liquified Natural...
 
Small angle stability longitudinal
Small angle stability longitudinal Small angle stability longitudinal
Small angle stability longitudinal
 
Helios 522 Hand Out
Helios 522 Hand OutHelios 522 Hand Out
Helios 522 Hand Out
 
Port management System
Port management System Port management System
Port management System
 
Regs4ships Presentation 2010
Regs4ships Presentation 2010Regs4ships Presentation 2010
Regs4ships Presentation 2010
 
Sms ii implemention
Sms ii implementionSms ii implemention
Sms ii implemention
 
Port management and operations
Port management and operations Port management and operations
Port management and operations
 
Management Comunication
Management ComunicationManagement Comunication
Management Comunication
 
Behaviour-based safety (BBS) is the “application of science of behaviour chan...
Behaviour-based safety (BBS) is the “application of science of behaviour chan...Behaviour-based safety (BBS) is the “application of science of behaviour chan...
Behaviour-based safety (BBS) is the “application of science of behaviour chan...
 
Small angle stability
Small angle stability Small angle stability
Small angle stability
 
Strategic Management in Maritime Ports
Strategic Management in Maritime PortsStrategic Management in Maritime Ports
Strategic Management in Maritime Ports
 
Risk Mitigation with Compliance Calendars
Risk Mitigation with Compliance CalendarsRisk Mitigation with Compliance Calendars
Risk Mitigation with Compliance Calendars
 
Communication in Organization
Communication in OrganizationCommunication in Organization
Communication in Organization
 
On Board Security Risk Management
On Board Security Risk ManagementOn Board Security Risk Management
On Board Security Risk Management
 
Draft survey calculation_sheet_2010.1
Draft survey calculation_sheet_2010.1Draft survey calculation_sheet_2010.1
Draft survey calculation_sheet_2010.1
 
Marpol Annex VI Chapter IV- GHG Emissions and Energy Efficiency Regulations
Marpol Annex VI Chapter IV- GHG Emissions and Energy Efficiency RegulationsMarpol Annex VI Chapter IV- GHG Emissions and Energy Efficiency Regulations
Marpol Annex VI Chapter IV- GHG Emissions and Energy Efficiency Regulations
 
India :Ports Sector Report_August 2013
India :Ports Sector Report_August 2013India :Ports Sector Report_August 2013
India :Ports Sector Report_August 2013
 
Maritime Security and Security Responsibilities
Maritime Security and Security ResponsibilitiesMaritime Security and Security Responsibilities
Maritime Security and Security Responsibilities
 

Similar to HUMAN FACTOR CASES ANALYSIS

HELIOS 522 - Mark Adrian Langtry - Crew Resource Management
HELIOS 522 - Mark Adrian Langtry - Crew Resource ManagementHELIOS 522 - Mark Adrian Langtry - Crew Resource Management
HELIOS 522 - Mark Adrian Langtry - Crew Resource Management
Mark Adrian Langtry
 
Research assignment
Research assignmentResearch assignment
Research assignment
Thameen Ahamed
 
November Newsletter 2012
November Newsletter 2012November Newsletter 2012
November Newsletter 2012Brad Elliott
 
United express flight 6291 crash: Human Factors Review
United express flight 6291 crash: Human Factors ReviewUnited express flight 6291 crash: Human Factors Review
United express flight 6291 crash: Human Factors Review
Natalia Welton-Torres
 
WELCOME [Autosaved].pptghjhhhjjjjjjiiiygg
WELCOME [Autosaved].pptghjhhhjjjjjjiiiyggWELCOME [Autosaved].pptghjhhhjjjjjjiiiygg
WELCOME [Autosaved].pptghjhhhjjjjjjiiiygg
SandipBiswaz
 
Dr Soukeras
Dr SoukerasDr Soukeras
Dr Soukeras
aviationsociety
 
Human factors and aviation safety 1
Human factors and aviation safety 1Human factors and aviation safety 1
Human factors and aviation safety 1
leonardjonh211
 
US Airways Flight 1549 (Sully) A-3.docx
US Airways Flight 1549 (Sully) A-3.docxUS Airways Flight 1549 (Sully) A-3.docx
US Airways Flight 1549 (Sully) A-3.docx
MIbrar4
 
HUMAN FACTORS REPORT STUDY CASES
HUMAN FACTORS REPORT STUDY CASES HUMAN FACTORS REPORT STUDY CASES
HUMAN FACTORS REPORT STUDY CASES
Natasha Nabila
 
Homko Colgan Flight 3407 HFACS Safety Analysis
Homko Colgan Flight 3407  HFACS Safety AnalysisHomko Colgan Flight 3407  HFACS Safety Analysis
Homko Colgan Flight 3407 HFACS Safety Analysis
Chris Homko MS, ATP
 
Balram kumar
Balram kumarBalram kumar
Balram kumar
Banti Kumar
 
THE HUDSON INCIDENT - Miracle or Not
THE HUDSON INCIDENT - Miracle or NotTHE HUDSON INCIDENT - Miracle or Not
THE HUDSON INCIDENT - Miracle or Not
Jeremiah Afang CMIOSH Msc
 
Fundamentals of aircraft design
Fundamentals of aircraft designFundamentals of aircraft design
Fundamentals of aircraft design
Tauseef khan
 
NTSB Safety Alert: Reduced Visual Reference s Require Vigilance
NTSB Safety Alert: Reduced Visual Reference s Require VigilanceNTSB Safety Alert: Reduced Visual Reference s Require Vigilance
NTSB Safety Alert: Reduced Visual Reference s Require Vigilance
FAA Safety Team Central Florida
 
Aviation Research Project - Akash Siddharth Pol
Aviation Research Project - Akash Siddharth PolAviation Research Project - Akash Siddharth Pol
Aviation Research Project - Akash Siddharth Pol
Akash Pol
 
Human factors consideration in emergency evacuation for commercial aircaft
Human factors consideration in emergency evacuation for commercial aircaftHuman factors consideration in emergency evacuation for commercial aircaft
Human factors consideration in emergency evacuation for commercial aircaft
Lahiru Dilshan
 
Asiana airlines crash key learnings-2013-sep
Asiana airlines crash key learnings-2013-sepAsiana airlines crash key learnings-2013-sep
Asiana airlines crash key learnings-2013-sep
Brian Landberg
 
Frankfinn Aviation Research Project 2014-2015
Frankfinn Aviation Research Project  2014-2015 Frankfinn Aviation Research Project  2014-2015
Frankfinn Aviation Research Project 2014-2015
HSE Guru
 

Similar to HUMAN FACTOR CASES ANALYSIS (20)

HELIOS 522 - Mark Adrian Langtry - Crew Resource Management
HELIOS 522 - Mark Adrian Langtry - Crew Resource ManagementHELIOS 522 - Mark Adrian Langtry - Crew Resource Management
HELIOS 522 - Mark Adrian Langtry - Crew Resource Management
 
Research assignment
Research assignmentResearch assignment
Research assignment
 
Major Aircrash
Major Aircrash Major Aircrash
Major Aircrash
 
November Newsletter 2012
November Newsletter 2012November Newsletter 2012
November Newsletter 2012
 
United express flight 6291 crash: Human Factors Review
United express flight 6291 crash: Human Factors ReviewUnited express flight 6291 crash: Human Factors Review
United express flight 6291 crash: Human Factors Review
 
WELCOME [Autosaved].pptghjhhhjjjjjjiiiygg
WELCOME [Autosaved].pptghjhhhjjjjjjiiiyggWELCOME [Autosaved].pptghjhhhjjjjjjiiiygg
WELCOME [Autosaved].pptghjhhhjjjjjjiiiygg
 
Dr Soukeras
Dr SoukerasDr Soukeras
Dr Soukeras
 
Human factors and aviation safety 1
Human factors and aviation safety 1Human factors and aviation safety 1
Human factors and aviation safety 1
 
US Airways Flight 1549 (Sully) A-3.docx
US Airways Flight 1549 (Sully) A-3.docxUS Airways Flight 1549 (Sully) A-3.docx
US Airways Flight 1549 (Sully) A-3.docx
 
Business ethics
Business ethicsBusiness ethics
Business ethics
 
HUMAN FACTORS REPORT STUDY CASES
HUMAN FACTORS REPORT STUDY CASES HUMAN FACTORS REPORT STUDY CASES
HUMAN FACTORS REPORT STUDY CASES
 
Homko Colgan Flight 3407 HFACS Safety Analysis
Homko Colgan Flight 3407  HFACS Safety AnalysisHomko Colgan Flight 3407  HFACS Safety Analysis
Homko Colgan Flight 3407 HFACS Safety Analysis
 
Balram kumar
Balram kumarBalram kumar
Balram kumar
 
THE HUDSON INCIDENT - Miracle or Not
THE HUDSON INCIDENT - Miracle or NotTHE HUDSON INCIDENT - Miracle or Not
THE HUDSON INCIDENT - Miracle or Not
 
Fundamentals of aircraft design
Fundamentals of aircraft designFundamentals of aircraft design
Fundamentals of aircraft design
 
NTSB Safety Alert: Reduced Visual Reference s Require Vigilance
NTSB Safety Alert: Reduced Visual Reference s Require VigilanceNTSB Safety Alert: Reduced Visual Reference s Require Vigilance
NTSB Safety Alert: Reduced Visual Reference s Require Vigilance
 
Aviation Research Project - Akash Siddharth Pol
Aviation Research Project - Akash Siddharth PolAviation Research Project - Akash Siddharth Pol
Aviation Research Project - Akash Siddharth Pol
 
Human factors consideration in emergency evacuation for commercial aircaft
Human factors consideration in emergency evacuation for commercial aircaftHuman factors consideration in emergency evacuation for commercial aircaft
Human factors consideration in emergency evacuation for commercial aircaft
 
Asiana airlines crash key learnings-2013-sep
Asiana airlines crash key learnings-2013-sepAsiana airlines crash key learnings-2013-sep
Asiana airlines crash key learnings-2013-sep
 
Frankfinn Aviation Research Project 2014-2015
Frankfinn Aviation Research Project  2014-2015 Frankfinn Aviation Research Project  2014-2015
Frankfinn Aviation Research Project 2014-2015
 

Recently uploaded

The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
Delapenabediema
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
BhavyaRajput3
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
siemaillard
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
RaedMohamed3
 
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdfUnit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
Thiyagu K
 
Template Jadual Bertugas Kelas (Boleh Edit)
Template Jadual Bertugas Kelas (Boleh Edit)Template Jadual Bertugas Kelas (Boleh Edit)
Template Jadual Bertugas Kelas (Boleh Edit)
rosedainty
 
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptx
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxStudents, digital devices and success - Andreas Schleicher - 27 May 2024..pptx
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptx
EduSkills OECD
 
MARUTI SUZUKI- A Successful Joint Venture in India.pptx
MARUTI SUZUKI- A Successful Joint Venture in India.pptxMARUTI SUZUKI- A Successful Joint Venture in India.pptx
MARUTI SUZUKI- A Successful Joint Venture in India.pptx
bennyroshan06
 
Supporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptxSupporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptx
Jisc
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
Celine George
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
EugeneSaldivar
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
Pavel ( NSTU)
 
Basic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumersBasic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumers
PedroFerreira53928
 
How to Create Map Views in the Odoo 17 ERP
How to Create Map Views in the Odoo 17 ERPHow to Create Map Views in the Odoo 17 ERP
How to Create Map Views in the Odoo 17 ERP
Celine George
 
The Art Pastor's Guide to Sabbath | Steve Thomason
The Art Pastor's Guide to Sabbath | Steve ThomasonThe Art Pastor's Guide to Sabbath | Steve Thomason
The Art Pastor's Guide to Sabbath | Steve Thomason
Steve Thomason
 
Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
Sha'Carri Richardson Presentation 202345
Sha'Carri Richardson Presentation 202345Sha'Carri Richardson Presentation 202345
Sha'Carri Richardson Presentation 202345
beazzy04
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
JosvitaDsouza2
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
Jisc
 

Recently uploaded (20)

The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
 
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdfUnit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
 
Template Jadual Bertugas Kelas (Boleh Edit)
Template Jadual Bertugas Kelas (Boleh Edit)Template Jadual Bertugas Kelas (Boleh Edit)
Template Jadual Bertugas Kelas (Boleh Edit)
 
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptx
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxStudents, digital devices and success - Andreas Schleicher - 27 May 2024..pptx
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptx
 
MARUTI SUZUKI- A Successful Joint Venture in India.pptx
MARUTI SUZUKI- A Successful Joint Venture in India.pptxMARUTI SUZUKI- A Successful Joint Venture in India.pptx
MARUTI SUZUKI- A Successful Joint Venture in India.pptx
 
Supporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptxSupporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptx
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
 
Basic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumersBasic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumers
 
How to Create Map Views in the Odoo 17 ERP
How to Create Map Views in the Odoo 17 ERPHow to Create Map Views in the Odoo 17 ERP
How to Create Map Views in the Odoo 17 ERP
 
The Art Pastor's Guide to Sabbath | Steve Thomason
The Art Pastor's Guide to Sabbath | Steve ThomasonThe Art Pastor's Guide to Sabbath | Steve Thomason
The Art Pastor's Guide to Sabbath | Steve Thomason
 
Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......
 
Sha'Carri Richardson Presentation 202345
Sha'Carri Richardson Presentation 202345Sha'Carri Richardson Presentation 202345
Sha'Carri Richardson Presentation 202345
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
 

HUMAN FACTOR CASES ANALYSIS

  • 1. •HELIOS FLIGHT 522 AIRCRAFT ACCIDENT •ALOHA AIRLINES FLIGHT 243 ACCIDENT SHEL FACTORS MOHD FARID BIN MOHD FAUZI 53212215012 FARAH SHAFINAZ BINTI AHMAD AZZAN 53212215030 AFREENA AFIEN BINTI MOHD AZRI OOI 53212215008 AMIRA ATIKAH BINTI RAUP 53212215007 SITI NOR AIN BINTI HARIS 53212215026 MOHAMMAD SUBAIL CHOWDHURY 53212215047 PREPARED BY: PREPARED FOR: DR. MOHAMED IDRUS BIN ABD MOIN
  • 2. 5 CASES 1. Helios Airways Flight 522 2. Aloha Airlines Flight 243 3. Singapore Airlines Flight 006 4. Tenerife airport disaster 5. Crossair Flight 498
  • 3. INTRODUCTION OF SHEL MODEL A conceptual model using 4 blocks to represent interaction between the different components of “Human Factors”. S – Software H – Hardware E – Environment L – Livewire
  • 4. 1. Software  Interaction with technology, system rules and SOP’s 2. Hardware  Controls / Surfaces, Displays and functional systems 3. Environment  The “Climate”; Social / Economic, as well as Natural v “Operating” Environments 4. Livewire  Human interaction; Flight crew -> Cabin Crew -> Engineers etc.
  • 5. Interface between categories: Essentially it suggests that any interaction involving human beings is always less than “perfect” – Hence the importance of; “HUMAN FACTORS”
  • 6. CASE 1 : HELIOS FLIGHT 522 AIRCRAFT ACCIDENT
  • 7. SEQUENCE OF EVENTS • 14 AUG 05, crashed north of Marathon & Varnavas, Greece. • Wreckage located near Grammatiko community 40 km from Athens. • All 121 on board were killed. • Before take-off, crew failed to correctly set pressurisation system. • Result, gradual decompression. All on board suffering Hypoxia. • Captain’s conversation with engineer, confirmed he was suffering hypoxia. • When Greek air space entered, ATC not contacted. 2 Hellenic Air Force F-16 fighters scrambled. • F-16 pilots saw F/A Andreas Prodromou at controls, (trainee pilot), attempting control of aircraft, (consciousness due to portable oxygen). • Aircraft crashed due to lack of fuel. Engines failed in quick succession.
  • 8. SHEL MODEL AND HUMAN FACTOR RELATIONSHIP  In this instance, none of significance  Pressurisation set to “Manual” instead of “Auto” - Importance of SOP’s!  “Cabin altitude” horn misidentified as a take-off configuration warning  An “Oxy ON” warning light misinterpreted as “systems” were overheating.
  • 9.  Attempt at cogitative thought in a “Hypoxic” environment, (loss of cabin pressure)  Re-enforces vital importance of recognition of symptoms and adherence to drills  Cultural differences, East German Captain, Cypriot First Officer, “lack of common language”  Engineer during discussion identified Hypoxia. Didn’t really “press point” to the Captain
  • 10. CASE 2 : ALOHA AIRLINES FLIGHT 243 ACCIDENT
  • 11. SEQUENCE OF EVENTS (AQ243)  Aircraft departed normally , bound to Honolulu  No unusual occurrences were noticed during the pre-departure inspection of the aircraft  While flying, 18 feet of the upper cabin structure suddenly being ripped away due to a structural failure  Result in decompression in flight  Able to land safely at Kahului Airport on Maui
  • 12. SHEL MODEL AND HUMAN FACTOR RELATIONSHIP  The engineering inspector might misinterpreted during his inspection or lack of focus  Possibility of not fully equipped of equipment during inspection  The environment of the workplace might contributes and leads to a weak working performance  Lack of interactions between engineers and pilots during the pre flight checks