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transcript
Follow Procedures! – Johnson
Follow Procedures !
Dr. Bill Johnson Chief Scientific and Technical Advisor
Human Factors in Maintenance bill-dr.johnson@faa.gov
Federal Aviation Administration
28 August 2018
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Presentation Plan: Follow Procedures
The FFP Challenge
Follow Procedures Project
Misc FAA Initiatives
28 August 2018
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Follow Procedures?
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Not Always Failure to Follow Procedures?
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Presentation Plan: It Takes a Village
To Follow Procedures
The FFP Challenge
Follow Procedures Project
Misc FAA Initiatives
28 August 2018
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2016-17 Study Methodology
Phase 2: (2017)
Field Interviews
“Describe a personal FFP event” Matched story to the 92 CFs
Rated effectiveness value of mitigations
Phase 1: (2016) Reviewed ASRS and NTSB reports
92 Contributing Factors 15 Mitigations
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Who was Interviewed?
• 156 Participants including:
– AMTs
– Inspectors
– Managers
– Engineers & Procedure writers
– Supervisors
• 7 Companies including:
– Airliner manufacturers
– Repair stations for 91, 135,121,
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Top Contributing Factors
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Lowest Contributing Factors
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Findings – Summary
Multiple CFs contribute to FFP
A multi-level challenge
Documentation not the top CF
Social/cultural issues are the major CF
Safety Culture!
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Resources
Environment
Managers AMTs
Supervisors Inspectors
Authors
Enforce Policy Peer Pressure
Culture
Peer Pressure Commitment
Reinforcement Follow Prs.
Design Templates
RII Technology
Training
Good Access & Lighting
People Actions
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www.followprocedures.com
Launching date: September 30. 2018
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Presentation Plan: Follow Procedures
The FFP Challenge
Follow Procedures Project
Misc FAA Initiatives
28 August 2018
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www.humanfactorsinfo.com
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Fatigue Support
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AC 120-115 for Fatigue Risk Mgmt.
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BTW: AC120-72A for HF Training
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Go to: Humanfactorsinfo.com
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Presentation Summary: Follow Procedures
The FFP Challenge
Follow Procedures Project
Misc FAA Initiatives
28 August 2018
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Thank you,
Bill Johnson