Human Factors Module 9
Human Factors Module 9
Human Factors Module 9
JAR 66.50 imposes a requirement that “certifying staff must not exercise the privileges
of their certification authorisation if they know or suspect that their physical or mental
condition renders them unfit.”
Finally, day-to-day health and fitness can be influenced by the use of medication,
alcohol and illicit drugs. These are covered later in Section 6.
Stress: Domestic and Work Related
Stress can be defined as any force, that when applied to a system, causes
some significant modification of its form, where forces can be physical,
psychological or due to social pressures.
Different stressors affect different people to varying extents. Stressors may be:
• Physical - such as heat, cold, noise, vibration, presence of something damaging to health
(e.g. carbon monoxide);
• Psychological - such as emotional upset (e.g. due to bereavements, domestic problems,
etc.), worries about real or imagined problems (e.g. due to financial problems, ill health, etc.);
• Reactive - such as events occurring in everyday life (e.g. working under time pressure,
encountering unexpected situations, etc.).
AWN47 points out that:
“A stress problem can manifest itself by signs of irritability, forgetfulness, sickness absence,
mistakes, or alcohol or drug abuse. Management have a duty to identify individuals who may be
suffering from stress and to minimise workplace stresses. Individual cases can be helped by
sympathetic and skilful counselling which allows a return to effective work and licensed duties.”
In brief, the possible signs of stress can include:
• Physiological symptoms - such as sweating, dryness of the mouth, etc.;
• Health effects - such as nausea, headaches, sleep problems, diarrhoea, ulcers, etc.;
• Behavioural symptoms - such as restlessness, shaking, nervous laughter, taking longer over tasks,
changes to appetite, excessive drinking, etc.;
• Cognitive effects - such as poor concentration, indecision, forgetfulness, etc.;
• Subjective effects - such as anxiety, irritability, depression, moodiness, aggression, etc.
It should be noted that individuals respond to stressful situations in very different ways. Generally
speaking though, people tend to regard situations with negative consequences as being more
stressful than when the outcome of the stress will be positive (e.g. the difference between being
made redundant from work and being present at the birth of a son or daughter).
Domestic Stress
When aircraft maintenance engineers go to work, they cannot leave
stresses associated with home behind. Pre-occupation with a source of
domestic stress can play on one’s mind during the working day, distracting
from the working task. Inability to concentrate fully may impact on the
engineer’s task performance and ability to pay due attention to safety.
Domestic stress typically results from major life changes at home, such as
marriage, birth of a child, a son or daughter leaving home, bereavement of
a close family member or friend, marital problems, or divorce.
Work Related Stress
Aircraft maintenance engineers can experience stress for two reasons at work:
because of the task or job they are undertaking at that moment, or because of the
general organisational environment. Stress can be felt when carrying out certain
tasks that are particularly challenging or difficult. This stress can be increased by lack
of guidance in this situation, or time pressures to complete the task or job (covered
later in this chapter). This type of stress can be reduced by careful management,
good training, etc.
Within the organisation, the social and managerial aspects of work can be stressful.
Chapter 3 discussed the impact on the individual of peer pressure, organizational
culture and management, all of which can be stressors. In the commercial world
that aircraft maintenance engineers work in, shift patterns, lack of control over own
workload, company reorganisation and job uncertainty can also be sources of stress.
Stress Management
Once we become aware of stress, we generally respond to it by using one of two strategies: defence or
coping.
Defence strategies involve alleviation of the symptoms (taking medication, alcohol, etc.) or reducing the
anxiety (e.g. denying to yourself that there is a problem (denial), or blaming someone else).
Coping strategies involve dealing with the source of the stress rather than just the symptoms (e.g.
delegating workload, prioritising tasks, sorting out the problem, etc.).
Coping is the process whereby the individual either adjusts to the perceived demands of the situation or
changes the situation itself.
Unfortunately, it is not always possible to deal with the problem if this is outside the control of the
individual (such as during an emergency), but there are well-published techniques for helping
individuals to cope with stress2. Good stress management techniques include:
• Relaxation techniques;
• Careful regulation of sleep and diet;
• A regime of regular physical exercise;
• Counselling - ranging from talking to a supportive friend or colleague to seeking professional advice.
There is no magic formula to cure stress and anxiety, merely common sense and practical advice.
Time Pressure and Deadlines
There is probably no industry in the commercial environment that does not
impose some form of deadline, and consequently time pressure, on its
employees. Aircraft maintenance is no exception. It was highlighted in the
previous section that one of the potential stressors in maintenance is time
pressure. This might be actual pressure where clearly specified deadlines
are imposed by an external source (e.g. management or supervisors) and
passed on to engineers, or perceived where engineers feel that there are
time pressures when carrying out tasks, even when no definitive deadlines
have been set in stone. In addition, time pressure may be self imposed, in
which case engineers set themselves deadlines to complete work (e.g.
completing a task before a break or before the end of a shift).
Management have contractual pressures associated with ensuring an
aircraft is released to service within the time frame specified by their
customers. Striving for higher aircraft utilisation means that more
maintenance must be accomplished in fewer hours, with these hours
frequently being at night. Failure to do so can impact on flight
punctuality and passenger satisfaction. Thus, aircraft maintenance
engineers have two driving forces: the deadlines handed down to them
and their responsibilities to carry out a safe job. The potential conflict
between these two driving pressures can cause problems.
The Effects of Time Pressure and
Deadlines
As with stress, it is generally thought that some time pressure is
stimulating and may actually improve task performance. However, it is
almost certainly true that excessive time pressure (either actual or
perceived, external or self-imposed), is likely to mean that due care and
attention when carrying out tasks diminishes and more errors willm be
made. Ultimately, these errors can lead to aircraft incidents and
accidents.
It is possible that perceived time pressure would appear to have been a
contributory factor in the BAC 1-11 accident described in Chapter 1. Although
the aircraft was not required the following morning for operational use, it was
booked for a wash. The wash team had been booked the previous week and an
aircraft had not been ready. This would have happened again, due to short-
staffing, so the Shift Manager decided to carry out the windscreen replacement
task himself so that the aircraft would be ready in time.
An extract from the NTSB report on the Aloha accident refers to time pressure
as a possible contributory factor in the accident: “The majority of Aloha's
maintenance was normally conducted only during the night. It was considered
important that the airplanes be available again for the next day's flying
schedule. Such aircraft utilization tends to drive the scheduling, and indeed, the
completion of required maintenance work. Mechanics and inspectors are forced
to perform under time pressure. Further, the intense effort to keep the airplanes
flying may have been so strong that the maintenance personnel were reluctant
to keep airplanes in the hangar any longer than absolutely necessary.”
Managing Time Pressure and Deadlines
One potential method of managing time pressures exerted on engineers is
through regulation. For example, FAA research has highlighted the need to
insulate aircraft maintenance engineers from commercial pressures. They
consider this would help to ensure that airworthiness issues will always take
precedence over commercial and time pressures. Time pressures can make
‘corner-cutting’ a cultural norm in an organisation. Sometimes, only an incident
or accident reveals such norms (the extract from the Aloha accident above
exemplifies this).
Those responsible for setting deadlines and allocating tasks should consider:
• Prioritising various pieces of work that need to be done;
• The actual time available to carry out work (considering breaks, shift
handovers, etc.);
• The personnel available throughout the whole job (allowing a
contingency for illness);
•The most appropriate utilisation of staff (considering an engineer’s
specialisation, and strengths and limitations);
• Availability of parts and spares.
It is important that engineering staff at all levels are not afraid to voice
concerns over inappropriate deadlines, and if necessary, cite the need
to do a safe job to support this. As highlighted in Chapter 3, within
aircraft maintenance, responsibility should be spread across all those
who play a part. Thus, the aircraft maintenance engineer should not
feel that the ‘buck stops here’.
Workload - Overload and Underload
The preceding sections on stress and time pressure have both indicated
that a certain amount of stimulation is beneficial to an aircraft
maintenance engineer, but that too much stimulation can lead to stress
or over-commitment in terms of time. It is noteworthy that too little
stimulation can also be a problem.
Before going on to discuss workload, it is important to consider this
optimum level of stimulation or arousal.
Arousal
Arousal in its most general sense, refers to readiness of a person for
performin work. To achieve an optimum level of task performance, it is
necessary to have a certain level of stimulation or arousal. This level of
stimulation or arousal varies from person to person. There are people
who are overloaded by having to do more than one task at a time; on
the other hand there are people who appear to thrive on stress, being
happy to take on more and more work or challenges. Figure 16 shows
the general relationship between arousal and task performance.
Figure 16 Optimum arousal leads to best task performance
In the B737 double engine oil loss incident, the error occurred during the
night shift. The accident investigation report commented that: “It is under
these circumstances that the fragility of the self monitoring system is most
exposed because the safety system can be jeopardised by poor judgement on
the part of one person and it is also the time at which people are most likely
to suffer impaired judgement”
Rolling Shift Patterns
When an engineer works rolling shifts and changes from one shift to
another (e.g. ‘day shift’ to ‘night shift’), the body's internal clock is not
immediately reset. It continues on its old wake-sleep cycle for several
days, even though it is no longer possible for the person to sleep when the
body thinks it is appropriate, and is only gradually resynchronised.
However, by this time, the engineer may have moved onto the next shift.
Generally, it is now accepted that shift rotation should be to later shifts
(i.e. early shift _ late shift _ night shift or day shift _ night shift) instead of
rotation towards earlier shifts (night shift _ late shift _ early shift).
Continuity of Tasks and Shift Handovers
Many maintenance tasks often span more than one shift, requiring
tasks to be passed from one shift to the next. The outgoing personnel
are at the end of anything up to a twelve hour shift and are
consequently tired and eager to go home. Therefore, shift handover is
potentially an area where human errors can occur. Whilst longer shifts
may result in greater fatigue, the disadvantages may be offset by the
fact that fewer shift changeovers are required (i.e. only 2 handovers
with 2 twelve hour shifts, as opposed to 3 handovers with 3 eight hour
shifts).
Sleep, Fatigue, Shift Work and the Aircraft
Maintenance Engineer
Most individuals need approximately 8 hours sleep in a 24 hour period,
although this varies between individuals, some needing more and some
happy with less than this to be fully refreshed. They can usually
perform adequately with less that this for a few days, building up a
temporary sleep ‘deficit’. However, any sleep deficit will need to be
made up, otherwise performance will start to suffer. A good rule of
thumb is that one hour of high-quality sleep is good for two hours of
activity.
As previously noted, fatigue is best tackled by ensuring
adequate rest and good quality sleep are obtained. The use
of blackout curtains if having to sleep during daylight has
already been mentioned. It is also best not to eat a large
meal shortly before trying to sleep, but on the other hand,
the engineer should avoid going to bed hungry. As fatigue is
also influenced by illness, alcohol, etc., it is very important
to get more sleep if feeling a little unwell and drink only in
moderation between duties (discussed further in the next
section). Taking over-the-counter drugs to help sleep should
only be used as a last resort.
When rotating shifts are worked, it is important that the engineer is
disciplined with his eating and sleeping times. Moreover, out of work
activities have to be carefully planned. For example, it is obvious that
an individual who has been out night-clubbing until the early hours of
the morning will not be adequately rested if rostered on an early shift.
The current law which does not prescribe a blood/alcohol limit, is soon to change.
There will be new legislation permitting police to test for drink or drugs where there is
reasonable cause, and the introduction of a blood/alcohol limit of 20 milligrams of
alcohol per 100 millilitres of blood for anyone performing a safety critical role in UK civil
aviation (which includes aircraft maintenance engineers).
Alcohol
Alcohol acts as a depressant on the central nervous system, dulling the
senses and increasing mental and physical reaction times. It is known that
even a small amount of alcohol leads to a decline in an individual’s
performance and may cause his judgement (i.e. ability to gauge his
performance) to be hindered.
Alcohol is removed from the blood at a fixed rate and this cannot be
speeded up in any way (e.g. by drinking strong coffee). In fact, sleeping after
drinking alcohol can slow down the removal process, as the body’s
metabolic systems are slower.
AWN47 provides the following advice concerning alcohol:
“Alcohol has similar effects to tranquillisers and sleeping tablets
and may remain circulating in the blood for a considerable time,
especially if taken with food. It may be borne in mind that a person
may not be fit to go on duty even 8 hours after drinking large
amounts of alcohol. Individuals should therefore anticipate such
effects upon their next duty period. Special note should be taken of
the fact that combinations of alcohol and sleeping tablets, or anti-
histamines, can form a highly dangerous and even lethal
combination.”
Any medication, no matter how common, can possibly have direct effects or
side effects that may impair an engineer’s performance in the workplace.
When working outside during daylight, the engineer may have sufficient natural
light to see well by. It is possible however that he may be in shadow (possibly
caused by the aircraft) or a building. Similarly, cramped equipment
compartments will not be illuminated by ambient hangar lighting. In these cases,
additional local artificial lighting is usually required (known as task lighting). At
night, aerodromes may appear to be awash with floodlights and other
aerodrome lighting, but these are unlikely to provide sufficient illumination for
an engineer to be able to see what he is doing when working on an aircraft.
These lights are not designed and placed for this purpose. Again, additional local
artificial lighting is needed, which may be nothing more than a good torch (i.e.
one which does not have a dark area in the centre of the beam). However, the
drawback of a torch, is that it leaves the engineer with only one hand available
with which to work. A light mounted on a headband gets round this problem.
A torch can be very useful to the engineer, but Murphy’s Law
dictates that the torch batteries will run down when the engineer is
across the airfield from the stores. It is much wiser to carry a spare
set of batteries than ‘take a chance’ by attempting a job without
enough light.
“The Safety Board believes that the "OK to Close" inspector was hindered
considerably by the environment of the pylon area. He indicated, for example, that the
combination of location of the scaffolding (at a level just below the underside of the
wing that forced him into unusual and uncomfortable physical positions) and
inadequate lighting from the base of the scaffolding up toward the pylon, hampered
his inspection efforts. Moreover, the underside of the pylon was illuminated by
portable fluorescent lights that had been placed along the floor of the scaffolding.
These lights had previously been used in areas where airplanes were painted, and, as a
result, had been covered with the residue of numerous paint applications that
diminished their brightness. These factors combined to cause the inspector to view the
fuse pin retainers by holding onto the airplane structure with one hand, leaning under
the bat wing doors at an angle of at least 30°, holding a flashlight with the other hand
pointing to the area, and moving his head awkwardly to face up into the pylon area.”
It is also important that illumination is available where the engineer
needs it (i.e. both in the hangar and one the line). Any supplemental
task lighting must be adequate in terms of its brightness for the task
at hand, which is best judged by the engineer. When using task
lighting, it should be placed close to the work being done, but
should not be in the engineer’s line of sight as this will result in
direct glare. It must also be arranged so that it does not reflect off
surfaces near where the engineer is working causing indirect or
reflected glare. Glare of either kind will be a distraction from the
task and may cause mistakes.
“The working environment for line maintenance should be such that the particular
maintenance or inspection task can be carried out without undue distraction. It
therefore follows that where the working environment deteriorates to an
unacceptable level in respect of temperature, moisture, hail, ice, snow, wind, light,
dust/other airborne contamination, the particular maintenance or inspection tasks
should be suspended until satisfactory conditions are re-established”
Unfortunately, in reality, pressure to turn aircraft round rapidly means that some
maintenance tasks are not put off until the conditions are more conducive to work.
There was an instance in Scotland, where work on an aircraft was only suspended
when it became so cold that the lubricants being used actually froze.
Environmental conditions can affect physical performance. For
example, cold conditions make numb fingers, reducing the
engineer’s ability to carry out fiddly repairs, and working in strong
winds can be distracting, especially if having to work at height (e.g.
on staging). Extreme environmental conditions may also be
fatiguing, both physically and mentally.