Subject: Re:Human Factors in Aviation Maintenance
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From: Sakuma/BDZ_at_tyogdt11
TO: vangelis_at_spidernet.com.cy
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> Dear Hidetake,
> I have seen your input to the CRM Dev. Group and i took the
> opportunity to write to you.
> I am interested to know if there is an on going training or other prog
> ram
> on Human Factors in Aviation Maintenance in Japan Airlines.
> If you know please let me know some details otherwise please give the
> contacts of someone that does.
> I am the Human Factors Coordinator of AEI (Aircraft Engineers Internat
> ional)
> and i work as a Licensed Aircraft Maintenance Engineer for Cyprus Airw
> ays
> at the post of a Superintenent. I am currently running a Human Factors
> Course
> as a fascilitator for the maintenance staff.
> I would love to get in contact with Japaneese coleagues to exchange vi
> ews
> on this issue.
> Thanks and warmest regards from Cyprus (an island in Mediterenian)
> Evangelos Demosthenous
Dear Evangelos :
I'm delighted to receive your input inquiring for ongoing JAL
activities for Human Factors in Aviation Maintenance.
To be very short, JAL Maintenance has just started them from Human
Factors education for maintenance personnel including management staff.
They are still finding a way to more practical approaches such as MRM
and joint CRM with other operational personnel. For further detail
information, please contact with Kohei Kayukawa, Quality Assurance
Dept. JAL at E-mail "Kayukawa_at_jiz_c.crane.jal.co.jp". He is going to
make a presentation to disclose our programs at AAPA(Association of
Asia Pacific Airlines) Inaugural E&M Human Factor Forum which will be
held on 24-25, Feb., 1998 in Sydney, Austraria. Another person from JAL
will join the FAA and CAA sponsored Maintenance Human Factors symposium
being planned in March at London, UK. You can also talk with him if you
will be there.
In addition, I am contributing to the in-house monthly maintenance QA
meeting as an advisor, where I am enchouraging them for hot discussions
to exchange frank opinions, from Human Factors vital point of view, on
major maintenance human errors which are reported through
organizational channel from JAL operational front lines and workshops.
As you may feel, the importance of Human Factors activities in
maintenance has long been underestimated in aviation history. It is
probably because human error in maintenance has been considered less
direct to the accident and also deemed difficult to deal with because
of complicated maintenance work environments and specialized
workmanship.
Let me talk one typical example here. Imagine the case where the
airplane crashed just afer takeoff due to failed takeoff flap setting.
This kind of accident has been categorized as "pilot error" and the
mulfunctioned takeoff warning were only considered as one of
"contributing factors". Is this a balanced consideration ? I don't
think so, because I know not a few cases are being reported through
voluntary pilot reports saying that the pilot was notified of failed
takeoff flaps by takeoff warning just when he advanced the thrust lever
to start to takeoff. I think there must be much more hidden similar
cases which were not reported by pilots. In these cases, if takeoff
warning should have been inoperative due to any maintenance error, what
would have happened ? So terrible ! Such a terrible accident could
never be avoided only by actions focused on flightcrew error(Checklist,
CRM, etc.). Should be reminded here is that the takeoff warning is
making a thankless important job which
is worthwile awarding a true MVP of airline flight safety business. How
many accidents were prevented until now thanks to this warning system ?
Maintenance people are making efforts to keep it functioning every
day.
Regards, Hidetake Sakuma, Corporate Safety, JAL
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