Aviation Accident Analysis - A Systems Approach
6-Week Instructor-Led Online Course
In-house Presentation and Blended Learning Options for Organizations
A new view, a holistic systems view, that sees individuals in systems, is growing. It is a view which recognizes human error as a symptom rather than cause of trouble inside the system.
Led by Capt. Paul S. Nelson, Senior Human Factors Consultant
Paul Nelson has been involved in aviation and safety for over 25 years. His experience includes general aviation flying, owning and maintaining a personal single engine aircraft, air carrier experience as a First Officer and Captain of Canadair Regional Jets, and various leadership positions in both Airline and Pilot Union safety structures. In 2008, he completed a Master Degree in Human Factors and System Safety from Lund University, Sweden. Presently, Captain Nelson is president and Human Factors safety consultant in his company Nelson HF Safety Consulting, LLC. Under NHFS he is a sub contractor to the FAA’s AFS-440 in Oklahoma City, as an Aviation Human Factors Psychologist to NextGen Human-in-the-Loop research projects. His presentation and education style has been characterized as “energetic”, “practical”, “dynamic” and “useful”. When not involved with these professional pursuits, Paul and his wife take care of their 25-acre alpaca farm in eastern Oregon, USA.
Top 5 Reasons Why You Should Attend This Unique Course.
- Get up to 2 hours of Personal Instructor feedback / interaction over 6 weeks
- Online, In-house and Blended Learning Delivery Options
- Proven course with High Ratings from past participants
- Gain Hard Copy Certificate of Completion by Courier
- Weekly Activities, Q&A Forums and Exercises for Maximum Retention of Knowledge
This course is based on cutting edge Systems and Human Factors theory. Course materials draw from STAMP (System Theoretic Accident Modeling Process) developed by Dr. Nancy Leveson, Professor at MIT and Dr. Sidney Dekker’s Local Rationality and the New View of Human Error. This course and materials focus on relational connections and interactions intrinsic to any system. Emphasis is placed on real world application exercises which can bring resiliency and safety to your workplace.
Week 1: Presentation
Presentation 1 – Human Factors: A historical context
- Deconstructionism-Linearism-Chain of events
- Cause & Effect-Root Cause
- Newtonian-Cartesian Logic
- The Sum of the Parts-“mechanical” interactions
Week 2: Presentation
Presentation 2 – Systems Theory
- Competing Goals-Goal Conflict-A balancing act
- Relational influences-Nonlinear Interactions
- Multiple Factors to incidents and accidents
- Complexity vs. Complicated
Week 3: Presentation
Presentation 3 – Local Rationality and the “New View” of Human Factors
- Actions make sense at the time!
- Emergent Properties-Greater than the sum of the parts
- Human Error as a symptom
- System Drift
- Change the System not the Human
Week 4: Exercises
Presentation 4 – Theory meets Practice Part 1
- NTSB Report: Attempted Takeoff From Wrong Runway-Comair Flight 5191
- STAMP analysis: A STAMP Analysis of the LEX Comair 5191 Accident
Case Study – Morning Tragedy-Comair 5191 Accident
Week 5: Exercises
Presentation 5 – Theory meets Practice Part 2
- Medication Error: Case Incident description
Week 6: Exercises
Presentation 6 – Theory meets Practice Part 3
Case Study – Bring your Incident or Accident for analysis
Group Discounts and Early Bird Discounts are Available!