Document Type

Article

Publication Date

2009

City

Dayton

Abstract

By using the framework of team errors taxonomy(Sasou & Reason, 1999)and Threat and Error Management (TEM), operation errors reported in the ATC voluntary safety report system are analysed. Team errors have been proved in this research as a main risk source of ATC, a sophisticated social-technical system. Team errors contributing to 31% of the total reporting ATC errors. According to the results of sample statistics and analysis of typical cases of team errors, the main types and distributions of ATC team errors have been identified, as well as the framework and importance of sequencing of the team PSFs (Performance Shaping Factors).


Share

COinS