A pragmatic mapping of factors behind deviating acts in aircraft maintenance

被引:14
作者
Tsagkas, Vassilis [1 ]
Nathanael, Dimitris [1 ]
Marmaras, Nicolas [1 ]
机构
[1] Natl Tech Univ Athens, Sch Mech Engn, Ergon Unit ErgoU, GR-15780 Zografos, Greece
关键词
Resilience; Safety critical systems; Aircraft maintenance; Deviations; Work practice; ACCIDENT CAUSATION; SYSTEMS; PERFORMANCE; SAFETY; RISK;
D O I
10.1016/j.ress.2014.05.011
中图分类号
T [工业技术];
学科分类号
08 ;
摘要
In this paper, we analyze twelve cases of deviations from prescribed procedures during scheduled/unscheduled maintenance checks, carried out by an aircraft maintenance organization in Greece. The detailed analysis of these cases let us identify specific factors that guided maintenance technicians towards alternative courses of action. Our focus is not on the material etiology of deviations but on the underlying factors that determined the actual decision action path by the air maintenance technicians. A generalization of factors is then being made, out of the specific factors identified for each case. The factors identified ranged from the most normative (e.g. manuals) to the most contextual ones (e.g. personal comfort, schedule pressures). We suggest that by making generalizations of specific factors identified from a pool of specific cases, we gain intimate knowledge on the cognitive and organizational basis of deviations. The intimate knowledge of the etiology of deviations may help us advance towards a resilient safety management in aircraft maintenance; one that goes beyond the striving for compliance, a safety management that (i) acknowledges people on the shop floor inevitably make choices and (ii) supports them in taking more "informed" and accountable decisions. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:106 / 114
页数:9
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