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CPL » Human Factors » Threat and Error Management

34.52 Threat and Error Management

34.52.2 Explain the role of human error in aviation accidents

Human error is a significant factor in many aviation accidents and incidents.

An error is an action or decision that does not achieve the intended result. Examples include:

  • selecting the wrong control;

  • misreading an instrument;

  • forgetting a checklist item;

  • misunderstanding a clearance;

  • making an incorrect decision; or

  • failing to recognise a developing problem.

 

Errors do not necessarily result in an accident. Aviation systems include defences such as:

  • procedures;

  • checklists;

  • training;

  • standard operating procedures;

  • warning systems; and

  • cross-checking by other crew members.

 

An accident is more likely when an error is not detected or corrected and combines with other factors, such as:

  • high workload;

  • fatigue;

  • poor communication;

  • time pressure;

  • adverse weather;

  • inadequate supervision; or

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