Best Training PracticesBest Training Practices Using ...

1 Best Training PracticesBest Training PracticesUsing theusing the dirty DozenDirty Dozen Presented forWorld Aviation Training ConferenceOrlando, FloridaApril 29, 2009 Presented byRen e DupontLackofCommunicationLackofCommunica tionLack of KnowledgeLack of KnowledgeLackofResourcesLackofResourcesL ack of AssertivenessLack of AssertivenessLackofTeamworkLackofTeamwor kLackofAwarenessLackofAwarenessComplacen cyComplacencyDistractionDistractionFatig ueFatiguePressurePressureStressStressNor msNormsFirst a Few GivensFirst a Few Givens Over 80% of aviation accidents are due to HumanOver 80% of aviation accidents are due to HumanErrorError Humans do not make these errors on purposeHumans do not make these errors on purpose Training the person on how to avoid the error theyTraining the

2 Person on how to avoid the error theydondon t intend to maket intend to makewillwilllower the number of errorslower the number of errors TheThe dirty DozenDirty Dozen are the contributing factors orare the contributing factors orpreconditions to that Human Errorpreconditions to that Human ErrorWB 2 Train the person to recognize and understand theTrain the person to recognize and understand the dirty DozenDirty Dozen and there will be less errorsand there will be less errorsThe dirty of of of of of Assertiveness10. of 2 Lets look at the contributing factorsthat can cause any one of us to makethe error we don t intend to makeG.

3 Dupont1993 Safety Nets A Safety Net is aRegulation, Policy, Practice orProcedurewhich, if in placemightbreak a linkor prevent a link in the chain of events The regulatory body controls theregulations The company controls thepolicies The individual controls thepractice orproceduresWB 2 Lack ofLack ofCommunicationCommunication11 The dirty DozenThe dirty DozenWB 3 The failure to exchangeThe failure to exchangeinformationinformation Seek first to understand,then be understood(Learn to listen) The Mental Pictures must matchTheThefailure to communicatefailure to communicatecorrectlycorrectlycan have serious, painfulcan have serious, painfulconsequencesconsequencesNot in WBOuch!

4 !!What we had there wasaNot in WBFailure To CommunicateFailure To CommunicateFor Communication To OccurTheTheMental PicturesMental PicturesMUST MatchMUST MatchComplacencyComplacency22 The dirty DozenThe dirty DozenWB 3 Self satisfaction resulting inSelf satisfaction resulting ina loss of awareness of thea loss of awareness of thedangersdangers The greater the competencyof the person, the morecommon this contributingfactor is The person will begin to seeand hear what he/she expectsto see and hearLack of KnowledgeLack of KnowledgeThe dirty DozenThe dirty DozenWB 433 A lack of understanding orA lack of understanding orexperience for the task atexperience for the task athandhand Can occur at any stage of awork career with constantchanges Training is always a Safetynet and a good investmentLack of KnowledgeLack of KnowledgeNot in WBDon t let this be YOUD istractionDistractionThe dirty DozenThe dirty DozenWB 444 Anything that takes yourAnything that takes yourmind off the job at handmind off the job

5 At hand Responsible for 15% ofall human error Number one cause offorgetting Our mind can workfaster than our handsLack ofLack ofTeamworkTeamworkThe dirty DozenThe dirty DozenWB 555 A failure to seek andA failure to seek andconsider the input of othersconsider the input of others Becomes more common asa company grows Calls for trust, a commongoal and communication Is a must for any SMS tosucceedFatigueFatigueThe dirty DozenThe dirty DozenWB 666 A loss of alertness and aA loss of alertness and afeeling of tiredness thatfeeling of tiredness thateventually ends in sleepeventually ends in sleep The #1 contributor toerror We (the industry) tend tounderestimateunderestimatethe problem We (the individual)tend tooverestimateoverestimateour ability todeal with itFatigue?

6 Not in WBFatigue?Not in WBLack ofLack ofResourcesResourcesWB 677 The dirty DozenThe dirty Dozen A lack of material orA lack of material orsupport to Safely carry outsupport to Safely carry outthe task at handthe task at hand It is not uncommon, whentimes get tough for persons tobe expected to do more withless One has to learn when tosayNONO ifit affects SafetyPressurePressureWB 688 The dirty DozenThe dirty Dozen The urgency of mattersThe urgency of mattersrequiring immediate attentionrequiring immediate attention Most pressure is selfpressure but the person failsto realize it Training must provide amodel to help them recognizethe true source of pressureNowTHISTHISis what realPressurePressurelooks likeNot in WB99 Lack ofLack ofAssertivenessAssertivenessWB 7 The dirty DozenThe dirty Dozen Failing to act in a bold andFailing to act in a bold andconfident

7 Manner on Safetyconfident manner on Safetyconcernsconcerns Has caused many accidentswhere one person hadknowledge but failed to share it Can be difficult to achieve insome cultures1010 StressStressThe dirty DozenThe dirty Dozen The subconscious responseThe subconscious responseto the demands placed on ato the demands placed on apersonperson The person often bringsthe stressor to work withthem Their mind is never fullyon the jobWB 71111 Lack ofLack ofAwarenessAwarenessThe dirty DozenThe dirty Dozen A lack of alertness andA lack of alertness andvigilance in observingvigilance in observing Usually occurs to the veryexperienced Believe they are doing theright thing but have notthought it through Needs to ask more Whatifs WB 8 This isNOT Lack of AwarenessNOT Lack of AwarenessNot in WBWhatever made you think your catwould enjoy taking a shower with you?

8 Lack of Awareness???Not in WBNormsNorms1212 The dirty DozenThe dirty Dozen Unwritten rules dictatedand followed by the majorityof the group Peer pressure and the desireto fit in are majorinfluencers Not all norms are negativeWB 8 This is an example oftaking advantage of aNormNormNot in WBLackofCommunicationLackofCommunication Lack of KnowledgeLack of KnowledgeLackofResourcesLackofResourcesL ack of AssertivenessLack of AssertivenessLackofTeamworkLackofTeamwor kLackofAwarenessLackofAwarenessComplacen cyComplacencyDistractionDistractionFatig ueFatiguePressurePressureStressStressNor msNormsTheTheDirty DozenDirty Dozenare simple and easy to

9 Understandare simple and easy to understandTheTheDirty DozenDirty Dozenare practicalare practicalTheTheDirty DozenDirty Dozencan apply to any occupation or even ourcan apply to any occupation or even ourdaily livesdaily livesTheTheDirty Dozen, dirty Dozen,if trained correctly,if trained correctly,will reducewill reducehumanhumanerrorerrorWB 9 Thank you for the opportunityto speak to you todaySystem Safety ServicesEmail:dupontr@ we can be of further assistance to youContact us atFirst Fatal Airplane CrashSeptember 17, 1908Lt. Thomas Selfridge killed1stFatality in Almost 5 Years