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Human Error and Crew Resource Management Failures in Naval Aviation Mishaps: A Review of U.S. Naval Safety Center Data, 1990-96
Aviation, Space, and Environmental Medicine (1999)
  • Douglas A. Wiegmann
  • Scott A. Shappell, Federal Aviation Administration, Civil Aeromedical Institute
Abstract
The present study examined the role of human error and crew-resource management (CRM) failures in U.S. Naval aviation mishaps. All tactical jet (TACAIR) and rotary wing Class A flight mishaps between fiscal years 1990-1996 were reviewed. Results indicated that over 75% of both TACAIR and rotary wing mishaps were attributable, at least in part, to some form of human error of which 70% were associated with aircrew human factors. Of these aircrew-related mishaps, approximately 56% involved at least one CRM failure. These percentages are very similar to those observed prior to the implementation of aircrew coordination training (ACT) in the fleet, suggesting that the initial benefits of the program have not persisted and that CRM failures continue to plague Naval aviation. Closer examination of these CRM-related mishaps suggest that the type of flight operations (preflight, routine, emergency) do play a role in the etiology of CRM failures. A larger percentage of CRM failures occurred during non-routine or extremis flight situations when TACAIR mishaps were considered. In contrast, a larger percentage of rotary wing CRM mishaps involved failures that occurred during routine
flight operations. These findings illustrate the complex etiology of CRM failures within Naval aviation and support the need for ACT programs tailored to the unique problems faced by specific communities in the fleet. 
Keywords
  • Naval aviation accidents,
  • pilot training,
  • crew resource management,
  • human error,
  • military aviation,
  • accident investigation
Publication Date
December, 1999
Citation Information
Douglas A. Wiegmann and Scott A. Shappell. "Human Error and Crew Resource Management Failures in Naval Aviation Mishaps: A Review of U.S. Naval Safety Center Data, 1990-96" Aviation, Space, and Environmental Medicine Vol. 70 Iss. 12 (1999) p. 1147 - 1151 ISSN: 0095-6562
Available at: http://works.bepress.com/scott-shappell/36/