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Evolution of Mishap Prevention:

        Human Factors Evaluation for Unmanned Aircraft Systems



        By Elise Lagerstrom, Ph.D., Insitu Inc., Human Factors Mishap Investigator

        (Adapted with permission from    he aviation safety team   and processes become more   reactive, to anticipate the shift
        the author’s technical paper     at Insitu uses both   reliable, leading to decreased   in the root cause of mishaps in
        Evolution of Mishap Prevention:   proactive and reactive   material failures and increased   UAS from material to hu-
        Application of Human Factors   Tevaluation techniques   relative prevalence of mishaps   man-related causes.
        Evaluation Techniques for   to improve overall product   due to human error. Statis-
        Unmanned Aircraft Systems   quality and usability. Recently,   tics on the substantial role of
        (UAS), presented during ISASI                                                      Proactive Mishap Prevention
        2019, Sept. 3–5, 2019, in The Hague,   methods such as focus groups   human factors in aviation mis-  Programs
        the Netherlands. The theme for   and interviews, a year-round   haps were first published back   One of the ways we are working
        ISASI 2019 was “Future Safety: Has   focus on hazard reporting from   in 1993; however, this distribu-
        the Past Become Irrelevant?” The   all employees, and use of the   tion still holds true today with   to anticipate and prevent
        full presentation can be found on   Human Factors Analysis and   the latest statistics indicating   future mishaps is by moving
        the ISASI website at www.isasi.org   Classification System (HFACS)   70–80% of aviation mishaps are   to proactive forms of mishap
        in the Library tab under Technical   in mishap investigations and   attributed to human error. In   prevention. To do this, we have
        Presentations.—Editor)                                                             implemented several initiatives
                                    near-misses have resulted   manned aviation, the focus of
                                    in actionable and functional   safety and mishap prevention   with the goal of identifying
                                    recommendations.           has appropriately shifted to   and tracking threats before
                                      The most common recom-   address the human-machine   they result in mishaps. Four of
                                    mendations generated by these   interface (HMI) and usability   these initiatives include a line
                                    prevention programs center   with advances in technology,   operations safety audit (LOSA)
                                    on curriculum/training of   such as the glass cockpit, aug-  program with specific focus on
                                    pilots and maintainers, pilot   mented reality, and improved   UAS, pilot workload and usabil-
                                    experience, gaps between   training simulations. However,   ity assessments, tracking of ac-
                                    system capabilities and desired   in unmanned aviation, it could   tive and latent conditions using
                                    functionality, and system docu-  be argued that we lag behind,   HFACS for near-miss events,
                                    mentation.                 with a focus on perfecting the   and the use of focus groups
                                      As a result of dispositioning   airframe, autopilot logic, and   and user interviews with pilots
                                    recommendations to the re-  performance characteristics   and maintenance personnel.
                                    sponsible teams, findings from   to meet varying operational   Each of these methods has
                                    the programs and methods   demand. While these advances   provided different and valuable
                                    mentioned in this study have   are essential to safe operations,   recommendations that can be
                                    been used to               there is a warped and inappro-  pushed upstream to design and
                                      •  correct documentation   priate feel that the role of the   engineering teams, as well as
                                                                                           downstream to the end users.
                                       gaps and errors.        pilot and safety of the system
                                      •  change autopilot logic for   are somehow less important
                                       improved integration with   because of the lack of physical   LOSA
                                       manned aviation.        human presence within the air-  According to an FAA advisory
                                                               craft. This attitude is detrimen-  circular, “A LOSA is a formal
                                      •  improve maintenance   tal not only to the development
                                       procedures and documen-                             process that requires expert
                                       tation.                 of systems, but also to attempts   and highly trained observers
                                                               to integrate the unmanned   to ride the jumpseat during
                                      •  modify the pilot curricu-  aircraft system (UAS)/remotely   regularly scheduled flights to
                                       lum.                    piloted aircraft system (RPAS)   collect safety-related data on
                                      •  change the user interface   into airspace with manned   environmental conditions,
                                       to improve pilot situational  platforms.            operational complexity, and
                                       awareness and monitoring   Insitu is a company focused   flight crew performance.
                                       of aircraft function.   on UAS; however, we believe   Confidential data collection
                                                               that to be safe and successful   and nonjeopardy assurance for
                                    Introduction               aviators, we need to refocus on   pilots are fundamental to the
                                    The evolving root cause of   the pilot. In the last year, we   process.” For successful LOSA
                                    aviation mishaps has been well   have integrated human factors   program implementation to
                                    documented; with technolog-  evaluation techniques and   occur, there must be support
        Elise Lagerstrom            ical development, materials   programs, both proactive and   throughout the initiating
        16  •   July-September 2020 ISASI Forum
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