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Dirty Dozen

The document discusses 12 human factors that can lead to errors known as the "Dirty Dozen". They are: lack of communication, complacency, lack of knowledge, distractions, lack of teamwork, fatigue, lack of resources, pressure, lack of assertiveness, stress, lack of awareness, and norms. Examples are provided to illustrate each factor, such as the Tenerife airport disaster being caused by lack of communication between aircraft.

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Karl Owen Canicosa
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247 views2 pages

Dirty Dozen

The document discusses 12 human factors that can lead to errors known as the "Dirty Dozen". They are: lack of communication, complacency, lack of knowledge, distractions, lack of teamwork, fatigue, lack of resources, pressure, lack of assertiveness, stress, lack of awareness, and norms. Examples are provided to illustrate each factor, such as the Tenerife airport disaster being caused by lack of communication between aircraft.

Uploaded by

Karl Owen Canicosa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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HUMAN FACTORS

THE DIRTY DOZEN

1. LACK OF COMMUNICATION – FAILURE TO TRANSMIT, RECEIVE OR PROVIDE SUFFICIENT


INFORMATION FROM ONE PARTY TO ANOTHER OR IN COMPLETING A TASK.
EX. TENERIFE AIRPORT DISASTER WAS DUE TO THE LACK OF COMMUNICATION
BETWEEN THE TWO AIRCRAFTS AND THE ATC TOWER.

2. COMPLACENCY – FAILURE TO THOROUGHLY PERFORM A TASK DUE TO REPEATED EXPERIENCE


CAUSING AN ATTITUDE OF OVERCONFIDENCE.
EX. SKIPPING AN INSPECTION DUE TO UNCRITICAL ASSUMPTIONS.

3. LACK OF KNOWLEDGE – SHORTAGE IN TRAINING OR INTELLECT RESULTING TO POOR TASK


EXECUTION.
EX. FIDDLING WITH AIRCRAFT COMPONENTS WITHOUT PROPER TRAINING OR
KNOWLEDGE.

4. DISTRACTIONS – ANYTHING THAT WOULD RENDER ONES ATTENTION ELSEWHERE FROM THE
TASK AT HAND.
EX. CONTROL TOWER OPERATOR CONVERSING WITH COLLEAGUES WHILE GUIDING
AIRCRAFTS DURING LANDING.

5. LACK OF TEAMWORK – LACK OF UNISON AMONGST THE WORKFORCE WHICH CAN RESULT IN
FAILURE
EX. FIRST OFFICER UNCOOPERATIVE WITH THE CAPTAIN’S WORK AND DECISIONS IN
FLIGHT.

6. FATIGUE – EXHAUSTION THAT CAN LEAD TO THREATENINGLY POOR PERFORMANCE


EX. BACK TO BACK FLIGHTS THAT CAN LEAD TO PILOT FATIGUE THAT MAY INCUR AN
ACCIDENT.

7. LACK OF RESOURCES – INSUFFICIENT LABOR FORCE, EQUIPMENT, COMPONENTS, ETC.


EX. USAGE OF CHEAP SUB-STANDARD COMPONENTS IN AIRCRAFT MAINTENANCE/
REPAIR.

8. PRESSURE – REAL OR PERCEIVED FORCES THAT DEMANDS A HIGH STANDARD OF


PERFORMANCE.
EX. PILOTS PRESSURING AERONAUTICAL ENGINEERS TO CLEAR AN AIRCRAFT WITHOUT
PROPER INSPECTION OR MAINTENANCE.

9. LACK OF ASSERTIVENESS – FAILURE TO POINT OUT ERRORS IN ORDERS, ACTIONS, ETC.


EX. FIRST PILOT KNOWING THE CAPTAIN’S CHOICE IS WRONG BUT NOT PREVENTING IT.
10. STRESS – AN EMOTIONAL FACTOR THAT CAN CAUSE PHYSICAL OR MENTAL TENSION.
EX. ENGINEER AT WORK, WHILE ALSO DEALING WITH PROBLEMS OUTSIDE OF WORK.

11. LACK OF AWARENESS – FAILURE TO RECOGNIZE A CERTAIN SITUATION AND DEAL WITH IT EARLY
ON.
EX. LACK OF AWARENESS BY THE KLM PILOT THAT ANOTHER AIRCRAFT WAS ON THE
OPPOSITE SIDE OF THE RUNWAY.
12. NORMS – UNWRITTEN RULES FORMED WITHIN AN ORGANIZATION THAT DICTATES RIGHT AND
WRONG ACTIONS.
EX. COMPROMISING A TASK BY DOING SOMETHING ACCUSTOMED RATHER THAN THE
STANDARD EXECUTION.

EX.

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