A performance improvement case study in aircraft maintenance and its implications for hazard identification

References

• ADAMS . 1994–1999 . Human factors in aircraft dispatch and maintenance , Brussels : European Commission . Under the EU BRITE-EURAM Programme. Contract No. BRPR-CT95–0038, Project No. BE95–1732
   Google Scholar
• ADAMS . . Human factors in aircraft dispatch and maintenance . Programme for Industrial Materials and Technology. Project No. GRD1–2000–25751 . Brussels. European Commission . Under the EU BRITE-EURAM III Programme for Industrial Materials and Technology. Project No. GRD1–2000–25751
   Google Scholar
• Air Safety Week . 2004 . Space agency seeks safety culture change , Rockville, MD : Access Intelligence, LLC . 3 May, 2004
   Google Scholar
• Air Transport Association . 2007 . MSG-3 process operator/manufacturer scheduled maintenance development , Washington, DC : ATA Publications .
   Google Scholar
• Akselsson , R. . Resilience safety culture . paper presented at the International Ergonomics Association Conference . August 2009 , Beijing.
   Google Scholar
• AMPOS . 1999–2001 . Aircraft maintenance procedure optimisation system , Brussels : European Commission . Under the EU ESPRIT Programme. Project No. 29053
   Google Scholar
• Baranzini , D. 2009 . Aircraft maintenance teams Thesis (Doctoral). Trinity College Dublin
   Google Scholar
• Bunderath , M. . The operational impact to the maintainer (ground crew support and human factors) . Aircraft health Management for New operational and Enterprise solutions proceedings . June 15–16 2008 , London, England. The Institution of Engineering and Technology (IET) .
   Google Scholar
• Coghlan , D. 2002 . Putting ‘research’ back into OD and action research: A call to OD practitioners . Organisational Development Journal , 20 ( 1 ) : 61 – 65 .
   Google Scholar
• Coghlan , D. and Brannick , T. 2001 . Doing action research in your own organisation , London : Sage .
   Google Scholar
• Corrigan , S. 2002 . Comparative analysis of safety management systems and safety culture in aircraft maintenance Thesis (Doctoral). Trinity College Dublin
   Google Scholar
• Dekker , S. 2008 . Just culture: Balancing safety and accountability , London : Ashgate .
   Google Scholar
• Drury , C. G. , Prabhu , P. and Gramopadhye , A. K. . Task analysis of aircraft inspection activities: methods and findings . Proceedings of the Human Factors Society 34th annual meeting . pp. 1181 – 1184 . Santa Monica, , CA, USA : The Human Factors Society .
   Google Scholar
• Gallwey , T. 2004 . “ The role of ergonomics today ” . In The Irish Ergonomics Review, 2004 , Edited by: O'Sullivan , L. and Chan , S. Dublin : The Irish Ergonomics Society .
   Google Scholar
• Gramopadhye , A. K. and Drury , C. 2000 . Editorial . International Journal of Industrial Ergonomics , Special issue, Aviation Maintenance
   Google Scholar
• Gramopadhye , A. K. and Kelkar , K. P. 1999 . Analysis of shift change in the aircraft maintenance environment: findings and recommendations , Washington, DC : Federal Aviation Administration . Technical Report. Office of Aviation Medicine, Federal Aviation Administration
   Google Scholar
• Harry , M. J. and Schroeder , R. 1999 . Six sigma: The breakthrough management strategy revolutionizing the world's top corporations , New York, NY : Doubleday .
   Google Scholar
• Helmerich , R. L. , Klinect , J. R. and Wilhelm , J. A. . System safety and threat and error management: The line operations safety audit (LOSA) . Proceedings of the eleventh international symposium on aviation psychology . pp. 1 – 6 . Columbus, OH : The Ohio State University .
   Google Scholar
• HILAS . 2005–2009 . Human integration into the lifecycle of aviation systems , Brussels : European Commission . Priority No. 1.4 – Aeronautics and Space Research Area 3. Priority Title: Improving Aircraft Safety and Security, IP8. Proposal/Contract No. 516181
   Google Scholar
• Hollnagel , E. 1998 . CREAM: Cognitive reliability and error analysis method , Oxford : Elsevier .
   Google Scholar
• Hollnagel E. Nemeth C. P. Dekker S. Remaining sensitive to the possibility of failure Ashgate Aldershot 2008
   Google Scholar
• Hollnagel , E. and Woods , D. 2005 . Joint cognitive systems: Foundations of cognitive systems engineering , Boca Raton, FL : Taylor & Francis .
   Google Scholar
• Hollnagel E. Woods D. D. Leveson N. Resilience engineering, concepts and precepts Ashgate Aldershot 2006
   Google Scholar
• Hughes , J. N. 2003 . Commentary: Participatory action research leads to sustainable school and community improvement . School Psychology Review , 32 ( 1 ) : 38 – 43 .
   Web of Science ®Google Scholar
• Hult , M. and Lennung , S. 1980 . Towards a definition of action research: A note and bibliography . Journal of Management Studies , 172 ( 1 ) : 242 – 250 .
   Google Scholar
• International Civil Aviation Organisation (ICAO) . 2008 . Safety management manual (SMM) , second edition , Montreal, , Canada : ICAO . Doc 9859
   Google Scholar
• Kaplan , S. and Norton , D. P. 1996 . The balanced scorecard, translating strategy into action , Boston, MA : Harvard Business School Press .
   Google Scholar
• Kaplan , R. S. and Norton , D. P. 2006 . Alignment – Using the balanced scorecard to create corporate synergies , Boston, MA : Harvard Business School Press .
   Google Scholar
• Liston , P. 2005 . Human factor competence in aircraft maintenance Thesis (Doctoral). Trinity College Dublin
   Google Scholar
• McDonald , N. 1999 . Human-centred management guide for aircraft maintenance. Final public deliverable of the ADAMS European Commission Research Project , Dublin : Trinity College .
   Google Scholar
• Nisula , J. and Ward , M. . Challenges of maintenance SMS practical implementation . Presentations to the ICAO Asia and Pacific Ocean Approved Maintenance Organisation and Air Operator Maintenance Organisation SMS Implementation . June 3–4 2008 , Bangkok.
   Google Scholar
• Patankar , M. and Driscoll , D. 2004 . Factors affecting the success or failure of aviation safety action programs in aviation maintenance organizations [online] The Maintenance & Engineering ASAP Study, Year 2 Report. Available from: http://www.slu.edu/Documents/parks/M-ASAP_Year_2_Report.pdf [Accessed 11 July 2009]
   Google Scholar
• Patankar , M. and Taylor , J. 2003 . Applied human factors in aviation maintenance , Aldershot, , UK : Ashgate Publishing, Ltd .
   Google Scholar
• Patankar , M. and Taylor , J. 2004 . Risk management and error reduction in aviation maintenance , Aldershot, , UK : Ashgate Publishing, Ltd .
   Google Scholar
• Perrow , C. 1984 . Normal accidents, Living with high risk technologies , London : Basic Books .
   Google Scholar
• Pettigrew , A. 1985 . The awakening giant: Continuity and change at ICI , Oxford : Basil Blackwell .
   Google Scholar
• Pettigrew , A. and Whipp , R. 1991 . Managing change for competitive success , Oxford : Basil Blackwell .
   Google Scholar
• Rankin , B. . SMS Risk Management for Maintenance & Engineering . Presentation to the ICAO Asia and Pacific Ocean Approved Maintenance Organisation and Air Operator Maintenance Organisation SMS Implementation . June 3–4 2008 , Bangkok.
   Google Scholar
• Reason , J. 1987 . “ Generic Error-Modelling System (GEMS). A cognitive framework for locating common human error forms ” . In New technology and human error , Edited by: Rasmussen , J. , Duncan , K. and Leplat , J. Chichester : Wiley .
   Google Scholar
• Reason , J. 1997 . Managing the risks of organizational accidents , Aldershot : Ashgate .
   Google Scholar
• Reason , J. and Hobbs , A. 2003 . Managing maintenance error: A practical guide , Aldershot : Ashgate .
   Google Scholar
• Reason P. Bradbury H. Handbook of action research: Participative inquiry and practice Sage Thousand Oaks, CA 2001
   Google Scholar
• Schein , E. H. 1989 . Organisation development: Science, technology or philosophy , USA : Massachsetts Institute of Technology . MIT Sloan School of Management Working Paper, 3065–89-BPS
   Google Scholar
• Schutz , A. L. , Counte , M. A. and Meurer , S. 2007 . Assessment of patient safety research from an organisational ergonomics and structural perspective . Ergonomics , 50 ( 9 ) : 1451 – 1484 .
   PubMed Web of Science ®Google Scholar
• Sinclair , M. A. 2007 . Ergonomics issues in future systems . Ergonomics , 50 ( 12 ) : 1957 – 1986 .
   PubMed Web of Science ®Google Scholar
• Stanton , N. and Barber , C. 2003 . On the cost effectiveness of ergonomics. Editorial . Applied Ergonomics , 34 : 407 – 411 .
   PubMed Web of Science ®Google Scholar
• TATEM . 2004–2008 . Technologies and techniques for new maintenance concepts , Brussels : European Commission . Under EU Aeronautics and Security Programme. Project No. AIP3-CT-2004–502909
   Google Scholar
• Teague , P. 2004 . Social partnership and the enterprise, some lessons from the Irish experience . Political Economy Review , 2 ( 1 ) : 6 – 35 .
   Google Scholar
• Wadsworth , Y. 1998 . What is participatory action research? . Action Research International , Paper 2. The Institute of Workplace Research, Learning and Development and Southern Cross University Press
   Google Scholar
• Ward , M. 2005 . Contributions to human factors from three case studies in aircraft maintenance Thesis (Doctoral). Trinity College Dublin
   Google Scholar
• Ward , M. . HILAS maintenance solutions . Keynote Presentation made at the Ariworthiness Standards Institute; 8th annual world aviation maintenance seminar and conference . March 11–13 2008 , Prague.
   Google Scholar
• Ward , M. and Gaynor , D. 2009 . “ The ergonomic design and implementation of an improvement initiative for an aircraft base maintenance check ” . In Irish Ergonomic Review , Dublin : The Irish Ergonomics Society .
   Google Scholar
• Weick , K. E. 2001 . Making sense of the organisation , Oxford : Blackwell Business .
   Google Scholar
• Welch , J. and Byrne , J. A. 2001 . Jack, straight from the gut , New York : Warner Books .
   Google Scholar
• Womack , J. P. , Jones , D. T. and Roos , D. 1991 . The machine that changed the world: The story of lean production , New York : Harper Perennial .
   Google Scholar
• Womack , J. P. and Jones , D. T. 2003 . Lean thinking, banish waste and create wealth in your organisation , 2nd edition , New York : Free Press .
   Google Scholar