簡易檢索 / 詳目顯示

研究生: 管順婷
Shun-Ting Kuan
論文名稱: 以情境知覺模型探討飛行員常見溝通失誤之人為因素
Investigation on Pilot Communication Errors Using Situation Awareness Model
指導教授: 王明揚 教授
Min-yang Wang
口試委員:
學位類別: 碩士
Master
系所名稱: 工學院 - 工業工程與工程管理學系
Department of Industrial Engineering and Engineering Management
論文出版年: 2007
畢業學年度: 95
語文別: 中文
論文頁數: 77
中文關鍵詞: 情境知覺飛航管制模擬實驗人為因素失誤類型
外文關鍵詞: Situation Awareness, Air Traffic Control, Simulation Experiment, Human Factors, Communication Errors
相關次數: 點閱:2下載:0
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 我國近十年來民航事業蓬勃發展,飛航安全逐漸受到重視,而從過去的文獻中可發現情境知覺是影響飛航安全的重要因素之一。由於飛行員的工作性質特殊,身負航機安全的重大責任,因此一旦遇到緊急狀況時,其壓力可想而知。根據美國聯邦航空總署(Federal Aviation Administration, FAA ASD-100)的統計資料顯示,有27%的操作性失誤、40%的飛行員偏離航道以及15%的空中接近事件是由於航管通話失誤所造成。在Prinzo(1995)的研究中,也明確的指出飛行員對話中有超過59%至少包含一項通話失誤,而分析美國國家運輸安全委員會所公布的事件調查(Endsley, 1995a),可以發現其中有88%的意外事件來自於情境知覺的不完整。因此,以溝通失誤事件發生的嚴重性與頻率而言,飛行員與航管人員間溝通品質對於飛航安全而言是相當重要的因素。
    本研究以錄音抄件分析、實驗模擬和問卷的方式來探討造成口語溝通失誤類型的人為因素。針對國內發生頻率高的違規飛安事件—隔離不足與跑道入侵,以Endsley(1995a)提出之情境知覺模型進行案例情境知覺的分析,整理歸納出十八項失誤類型,並予以統計發生次數,最後推論出其關鍵的影響人為因子。
    由本研究結果可得知有六項飛行員失誤類型(不完整的呼號、不完整的聆聽/覆誦、語法格式錯誤、術語誤用、不完整的資訊以及沒有回應)發生的頻率遠高於其它幾項;而從模擬實驗的SAGAT問卷分析得到的結果,可發現飛行員在飛航過程中的情境知覺表現的確會受到緊急情境的影響,當作業複雜性增加,飛行員的情境知覺正確率便降低。透過問卷和錄音抄件的結果整理出可能影響情境知覺和失誤類型的根本人為因子,可發現當遇到緊急情況時,訓練背景的差異甚至經驗都會影響其情境知覺的完整性,進而影響其語言的使用,導致無法因應狀況使用完整的術語進行溝通,而影響雙方溝通的效率。


    Due to vigorous development of the commercial aviation enterprises, aviation safety becomes more and more important. From the literature review, it was found that situation awareness has a great influence on aviation safety. Since the occupational characteristics of pilots are quite special, including great responsibility for aviation safety, once they encounter an emergency situation, they have to deal with higher mental stress than ordinary level. According to the statistic data from Federal Aviation Administration, there were 27% operational errors, 40% orbit aviation and 15% approaching accidents resulting from communication errors. In the study of Prinzo(1995), it indicates that over 59% pilots have at least one communication error during their communications; from the report of NTSB (Endsley, 1995a), 88% accidents come from situation awareness failures. Consequently, communication qualities between pilots and controllers are very important for aviation safety as the severity and frequency of accidents involved in communication errors.
    This study investigates the human factors resulting in communication errors by the transcript analysis, aviation simulation experiment and questionnaire. We analyze the situation awareness by the SA model from Endsley and calculate the times of eighteen error types. In the end of the research, we inference to the human factors from cases which the accident types involved were those happened most frequently in the past few years.
    From the results, it was found that there are six most frequent error types of pilots (incomplete call sign, incomplete hearback/readback, wrong grammar, wrong terminology, incomplete information and no response). And it was also found that SA performance will be influenced by emergency situations. As the work complexity increase, the correction of situation awareness decrease from the SAGAT.
    As the result of key human factors affecting situation awareness and error types from the questionnaire and transcript analysis, differences of training background and experience might affect the completeness of SA and communication efficiency when pilots face emergency situations which causes in incorrect terminologies and wrong grammar.

    第一章 緒論 1 1.1 研究背景與動機 1 1.2 研究目的 3 1.3 研究限制 3 第二章 文獻探討 5 2.1 飛行員與航管人員對話之特性 5 2.2 飛行員與航管人員溝通失誤類型整理 6 2.3 飛航相關人為因素 9 2.4 情境知覺 14 2.5 情境知覺的量測方法 18 2.6 小結 20 第三章 研究方法 21 3.1 研究架構 21 3.2 錄音抄件分析 22 3.3 實驗設計 25 3.4 問卷設計 30 3.5 小結 31 第四章□結果分析與討論 32 4.1 錄音抄件分析結果 32 4.2 實驗結果分析 38 4.3 問卷結果分析 41 4.4 結果討論 49 第五章□案例分析 52 5.1 隔離不足案例分析 52 5.2 跑道入侵案例分析 60 5.3 小結 62 第六章□結論與建議 64 6.1 結論 64 6.2 未來發展與建議 65 參考文獻 67 附錄一、實驗SAGAT問卷(受試飛行員) 70 附錄二、飛行員與國內航管人員溝通用語之問卷調查 71

    蔡秋月,「從心理學的觀點如何減少人為失誤」,航空醫學會刊,第11 卷,
    第1 期,頁49-53,1996。

    金蘭軍、葛盛秋,「人為失誤與飛航安全」,航空醫學暨科學期刊,第11
    卷,第1 期,頁49-53,1997。

    何立己,「黑盒子的秘密─航空安全人為因素剖析」,AIRWAY世界民航雜誌,頁7-16,1998。

    何立己、李玄之、蔡玟玲,「飛航安全人為因素之探討」,民航季刊,第三卷,第三期,頁15-41,2001。

    程千芳,「認識飛航壓力」,空軍學術月刊,第538 期,頁63-74,2001。

    蔡玟玲、何立己,航管通話研究初探,中國航太學會/中華民航學會聯合學術研討會,2003。

    常文駿、王明揚、何立己、楊博文,探討情境警覺與人為失誤間之潛藏性飛安風險,第三屆危機管理國際學術研討會論文,2005。

    徐翰,王明揚,何立己,飛行員與國內航管溝通用語差異之研究,清華大學碩士論文,2005。

    王崇羽、顏進儒、王明揚、蔡玟玲、何立己,飛航組員與航管人員口語互動失誤類型分析,空軍官校航空安全暨危機管理學術研討會,2006。

    蔡玟玲、曹逢甫、顏進儒、王明揚,航管通話口語互動研究,空軍官校航空安全暨危機管理學術研討會,2006。

    常文駿、孫詩韻、王明揚, 溝q失誤類型與人為因素之相關性分析,空軍官校航空安全暨危機管理學術研討會,2006。

    常文駿、王明揚、顏進儒、蔡玟玲、何立己,台灣地區飛行員與航管人員口語失誤之人為因素研究,中國工業工程學會95年度年會暨學術研討會,2006。

    蔡玟玲、林奕捷、常文駿、何立己,飛航管制通話失誤案例研究,中國航太學會/中華民航學會聯合學術研討會,2006。

    管順婷、常文駿、王明揚、蔡玟玲、徐瑋、顏進儒、何立己,以飛航管制模擬平台探討飛行員心智負荷與情境知覺之相關性,第14屆人因工程學會年會暨國際學術研討會,2007。

    Damos, D., and Wickens. C. D. (1980). The acquisition and transfer of time-sharing skills. Acta Psychologica, 6, 569-577.
    Endsley, M. R. (1987). SAGAT: A methodology for the measurement of situation awareness (NOR DOC 87-83). Hawthome, CA: Northrop Corp.

    Endsley, M. R. (1988). Design and evaluation for situation awareness enhancement. Proceedings of the Human Factors Society 32nd Annual Meeting (pp. 97-101). Santa Monica, CA: Human Factors Society.

    Endsley, M. R. (1990). A methodology for the objective measurement of situation awareness. In Situational awarenessnin aerospace operations (AGARD-CP-478; pp. 1/1-1/9). Neuilly-Sur-Seine, France: NATO-Advisory Group for Aerospace Research and Development.

    Endsley, M. R., & Rodgers, M. D. (1994). Situation Awareness Global Assessment Technique (SAGAT): En route air traffic control version user's guide (Draft). Lubbock: Texas Tech University.

    Endlsey, M. R., (1995a). Toward a theory of situation awareness in dynamic-systems. Hum. Factors 37 (1), 32–64.

    Endsley, M. R. (1995b). A taxonomy of situation awareness errors. In. R. Fuller, N. Johnston, & N. McDonald (Eds.), Human Factors in aviation Operations (pp. 287-292).

    Endsley, M. R. (1995c). Direct measurement of situation awareness in simulations of dynamic systems: Validity and use of SAGAT. In D. J. Garland & M. R. Endsley (Eds.), Experimental analysis and measurement of situation awareness (pp. 107-113). Daytona Beach, FL: Embry-Riddle University.

    Endsley, M. R., Selcon, S. J., Hardiman, T. D., & Croft, D. G. (1998). A comparative evaluation of SAGAT and SART for evaluations of situation awareness. In Proceedings of the Human 33 Factors and Ergonomics Society Annual Meeting (pp. 82-86). Santa Monica, CA: Human Factors and Ergonomics Society.

    Grayson, R. L.; Billings, C. E. (1981). “Information Transfer Between Air Traffic Control and Aircraft: Communication Problems in Flight Operations. “ In Information Transfer Problems in the Aviation System. NASA Technical Paper 1875. September.

    Garland, D. J., & Endsley, M. R. (1995). Experimental analysis and measurement of situation awareness. Daytona Beach, FL: Embry-Riddle Aeronautical University Press.

    Herrmann, D, J. (1984). Questionnaires about memory. In J. E. harris and P. E. Morris (Eds.), Everyday memory, action and absent-mindedness (pp. 133-151). London: Academic.

    Hartel, C. E., Smith, K., and Prince, C. (1991). Defining aircrew coordination: Searching mishaps for meaning. Paper presented at the Sixth International Symposium on Aviatin Psychology, Columbus, OH.

    ISAAC A., M. Woldring, M. Barbarino, A. Skoniezki, W. Philipp, (2002). Technical Review of Human Performance Models and Taxonomies of Human Error in ATM (HERA). HF26 (HRS-HSP-002-REP-01).

    Jones, D.G., Endsley, M.R., 1996. Sources of situation awareness errors in aviation. Aviat Space Envir MD 67 (6), 507–512.

    Monan, R., & Wright, R. H. (April, 1989). ATC Control and communications problems: An overview of recent ASRS data. In (ED: R. S. Jensen). Proceedings of the Fifth International Symposium of Aviation Psychology, Columbus, Ohio; Volume 2.

    Monan, W. P. (November 1988). Human Factors in Aviation Operations: The Hearback Problem. NASA Contractor Report No. 177398.

    NASA Contractor Report 177398, (1986). “Human Factors in Aviation Operations: The Hearback Problem,”

    N.A. Stanton a,*, P.R.G. Chambers b, J. Piggott c. (2001). Situational awareness and safety, Safety Science 39 189–204

    Prinzo, O. Veronika; Briton, Thomas W. (1993). ATC/Pilot Voice Communications- A Survey of the Literature. U.S> Federal Aviation Administration. Report No. DOT/FAA/AM-93/20.

    Prinzo, O. Veronika, TW Britton, AM Hendrix(1995). Development of a Coding Form for Approach Control/Pilot Voice Communications. Washington, DC: Federal Aviation Administration,

    Uplinger, S. (Sep.-Oct., 1997). English-language Training for Air Traffic Controllers Must Go beyond Basic ATC Vocabulary. Flight Safety Foundation Airport Operation Volume 23 No.5.

    Wickens, C.D. (1984). Processing resources in attention. In: Varieteis of Ateention, pp.63-102. New York: Academic Press

    Wiener, E. L., Kanki, B.G., & Helmreich, R. L., (1995), Cockpit resource
    management. London: Academic Press.

    無法下載圖示 全文公開日期 本全文未授權公開 (校內網路)
    全文公開日期 本全文未授權公開 (校外網路)

    QR CODE