Papers and Presentations

A sampling of Dr. Bob Baron's comprehensive library of papers and presentations 

In AeroSafety World Magazine

 

 

 

 

 

 

 


 

 

 

 

 

 

Papers

 

Articles

In Aircraft Maintenance Technology Magazine

Some Truths About SMS (don't shoot me, I'm just the messenger)

 

Presentations

The Four Pillars Of Safety In Your Safety Management System (SMS)

A brief introduction to the Four Pillars of Safety Management with live narration by TACG President Dr. Bob Baron.

 

A Practical Introduction To Human Factors

A practical introduction to Human Factors, including case studies of Tuninter Airlines Flight 1153, Continental Express Flight 2574, Solitaire Air Flight 6888, and Alaska Airlines Flight 536.

 

Procedural Noncompliance: Why Pilots Don’t Always Play By The Book

In 2015, an Execuflight Hawker HS125-700A, crashed on approach to Akron, Ohio. All onboard perished (2 crew and 7 passengers). The crash illuminated a number of issues related to procedural noncompliance. Latent threats set the precedents, but the pilots were the ones who actually enabled the accident to occur. Instead of being the final safety nets, they instead were the “trigger pullers." But why did the pilots deviate so extensively from procedures? This presentation focuses on the Execuflight accident and highlights many of the issues that can tempt ANY air charter operator to "drift too far from the centerline." 

 

Qantas Flight 32: A Dirty Dozen Perspective

On November 4, 2010, Qantas Flight 32, an Airbus A-380, on a scheduled passenger service from London to Sydney via Singapore, experienced an uncontained failure in one of its four Trent 900 engines. The failure occurred over Batam Island, Indonesia, four minutes after takeoff from Singapore Changi Airport. This presentation focuses on the maintenance human factors involved in the Qantas Flight 32 incident, specific to the Trent 900 powerplant.

 

Building A High Reliability Organization (HRO)

A High-Reliability Organization (HRO) is an organization that has succeeded in avoiding catastrophes in an environment where normal accidents can be expected due to risk factors and complexity. This presentation provides insights to help make your aviation organization an HRO.

 

SMS Or SM Mess? It’s Your Choice!

A Safety Management System (SMS) needs proper implementation or it can easily wind up becoming an SM Mess! This presentation will help you to have an SMS success!

 

Human Error As A Learning Tool

Human error has a bad reputation! However, if errors are used as a learning tool, rather than strictly for punitive purposes, you will actually see fewer accidents, incidents, occurrences, etc., which in turn will save your organization money. Of course, you will need to have a Just Culture in order to make that happen. This presentation will guide you in the process.

 

Safety Promotion Is Key To An Effective SMS

Safety promotion is an essential element of your Safety Management System (SMS). However, many aviation organizations come up short on this important "fourth pillar of safety." This presentation will help safety managers ensure that safety promotion is highly effective within their aviation organization.

 

Pilot Decision Making

Improper decisions have been implicated in more than 50% of general aviation accidents. While there is an increased research component in this important domain, there still appears to be an overall lackadaisical attitude in fully addressing aeronautical decision making skills during initial pilot training, where it will be most beneficial. This presentation sheds light on how pilots make decisions and how those decisions can be erroneously influenced by basic cognitive limitations.

 

Building A Strong Safety Culture

As they say, "it all starts at the top." This presentation will help organizations understand the critical importance of having a strong safety culture, which includes a Just culture. If safety doesn't start at the top, then we can't expect line personnel to perform in the safest manner possible. Management must be role models of safety.

 

One-Two-GO Airlines Crash: Case Study

On September 16, 2007, an MD-82 of One-Two-GO Airlines Company Limited (One-Two-GO), departed from Don Mueang International Airport to Phuket International Airport on a domestic flight with 130 crewmembers and passengers onboard. While conducting a go-around at Phuket International Airport, the airplane veered off and hit an embankment located north of Runway 27, broke up in flames, and was completely destroyed. As a result, 90 crew members and passengers died. This comprehensive case study explores all the human factors that led to this accident.

 

Dana Air Crash: Case Study

On June 3, 2012, Dana Airlines Flight 0992, a Boeing MD-83, crashed into a densely populated area. Engine number 1 lost power seventeen minutes into the flight with a further loss of power on number 2 engine on final approach to runway 18R at Murtala Muhammed Airport, Lagos, Nigeria (LOS). All 153 persons onboard the airplane, including six crew were fatally injured. There were also six ground fatalities. This comprehensive case study explores all the human factors that led to this accident.

 

A Summary Of Major Industrial Accidents

A brief Human Factors analysis of some of the most notable industrial accidents in history. We look at the Chernobyl Nuclear Plant, Union Carbide Chemical Plant, NASA Challenger, Exxon Valdez Oil Tanker, Costa Concordia Cruise Ship, Alvia Train Derailment, and the Pan Am/KLM Runway Incursion.

 

The Management Of Change 

Management of Change (MOC) is a best practice used to ensure that safety, health, and environmental risks are controlled when a company makes changes in its facilities, documentation, personnel, or operations. Changes—both positive and negative—can, and will, introduce new safety risks. These risks, if not mitigated, can lead to significant losses. Learn more about MOC with this presentation.

 

How To Get Your CEO Onboard

Many times, it can be extremely challenging to get the CEO, or any high-level management, to "buy-into safety." A lack of safety knowledge, coupled with an understandable focus on the organization's profitability and success, can make it difficult to get true safety buy-in (meaning demonstrable actions as opposed to lip service). This presentation details what it takes to get your CEO onboard. 

 

Human Factors On The Ramp

According to the Flight Safety Foundation, approximately 27,000 ramp accidents and incidents — one per 1,000 departures — occur worldwide every year. Approximately 243,000 people are injured each year in these accidents and incidents; The injury rate is 9 per 1,000 departures. Further, ramp accidents cost major airlines worldwide at least US$10 billion a year. Yet, almost every one of these accidents and incidents is preventable! This presentation focuses on the human factors of ground operations.