Line Operations Safety Audit.

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Funded through a grant from the Federal Aviation Administration Human Factors Division, AAR-100, our research project has been involved in the study of crew performance during normal flight operations since 1994. The methodology we have developed, called the Line Operations Safety Audit (LOSA), utilizes trained observers riding in cockpit jump seats to evaluate several aspects of crew performance. At the core of the LOSA process is a model of threat and error management, which provides a framework for data collection. In-flight observers record the various threats encountered by aircrew, the types of errors committed, and most importantly, they record how flight crews manage these situations to maintain safety. Our observers also collect data on CRM performance and conduct a structured interview to ask pilots for their suggestions to improve safety. These combined data sources provide the airline conducting the LOSA with a diagnostic snapshot of safety strengths and weaknesses in normal flight operations. On the research end, the large LOSA dataset maintained by the University of Texas Human Factors Research Project, which allows us to study crew performance issues across a number of different airlines within the commercial airline industry.

Final - FAA LOSA Advisory Circular 120-90 - Final

On April 27, 2006, the FAA approved our draft of the LOSA Advisory Circular. Thanks to the entire aviation industry for their support of LOSA and Threat and Error Management (TEM) over the years.

Fourth ICAO - IATA LOSA & TEM Conference

Over 150 participants from regulators, manufactuers, airlines, and pilot associations heard presentations from ICAO, IATA, UT, The LOSA Collaborative, IFALPA and airlines that have implemented LOSA and TEM in their flight operations. The conference was held in Toulouse, France on November 16-17, 2006.  Follow the link below for a list of speakers and copies of their presentations.

What is TEM? (Short Paper)

Click on the link below for a basic introduction to TEM concepts supported with results from the LOSA Archive.

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For further information or questions about LOSA, please contact James Klinect, TEM/LOSA project coordinator (klinect@mail.utexas.edu)

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Primary LOSA Publications

Helmreich, R.L. (2002). Crew performance monitoring programme continues to evolve as database grows. International Civil Aviation Organization (ICAO) Journal, 57(4), 6-7.

Intentional Civil Aviation Organization (ICAO). (2002). Line Operations Safety Audit (LOSA). DOC 9803-AN/761. Montreal: International Civil Aviation Organization.

Klinect, J.R. (2002). LOSA searches for operational weaknesses while highlighting systemic strengths. International Civil Aviation Organization (ICAO) Journal, 57(4), 8-9.

Klinect, J.R., Helmreich, R.L., Wilhelm, J.A., Tesmer, B., & Maurino, D. (2002). LOSA: Managing human error. ISASI Forum, 35(3), 12-15.

Klinect, J.R., Murray, P., Merritt, A., & Helmreich, R. (2003). Line Operations Safety Audit (LOSA): Definition and operating characteristics. In Proceedings of the Twelfth International Symposium on Aviation Psychology (pp. 663-668). Dayton, OH: The Ohio State University (click here to download the PDF)

Klinect, J.R. (2005). Line Operations Safety Audit: A Cockpit Observation Methodology for Monitoring Commercial Airline Safety Performance (Doctoral Dissertation) (click here to download the Abstract) (Electronic copies available with an e-mail request to James Klinect - klinect@mail.utexas.edu)

Wilhelm, J.A. (2002). Quality data management requires strategic planning. International Civil Aviation Organization (ICAO) Journal, 57(4), 9, 26-27.

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The ICAO Journal - Special Edition LOSA (2002, Vol 57, No. 4, May) can be downloaded for free at the ICAO Publication website (click here to go to ICAO Publications). Other LOSA articles by Continental and Boeing also appear in this journal. (English, French, and Spanish versions are available)

(Viewing the ICAO Journal requires the DjVu Browser, which is also a free download (click here to go to DjVu Browser download site).

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LOSA Publications Prior to 2001

Helmreich, R.L., Klinect, J.R., & Wilhelm, J.A. (1999). Models of threat, error, and CRM in flight operations. In Proceedings of the Tenth International Symposium on Aviation Psychology (pp. 677-682). Columbus, OH: The Ohio State University.

Helmreich, R.L., Klinect, J.R., & Wilhelm, J.A. (2001). System safety and threat and error management: The line operations safety audit (LOSA). In Proceedings of the Eleventh International Symposium on Aviation Psychology. Columbus, OH: The Ohio State University.

Helmreich, R.L., Wilhelm, J.A., Klinect, J.R., & Merritt, A.C. (2001). Culture, error and Crew Resource Management. In E. Salas, C.A. Bowers, & E. Edens (Eds.), Applying resource management in organizations: A guide for professionals (pp.305-331). Hillsdale, NJ: Erlbaum.

Klinect, J.R., Wilhelm, J.A., & Helmreich, R.L. (1999). Threat and error management: Data from line operations safety audits. In Proceedings of the Tenth International Symposium on Aviation Psychology (pp. 683-688). Columbus, OH: The Ohio State University.

Sexton, J.B., & Klinect, J.R. (2001). The link between safety attitudes and observed performance in flight operations. In Proceedings of the Eleventh International Symposium on Aviation Psychology. Columbus, OH: The Ohio State University.

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