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1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting The Challenges of Promoting Safety Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington Field 24 March 2004 Slides and other materials at airsafe.com/nasatalk.htm

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Page 1: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

1Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Challenges of Promoting SafetyThe Challenges of Promoting Safety

Dr. Todd Curtis

The AirSafe.com Foundation

NASA - Ellington Field

24 March 2004

Slides and other materials at airsafe.com/nasatalk.htm

Page 2: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

2Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

AgendaAgenda Some General Realities about Safety Marketing and Selling Safety How to Ask an Aviation Safety Question Marketing and Selling Safety The Sociology of Safety The Key Role of the Human Element Safety and Innovation: The Challenges Remain Are You Better Than Average?TM

Page 3: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

3Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Some General Realities about SafetySome General Realities about Safety

Safety Touches on Many Areas

What is Important is Not Always Obvious

Perception of Risk is Often the Key

Improvement Takes More Than Technology

No One Can Do It Alone

The Individual is Still Important

Never Underestimate the Human Element

Page 4: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

4Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Key ConceptsKey Concepts

Safety: A Constantly Changing Concept

Risk: Probability and Consequences

The Power of Storytelling

The Power of Public Perception

The Interactions of People and Technology

Safety Failures are System Failures

Page 5: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

5Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Safety is More Than NumbersSafety is More Than Numbers

Definitions are Very Flexible The Level of Concern Can Vary Widely Hard to Agree on an Acceptable Level Common Measurements May Not Exist Issues can be Subjective or Objective How to Frame the Debate is an Issue Cost per Life and Cost per Life Saved Accomplishing the Mission and Protecting Lives

Page 6: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

6Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Marketing and Selling of SafetyThe Marketing and Selling of SafetyWhy is it So Difficult?Why is it So Difficult?

Safety Comes at a Continuing Cost

Costs are Measurable, Benefits are Not

Costs and Benefits Happen to Different

Groups

Desire to Maximize the “Bottom Line”

Building Codes and Bird Hazard Reduction

Page 7: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

7Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

How to Ask an Aviation Safety QuestionHow to Ask an Aviation Safety Question

Understanding the Question is the Foundation

Specifying the Question is Necessary

Need to Know and Understand the Audience

Managing the Process is a Key to Success

Presenting the Answer is Part of the Process

Example: Airliner Deaths of the U.S. Congress

Page 8: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

8Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

How to Ask an Aviation Safety QuestionHow to Ask an Aviation Safety QuestionKey Phases of the ProcessKey Phases of the Process

Goals and Objectives

Identifying and Evaluating Data

Identifying Appropriate Analysis Methods

Resource Management

Task Management

Presentation Design

Administration

Page 9: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

9Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Marketing and Selling SafetyMarketing and Selling SafetyThe Birth of BirdStrike.orgThe Birth of BirdStrike.org

Bird Strike Community Spread Around the World Communications Limited

Elmendorf AWACS Accident Key Turning Point

Recognized Need for Controlling the Debate

Pitched the Idea to the Key Stakeholders

Prototype Site within AirSafe.com

Page 10: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

10Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Marketing SafetyMarketing SafetyAirSafe.com Design and Development CriteriaAirSafe.com Design and Development Criteria

Markets: Journalists, Passengers, Aviation professionals Target Audience Was Worldwide Initial Focus on Passenger Deaths in Jet Transports

Limit Information to Publicly Accessible Sources

Overall Design Optimized for Fast Loading

“Three Click Rule” for Most Information

Page 11: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

11Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Marketing SafetyMarketing SafetyKey Realities of AirSafe.comKey Realities of AirSafe.com

Lack of Resources Led to Better Planning

Technology Takes a Back Seat to Content

Balance Between Perceived and Actual Needs

Internet Technology Plays a Central Role

Page 12: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

12Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Sociology of SafetyThe Sociology of Safety Aviation Safety Is a Community Individuals Have Limited Power Change is Usually Evolutionary Dramatic Events Can Drive Technology Dramatic Events Can Change the Debate Safety Policy Exists in a Social Context Storytelling is a Key Agent of Change The Unwritten Code of Silence

Page 13: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

13Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Key Role of the Human ElementThe Key Role of the Human Element

Human Actions, Decisions, and Judgment in All Phases of the Safety Process

Role of Interaction of People and Technology is Getting More Complex

Improving the Human Element is Not EasyExamples: Cockpit Resource Management,

Operational Risk Assessment

Page 14: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

14Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Key Role of the Human ElementThe Key Role of the Human ElementExample: Why are Some Accidents More Well Known?Example: Why are Some Accidents More Well Known?

Public Policy Follows Public Interest

Several Key Factors in Public Interest

“Body Bags with American Flags”

The New York Connection

Public Interest Tied to High-Interest Events

Page 15: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

15Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Key Role of the Human ElementThe Key Role of the Human ElementExample: AirSafe.com Traffic After Key EventsExample: AirSafe.com Traffic After Key Events

Page 16: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

16Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Key Role of the Human ElementThe Key Role of the Human ElementExample: AirSafe.com Traffic After Key EventsExample: AirSafe.com Traffic After Key Events

Alaska Airlines Concorde

American 5879/11

Page 17: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

17Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Key Role of the Human ElementThe Key Role of the Human Element Example: Operational Risk AssessmentExample: Operational Risk Assessment

Basics are Widely TaughtCan be Used at all LevelsIssues can be of any ScaleWorks Best if All Relevant Parts of the

Organization are InvolvedAssessment and Management Methods

Allow for Effective ManagementUsed Along With Other Methods

Page 18: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

18Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

The Key Role of the Human ElementThe Key Role of the Human Element Example: Cockpit Resource ManagementExample: Cockpit Resource Management

Recognition Came About Through Tragedy

Necessary to Bring Change to the Entire Community

Getting Consensus was a Long-Term Project

Necessary to change basic traditions

Widely Recognized but Not Universally Practiced

Page 19: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

19Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Safety and InnovationSafety and InnovationThe Challenges RemainThe Challenges Remain

Higher Levels of AutomationUnmanned and Autonomous AircraftUnpredictable Requirements EvolutionSudden Appearance of New ThreatsFlight in Relatively Unknown RegimesChanging of Long-Held Assumptions

Page 20: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

20Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Safety and InnovationSafety and InnovationWhat September 11 RevealedWhat September 11 Revealed

A Failure of ImaginationUnwillingness to Debate Technical IssuesThe Separation of Safety and SecurityCatalyst for Rapid ChangeRelative Silence of the Technical ExpertsExtreme Social and Political Pressures

Page 21: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

21Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Accident InvestigationAccident InvestigationA Once in a Lifetime ExperienceA Once in a Lifetime Experience

Most Will Never Have Direct Experience

On Site Investigation Has Many Players

Most Personnel are not Safety Professionals

Each Investigation has Unique Challenges

Civil and Military Arenas Have Key Differences

Process Can be Psychologically Challenging

Page 22: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

22Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Accident InvestigationAccident InvestigationExample: AWACS at ElmendorfExample: AWACS at Elmendorf

Most Will Never Have Direct Experience

On Site Investigation Has Many Players

Most Personnel are not Safety Professionals

Each Investigation has Unique Challenges

Civil and Military Arenas Have Key Differences

Examples of Psychological Challenges

Page 23: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

Are You Better Than Average?Are You Better Than Average?The Emotional Side of ProbabilityThe Emotional Side of Probability

A game that illustrates the relationship between logic, emotion, and probability

It also illustrates the likelihood of an unwanted event over a population of rare events

Field tested from kindergarteners to PhDs One way to put risk into an easy to understand

example

Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 23

Page 24: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

Are You Better Than Average?Are You Better Than Average?The Rules of the GameThe Rules of the Game

There is one chance in three of a double or a seven On average, it takes three rolls for a double or a seven Get a double or seven on the first roll, you are better than

average, if not, roll again Get a double or seven on the second roll, you are still better

than average, if not you are no better than average If your emotions are bruised, keep playing the game until

you “win”

24Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Page 25: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

Are You Better Than Average?Are You Better Than Average?Possible OutcomesPossible Outcomes

Win on first roll, P(1/3)

Win on second roll, P(2/9)

Lose on second roll, P(4/9)No Double, no Seven

No Double, no Seven

Double or Seven

Double or Seven

25Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Page 26: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

Are You Better Than Average?Are You Better Than Average?Expected Distribution of ResultsExpected Distribution of Results

Distribution of Results for 99 Turns

33

22

44

05

101520253035404550

First Throw (1/3)

Second Throw(2/3)(1/3)

All Others 1-[(1/3) + (2/3)(1/3)]

Pe

rce

nt

26Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Page 27: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

Are You Better Than Average?Are You Better Than Average?Relevance to FlightRelevance to Flight

Operational scenarios may look like an outcome to a game WWII example – surviving 25 missions A 1% likelihood of a shootdown implies about a 78%

chance of making 25 missions (1st or 3rd outcome) A 2.4% likelihood of a shootdown implies about a 55% 25

chance of making 25 missions (1st or 2nd outcome) Acceptable losses for the fleet depends on the nature of the

mission and the acceptance of the risk

27Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Page 28: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

B-17: Make it Home AliveB-17: Make it Home AliveThe Rules of the GameThe Rules of the Game

Same basic rules as “Are You Better Than Average?” Two versions: 1% Risk or 2.4% Risk For 1% risk, 1st or 3rd outcome is a “win” For 2.4% risk, 1st or 2nd outcome is a “win” Unlike “Are You Better Than Average?,” each player only

has one opportunity On a B-17 crew, there is no second opportunity

28Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Page 29: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

B-17: Make it Home AliveB-17: Make it Home AlivePossible Outcomes for the 1% GamePossible Outcomes for the 1% Game

Finish 25 missions, P(1/3)

Do not finish 25 missions, P(2/9)

Finish 25 missions, P(4/9)

Double or Seven

Double or

SevenNo Double, no Seven

No Double, no Seven

29Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004

Page 30: 1 Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004 The Challenges of Promoting Safety Dr. Todd Curtis The AirSafe.com Foundation NASA - Ellington

B-17: Make it Home AliveB-17: Make it Home AlivePossible Outcomes for the 2.4% GamePossible Outcomes for the 2.4% Game

Finish 25 missions, P(1/3)

Finish 25 missions, P(2/9)

Do Not Finish 25 missions, P(4/9)

Double or Seven

Double or

SevenNo Double, no Seven

No Double, no Seven

30Dr. Todd Curtis, The AirSafe.com Foundation, 24 March 2004