Performance

Modes – Error Rates

Description Defenses
Knowledge Based
Performance Modes – Error Rates - Inadequate knowledge - Training / demonstration
- No knowledge - Coaching / mentoring /
- No reference point feedback
Knowledge Based
- PtD - Prevention Through
High

Error Rate: 1:2

Design (fast feedback &
corrections)
Rule Based
Rule Based
Error Rate: 1:1,000
Attention to Task

- Misapplication of good - Procedures & control

rules panels
- Application of bad rules - Checklists / Cross - checks
Skill Based
- Failure to apply a good rule - PtD (controls & warnings)
Error Rate: 1:10,000

Skill Based
- Omissions - Rumble strips / Drift
Low

Low Familiarity with Task High - Slips / trips / lapses Sensing

- Complacency (how?) - Automation / Auto
(Jens Rasmussen)
Shutoffs
- PtD – Prevention Through
Design (redirection)