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飞机维修工作交接的结束——一项会导致人员死亡的任务。

The passing of the shift in aircraft maintenance--a task that produces deaths.

作者信息

Campos Reginaldo, Martins Edgard, Soares Marcelo

机构信息

Depto. de Design, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.

出版信息

Work. 2012;41 Suppl 1:219-21. doi: 10.3233/WOR-2012-0159-219.

Abstract

Maintenance tasks, especially in heavy maintenance, may not be completed in a single shift. Aircraft maintenance technicians often take work in progress by colleagues, and spend the incomplete work for a change of team. The need for accuracy and efficiency of information transfer in many cases, without having time to have a meeting to pass the service is a crucial aspect of maintenance work. The ideal shift change can occur normally before delivery and continues to proceed normally after delivery. Although a shift change create challenges for communication, they also offer opportunities to detect and correct errors, where the task of delivery is an opportunity to identify the problem and fix it. In this case, the task was done correctly the first round, however, a problem began when the second round took. One example is a case in which the first round have removed a defective part for replacement and let the component of aircraft at end of turn with problems. Instead of ordering and installation of an operational component, the second round was then reinstall the faulty component, not realizing he had information about the problem attached.

摘要

维护任务,尤其是在深度维护中,可能无法在一个班次内完成。飞机维护技术人员经常接手同事未完成的工作,并在换班时处理这些未完成的工作。在许多情况下,由于没有时间开会交接工作,信息传递的准确性和效率需求成为维护工作的关键方面。理想的换班通常在交付前正常进行,并在交付后继续正常推进。尽管换班给沟通带来了挑战,但它们也提供了发现和纠正错误的机会,其中交付任务就是识别问题并解决问题的契机。在这种情况下,第一轮任务完成得很正确,然而,第二轮进行时出现了问题。一个例子是,第一轮已经拆除了一个有缺陷的部件进行更换,结果在轮班结束时让飞机部件仍存在问题。第二轮没有订购并安装一个可用部件,而是重新安装了有故障的部件,没有意识到附有关于该问题的信息。

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