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Understanding Air France Flight 447 - Coggle Diagram
Understanding Air France Flight 447
Individual factors
lack of experience
lack of responsibility
low alertness
cognitive overload
paralysis, panic, stress, agitation, startle effect
no rest
false sense of safety / rely too much on autmatic protection
Team factors
breakdown of discipline
lack of communication
no sense-making / reflection
no situational awareness
no shared understanding / mental models deteriorate
leadership / hierachy
no constructive conflict
cognitive tunneling
tea reflexivity
reactive thinking
mental models
Environment
Night
No visual reference
Low alertness
Aerodynamic noise
Lightning, Turbulence, Icing (supercooled water)
System
Cockpit Design / Ergonomics
Pilot Training
Automation and fly-by-wire