Aviation and human factors : how to incorporate human factors into the field Commercial aviation: a general picture Aviation : a high stakes field The fight for efficiency The learning process : how the system evolves The enlightened despotism in aviation Event analysis as an improvement tool Potential and uses of event analysis The search for the failure Breakage of causal chains Establishment of legal responsibility The event based learning cycle Information gathering phase Information distribution phase Information utilization phase: generation of new abilities Limitations of event based learning The changing role of technology and people in aviation Human error : myths and reality The human role: skills and knowledge as accident triggers The human role : skills and knowledge in accidents avoidance The human contribution People as alternative resource : feasibility and requirements Common practice Alternative model Organizational learning in air safety : the role of the different stakeholders A single keyword The manufacturers world The regulators world The operators world Conclusions The engine for organizational learning: where it is and where it should be Introduction Aviation learning short history : from aviation dusk to present What the new training principles should be The future of improvements in air safety The PISS rule : produce intelligible software stupid The lack of training issue Knowledge and performance The human value and the conditions to use it. Air Safety is right now in a point where the chances to be killed in an Aviation accident are far lower than the chances to get the big prize in many of the major lotteries. However keeping or improving that performance level requires a critical analysis of some events that despite scarce point to structural failures in the learning process. The effect of these failures could increase in the next future if there is not a clear and right development path. This book tries to identify what is wrong why there are things to fix and some Human Factors principles to keep in aircraft design and operations