Case-Based Questions Aligned with HFE Modules
Module 1: Introduction to Human Factors Engineering
Apollo 13 suffered an oxygen tank explosion mid-mission. NASA engineers and astronauts
worked together to ensure crew survival.
Question: How does this incident show the importance of Human Factors Engineering in
managing critical situations in aerospace systems?
Module 2: Human Information Processing & Cognition
Air France 447 crashed after autopilot disengaged due to frozen sensors. Pilots were
confused by conflicting data.
Question: What cognitive limitations contributed to the crew’s response? How can training
address information processing failures in such events?
Module 3: Human Error and Error Management
United Airlines 173 ran out of fuel while crew focused on landing gear malfunction.
Question: Identify the errors in this case and explain how error management strategies
could have prevented the accident.
Module 4: Human Performance and Limitations
At Tenerife, two 747s collided on the runway due to miscommunication and stress-induced
errors.
Question: How did workload and authority gradients affect performance? What
performance limitations contributed to the crash?
Module 5: Environment, Safety, OSHA and Hazards
Challenger exploded after O-ring failure, despite engineers' safety warnings.
Question: What safety communication and hazard identification failures led to this disaster?
How do OSHA principles apply here?
Module 6: Workplace and System Design
Boeing 737 MAX crashes involved MCAS system pushing the aircraft nose down repeatedly.
Pilots were unaware of the system.
Question: How did poor system design and lack of feedback contribute? What HFE
principles were violated?
Module 7: Crew Resource Management (CRM) and Teamwork
Qantas Flight 32 suffered an engine explosion but landed safely due to excellent crew
coordination.
Question: How did CRM and teamwork contribute to managing the emergency? What does
this say about the role of human factors in success?