An Airline Checklist Use as a Sociomaterial Practice
D.Soc.Sc. Petra Auvinen Professor Ilkka Arminen
School of Social Sciences and Humanities Department of Social Research
University of Tampere, Finland University of Helsinki, Finland
petra.auvinen(at)uta.fi iarminen(at)mappi.helsinki.fi
Abstract
Checklists form the basis of procedural
standardization in the airline cockpit, with the help of
which safety-critical measures become a routine part of
flight crew task management. In this paper, we discuss
the normal checklist use and its problems as a socio-
material practice. We show how routine problems in
checklist use are resolved, and point out how
procedural and interactive backups function in action,
thereby securing flight safety. We also examine the
nature of problems in the checklist use that occur
within the performance of individual checklists, within
the order between checklists, and within the order
between the checklist performance and other flight task
activities. The problem types include premature, absent
and excessive actions. The problems within checklists
reveal troubles in the cognitive ergonomics of task
design and logics of checklist use. The order problems
between checklists appear as cognitive mis-
performances, though cognitive overloading may have
organizational grounds.
1. Introduction
The checklists form the basis of procedural
standardization in the airline cockpit, with the help of
which safety-critical measures become a standardized
routine part of flight crew task management. In the
Airbus 320 flown by the participant pilots, the task
management during flight phases is assisted with eight
normal checklists: before engine start, after engine start,
taxi, takeoff, approach, final, parking and securing. In
addition, there are abnormal and emergency checklists
(the use of which is not studied here). The normal
checklists are listed in one document that works as a
procedural backup assisting the routinization of safety-
critical performance of flight tasks. The routinization of
safety-critical activities, however, seems to entail a
paradox as the checklist performances are prone to
recurring errors. In our data from simulated Airbus 320
flights, there occurred 12 documented errors during the
performance of 122 normal checklists within 26, 5
hours flight time. Therefore, there occurred an error for
every two flight hours.
The errors in the performance of normal checklists
do not largely seem to consist of verbal
misunderstandings or any kinds of language problems.
In other words, the checklist performance do not suffer
from hearing, speaking or understanding difficulties
(only 1 error), but problems of different sort. The
checklist problems seem to be related to the use of an
airline checklist document as a socio-material practice,
in which talk, visual and material actions are interlinked
in an ongoing interaction. The airline pilots’ situated
understanding of the phase of flight and its tasks is
maintained and updated in the document use.
Therefore, the problems in the checklist use are not as
such troublesome, but help to maintain and update
pilots’ mutual awareness, thereby enhancing safety [1],
[2] and [3]. The pilots’ repairs, remedies and reminders
with the help of which they amend problems of
checklist use form a second order interactive backup
that helps to maintain the orderly performance of flight
tasks. The checklists in use and the problems in their
usage open a view to cockpit interaction in which talk,
action and technologies are interwoven. We explore the
document use as a multimodal action composed of talk
and physical actions embedded with procedural and
interactive backups intertwining in the formation of
action.
In this paper, we discuss the normal checklist use
and its problems as a socio-material practice [4]. We
follow Suchman’s initiative, according to which
humans and technologies are asymmetrically
interdependent [5]. For Suchman, the asymmetrical
interdependence derives from the ethnomethodological
underpinnings of her original contribution [6], revised
and republished in 2007 [5]. On the one hand, we show
how routine problems in checklist use are resolved. We
point out how procedural and interactive backups
function and mutually elaborate each other in action,
2013 46th Hawaii International Conference on System Sciences
1530-1605/12 $26.00 © 2012 IEEE
DOI 10.1109/HICSS.2013.80
1588
2013 46th Hawaii International Conference on System Sciences
1530-1605/12 $26.00 © 2012 IEEE
DOI 10.1109/HICSS.2013.80
1590