臺灣博碩士論文加值系統

國內外航空公司已有維修資源管理訓練成功應用的經驗，根據美國空軍督察長發表「團隊合作不良造成飛機失事」報告中指出「人為因素與良好的團隊合作是減少飛機失事率的主因」及建議實施「團隊合作訓練方案」。因此，我空軍若能推展維修資源管理訓練，將可能有效地提昇人員工作效率，並改善其維修品質。本研究目的在於探討以維修資源管理(Maintenance Resource Management)策略提升軍機維修績效可行性，藉由蒐整近5年機隊在飛機修護上因人為因素所造成的危安事件案例分析及蒐整有關國內外相關的研究或文獻，並分三階層(執行、管理、主管)人員實施專家深度訪談，經訪談結果發現，推展維修資源管理訓練課程，普遍呈現高度認同，亦需由各階層共同透過有效地訓練才能讓觀念一致，並各司其職使發揮最佳維修資源管理訓練成果。

Base on the experience of maintenance resource management training that is applying to the aviation company successfully and report “Aircraft accident caused by team work poor cooperation and the human factors” from USAF’s chief of supervisor. The report indicated the key of reduce the aircraft accident is team work cooperation well. The report is also recommended a training project of the term work. Therefore, to carry out the maintenance resource management training onto ROCAF, it will be increase the efficiency of the maintenance as well improve the maintenance quality.
The purpose of this research is focus on strategy of maintenance resource management that to find the possibility to increase the efficiency of the military aircraft maintenance. This research is trying to analyze the maintenance data such as aircraft damaged by human error within the past five years, researching the report and/or paper from worldwide as well conducting a specialist interview. The case of survey is focus on aircraft maintenance mistake that was caused by maintenance crew which called the Dirty Dozen. Either our air force or worldwide aviation company, the human error caused flight damage always. It always threats the flight safety seriously. The foreign scholar Taylor he pointed out it is possible to improve the flight safety by using the strategy of maintenance resource management. It is possible to increase military maintenance performance 86.7% by specialist interviews. It’s all agreed to join the training that the first line maintenance crew, maintenance manager and leader shall be join the Maintenance Resource Management course. It’s 79.92% agreed the ROCAF shall develop training material of Maintenance Resource Management. Base on the data provided above, it’s highly agreed to develop MRR training course and all of the maintenance crews shall be trained in order to get same concept of maintenance management. Each of the maintenance level will play his owe role in order to bring the best result of the MRM training. The goal is to reduce the rate of human error and increase the flight safety and lower the rate of air accident.
Due to worldwide aviation company and/or military unit has successful application experience on Maintenance Resource Management (MRM) training; Our nation is continuing to move forward on this Maintenance Resource Management (MRM) training from year 2000 till now. Most of aircraft maintenance crews feel strongly the Maintenance Resource Management (MRM) is great helpful on the maintenance task when they had been trained. It is over 65% of aircraft maintenance crews at least that is base on the worldwide research document of the Maintenance Resource Management (MRM). The Maintenance Resource Management (MRM) gives trainee positive attitude, understanding the pressure will influence the work. As more as understanding the maintenance crews will make decision right away as well report to the management, and the rate of damage on the ground is getting lower as well. It improves great on the communication, team work, co-ordination and work together, status alert and self pressure management obviously when the management level and maintenance crews they had training .
Although the nation defense in not consider the cost on the manpower, material and the financial capability usually. For flight safety issue, it is very important the improvement of Maintenance Resource Management (MRM) indicates to prevent maintenance accident in advance. It changes the maintenance crew’s attitude on their work as well the concept of the aircraft maintenance. It improves the aircraft maintenance performance as well the flight safety.
There is a prevention of the human mistake control in the air force such as the risk control is in place currently. It is most like uniform action and it is nonflexible. However it has been practice over and over, or input all the possibility risk into the computer model, it still feels like no activity and just like mere formality. It does not help the maintenance crew as well make more confuse. It cannot have good maintenance moral inside the heart of the maintenance crew. Even through has performing the Maintenance Resource Management training periodically. But it is only for the management level. It cannot make all the level has consensus. There is another issue that most of the trainee dose not service in the maintenance area when they had trained on MRM. It does not have substance training benefit on this MRM training.
There is not easy to conduct the action on the MRM training if the policy is not confirmed as well the good planning is in place. The leader’s determination and/or support are very import. It also needs lots of budgetary support as well. The aviation equipment and component’s reliability is great improvement in this century. The rate of defective component’s quality is getting down but the event of accident is getting higher that was caused by human mistake currently. To prevent the human mistake by using MRM, this is the top topic for air force obviously. Another way is to refer the successful case from foreign military that they were training by the MRM and modify it to suit with our culture of nation or organization and develop the training material for our air force. The key point is to train the maintenance crew how to avoid the human factor of the error. There is another issue when the organization is reorganization or innovation that the training policy will get adjusts or changes mostly. To make MRM training is followed that is most important in the one out of eight of the training concept. Every level has to perform his duty and prevent the human mistake hope to lower the rate. Wish to improve the quality of the military aircraft maintenance.

中文摘要 I
Summary II
謝誌 VI
目錄 VII
圖目錄 XI
表目錄 XII
第一章緒論 1
1.1研究動機 1
1.2 主要構想 3
1.3研究限制與範圍 3
1.4論文撰寫大綱 4
第二章文獻回顧 6
2.1維修資源管理相關理論 6
2.1.1維修資源管理的定義與目的 6
2.1.2維修資源管理發展背景 7
2.1.3維修資源管理基本觀念 8
2.1.4維修資源管理技巧與執行要點 10
2.2飛機維修人為因素相關理論 13
2.2.1維修人為因素 13
2.2.2人為因素理論 14
2.3人為錯誤的促成原因 16
2.3.1十二項人為失誤(The Dirty Dozen) 16
2.3.2衝擊我們工作執行的因素 18
2.3.3其他的促成原因 19
第三章案例調查與專家訪談 20
3.1調查計畫 20
3.2調查實施 22
3.2.1案例調查實施 22
3.2.2專家訪談調查實施 22
3.3案例調查整理與探討 23
3.3.1溝通不良(Lack of communication) 23
3.3.2自滿大意(Complacency) 24
3.3.3缺乏專業知識(Lack of Knowledge) 24
3.3.4分心(Distraction) 25
3.3.5缺乏團隊精神(Lack of Teamwork) 26
3.3.6疲勞(Fatigue) 26
3.3.7缺乏資源(Lack of Resources) 27
3.3.8壓力(Pressure) 28
3.3.9缺乏主見(Lack of Assertiveness) 28
3.3.10緊張(Stress) 29
3.3.11缺乏緊覺(Lack of Awareness) 30
3.3.12積非成是(Norms) 30
3.4專家訪談整理與探討 31
3.4.1採用專家訪談之相關背景說明 31
3.4.2受訪專家之背景描述 31
3.4.3訪談內容研擬 31
3.4.4專家訪談結果整理與分析 32
3.5小結 37
第四章 MRM訓練策略導入我空軍軍機維修管理效益探討 38
4.1.法規面 38
4.2國內外維修資源管理訓練成效之相關文獻 39
4.3小結 46
第五章結論與建議 47
5.1 結論 47
5.2 建議 48
參考文獻 50
附錄一 54

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