Submitted:
04 July 2023
Posted:
11 July 2023
You are already at the latest version
Abstract
Keywords:
1. Introduction
- Generate succinct synopses of the incidents.
- Compare the faithfulness of the generated synopses to human-written synopses.
- Discern the human factor(s) contributing to an incident.
- Pinpoint the party responsible for the incident.
- Provide explanatory logic/rationale for the generative language model’s decisions.
2. Background
2.1. Aviation Safety Reporting System (ASRS)
2.2. Large Language Models
2.2.1. Large Language Models (LLMs) as Foundation Models
2.2.2. Generative Language Models
- Supervised policy fine-tuning: Collect a set of instruction prompts and data labelers to demonstrate the desired output. This is used for supervised fine-tuning (SFT) of GPT-3.
- Train a reward model: Collect a set of instruction prompts, each with multiple different model outputs, and have data labelers rank the responses. This is used to train a reward model (RM) starting from the SFT model with the final layer removed.
- Optimize a policy against the RM via RL: Collect a set of prompts, outputs, and corresponding rewards. This is used to fine-tune the SFT model on their environment using proximal policy optimization (PPO).
2.2.3. NLP in Aviation Safety Analysis
3. Materials and Methods
3.1. Dataset
3.2. Prompt Engineering for ASRS Analysis
3.3. Analyzing ChatGPT’s Performance
4. Results and Discussion
4.1. Generation of Incident Synopses
4.2. Performance with Human Factors Related Issues

4.3. Attribution of Fault
5. Conclusions
Author Contributions
Data Availability Statement
Conflicts of Interest
Abbreviations
| AI | Artificial Intelligence |
| ASRS | Aviation Safety Reporting System |
| BERT | Bidirectional Encoder Representations from Transformers |
| CSV | Comma-separated values |
| FAA | Federal Aviation Administration |
| GPT | Generative Pre-trained Transformer |
| JSON | JavaScript Object Notation |
| LaMDA | Language Models for Dialog Applications |
| LLaMA | Large Language Model Meta AI |
| LLM | Large Language Model |
| MLM | Masked Language Modeling |
| NAS | National Airspace System |
| NASA | National Aeronautics and Space Administration |
| NLP | Natural Language Processing |
| NSP | Next Sentence Prediction |
| PaLM | Pathways Language Model |
| PPO | Proximal Policy Optimization |
| RL | Reinforcement Learning |
| RLHF | Reinforcement learning from human feedback |
| RM | Reward Model |
| SFT | Supervised Fine-tuning |
| UAS | Unmanned Aerial Systems |
Appendix A
| Listing 1. Prompt used for this work. |
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| Form Name | Submitted by |
|---|---|
| General Report Form | Pilot, Dispatcher, Ground Ops, and Other |
| ATC Report Form | Air Traffic Controller |
| Maintenance Report Form | Repairman, Mechanic, Inspector |
| Cabin Report Form | Cabin Crew |
| UAS Report Form | UAS Pilot, Visual Observer, and Crew |
| Column Name | Description |
|---|---|
| ASRS Record Number (ACN) | Unique identifier for each record in the ASRS database; |
| Example: 881998, 881724, etc. | |
| Date | The date on which the incident occurred is provided in a yyyymm format. This is done to de-identify incidents by removing “Day” information.; |
| Example: 201004, 201610, etc. | |
| Local Time of Day | The incident time is categorized into specific time buckets to maintain anonymity and prevent the inclusion of exact incident times. These time buckets divide the 24-hour period into four intervals.; |
| Example: 0001 - 0600, 0601 - 1200, 1201 - 1800, and 1801 - 2400 | |
| Human Factors | Human Factors in aviation refers to the discipline that examines the impact of human performance, cognition, and behavior on aviation incidents, with the aim of understanding and mitigating factors such as human error, fatigue, communication breakdowns, and inadequate training that contribute to accidents or near misses in the aviation industry.; |
| Example: Communication Breakdown, Confusion, Distraction, Fatigue, Human-Machine Interface, Situational Awareness, Time Pressure, Workload, etc. | |
| Contributing Factors / Situations | The factors or circumstances that played a role in the incident’s occurrence as identified by the reporter (in the narrative) and/or safety analyst; |
| Example: Human Factors, Environment - Non-Weather Related, Procedure, and Airspace Structure are some examples. Each incident can have multiple contributing factors. | |
| Primary Problem | The main cause that led to the incident as identified by the safety analyst; |
| Example: Human Factors, Environment - Non Weather Related, Procedure, Airspace Structure are some examples. However, each incident can have only one primary problem that led to the incident. | |
| Narrative | The description of the incident provided by the reporter includes information about the chain of events, “how the problem arose”, and various human performance considerations such as perceptions, judgments, decisions, factors affecting the quality of human performance, actions, or inactions. ; |
| Example: A C680, checked on to frequency (very thick accent). I verified his Mode C and verified his assigned altitude of 11000. I issued a 070 heading out of PVD VOR to intercept the Runway 4R localizer. He said `roger, zero seven zero’. Moments later I noticed his altitude out of 10000. I asked for an altitude verification and issued a climb. Then I pointed the aircraft out to the adjacent facilities who responded that there was no problem and point out approved. Continued with routine handling. Just a language barrier. Just a foreign pilot and language, although we use English as a common language in ATC, can be a barrier. | |
| Synopsis | The summary of the incident written by safety analysts; |
| Example: A90 Controller described a pilot error event when the flight crew of a foreign registered aircraft descended below the assigned altitude during vectors to final. |
| Human Factor Issue | Definition |
|---|---|
| Communication Breakdown | Failure in the exchange of information or understanding between pilots, air traffic controllers, or other personnel, leading to potential errors or safety issues in flight operations |
| Confusion | State where pilots, air traffic controllers, or other personnel are uncertain or lack clarity about flight information or procedures, potentially compromising flight safety or efficiency |
| Distraction | Any event, process, or activity that diverts attention away from a pilot’s primary task of safely controlling the aircraft or hinders air traffic controllers from effectively managing flight operations |
| Fatigue | State of mental or physical exhaustion that reduces a pilot’s ability to safely operate an aircraft or perform flight-related duties |
| Human-Machine Interface | Problems or difficulties in the interaction between pilots (or other personnel) and aviation equipment or systems, which can hinder operations and potentially compromise flight safety |
| Physiological - Other | Can include conditions like fatigue, hypoxia, barotrauma, dehydration, deep vein thrombosis, jet lag, spatial disorientation, effects of G-force, chronic noise and vibration exposure, radiation exposure, and disruptions to circadian rhythms, each resulting from the unique environmental and physical challenges of flight |
| Situational Awareness | Refers to a scenario where a pilot or crew has an incomplete, inaccurate, or misinterpreted understanding of their flight environment, which can potentially lead to operational errors or accidents |
| Time Pressure | Urgency or stress pilots or air traffic controllers may experience when they have limited time to make crucial decisions or complete necessary tasks, often impacting safety and operational efficiency |
| Training/Qualification | Problems or challenges arising due to insufficient, inadequate, or improper training and certification of aviation personnel, including pilots, air traffic controllers, and maintenance crews, potentially impacting the safety and efficiency of aviation operations |
| Troubleshooting | Process of identifying and solving mechanical, technical, operational, or human factors-related problems that occur in the functioning of aircraft or in aviation operations, in order to maintain safety and efficiency |
| Workload | Tasks or responsibilities assigned to aviation personnel, such as pilots, air traffic controllers, or maintenance crews, exceed their capacity, potentially resulting in fatigue, errors, and safety risks |
| Other/Unknown | Problems, errors, or challenges occurring within aviation operations that cannot be readily categorized or identified under established categories and might require further investigation |
| Generated Feature | Description |
|---|---|
| Synopsis | A synopsis of the narrative in 1-2 sentences that includes important details, such as the name of the system, and other relevant abbreviations, as necessary. |
| Human Factor Issue | A list of human factor issues predicted from the narrative, from the categories: Communication breakdown, Confusion, Distraction, Fatigue, Human-Machine Interface, Other/Unknown, Physiological - Other, Situational Awareness, Time Pressure, Training/Qualification, Troubleshooting, Workload (mirroring issues used in ASRS) along with additional issues ChatGPT was free to suggest. |
| Human Factor Issue (Rationale) | A 1-2 sentence description of the rationale ChatGPT used to decide which human factor issues were relevant. |
| Incident Attribution | A party or parties to whom the incident can be attributed based on the narrative. |
| Incident Attribution (Rationale) | A description of the rationale ChatGPT used to attribute the incident to the specified party. |
| ACN | Synopsis (Safety Analyst) | Synopsis (ChatGPT) | CS |
|---|---|---|---|
| BERT Embedding | |||
| 963743 | As a J3 slowed after landing the pilot over corrected a left drift so the aircraft veered right off the runway where the left wheel hit a prairie dog hole and broke the axle. | During landing at the home airport, the Piper J-3 Cub veered left and the pilot over-corrected, causing the aircraft to turn hard right and run off the right side of the runway. The left tire hit a prairie dog hole and bent the left axle. | 0.963 |
| 1268182 | A B-747 flight crew attempted to do a 180-degree turn on a runway due to taxiway closures. The Captain began the turn with about seven knots but was unable to complete the turn with that initial ground speed. The nose tire partially departed the runway and cables were used to get the Aircraft back on to the Runway. The aircraft was found to have no damage and cleared for flight. | The crew of Aircraft X attempted to perform a 180-degree turn on Runway 08, which was narrower than the minimum width required for the turn. The crew’s decision to continue with the turn was influenced by the urgency of transporting high-priority cargo, including blood supplies. The aircraft skidded twice during the turn, and the crew decided to stop the aircraft and request tug assistance to complete the turn. The aircraft was eventually pulled back onto the runway and cleared for flight after inspection. | 0.962 |
| 1230761 | A Line Aircraft Maintenance Technician (AMT) reports finding the inboard end of a left aileron contacting a wing rib directly inboard of the aileron on a Cessna CE-560EP aircraft. Rivets and screws retaining the balance weight cover were gouging into the rib. Aileron had been installed three years earlier, but was found to be incorrect for the aircraft. | During a preliminary inspection of a Cessna CE560EP aircraft, the inboard end of the L/H aileron was found to be contacting the wing rib directly inboard of the aileron. Maintenance Control initially suggested grinding the aileron to get clearance, but a later E/O was issued to grind the rivet down and fly the aircraft under Ferry permit to get repaired properly. Three days later, it was discovered that the aileron was the wrong part number installed three years prior. | 0.959 |
| aeroBERT Embedding | |||
| 1759478 | Air carrier Captain reported a passenger appeared intoxicated during boarding, but was allowed to fly. During the flight the passenger was non-compliant with face mask policy. | During the flight, a passenger appeared to be intoxicated and was non-compliant with mask requirements. The flight crew notified customer service and had the passenger removed upon arrival at the gate. | 0.987 |
| 1112916 | An experienced pilot was distracted by conversation with a passenger and neglected to remove the tow bar during pre-flight. This was discovered when attempting to reposition into the hangar after the flight. The tow bar was found off the runway with no damage to the aircraft. | The pilot was distracted during pre-flight and failed to remove the aircraft tow bar. The tow bar was found 1,800 FT from the departure end of the runway after the flight. No apparent damage was found on the aircraft. | 0.987 |
| 1158337 | After landing in MIA, a fatigued flight crew realized that they were on Approach Control frequency and had not received landing clearance. | The flight crew forgot to switch to the Tower frequency and landed without clearance due to a lack of situational awareness and fatigue. | 0.985 |
| SBERT Embedding | |||
| 1011027 | A pilot reported loosing control of a Maule Amphibian on takeoff after he lifted off to soon in a crosswind causing a wing to stall and forward parts of the floats to contact the runway. | The pilot lost control of a Maule Amphibian during takeoff in strong crosswind conditions, causing the aircraft to contact the ground with the forward parts of the floats. | 0.924 |
| 917365 | A Line Mechanic was informed that a lock-pin from the aft service door evacuation slide inflation valve had not been removed after he replaced a MD-88 door slide. The lock-pin was allegedly found six months later during a cabin maintenance visit. | During a cabin maintenance visit, it was found that the lock pin from the aft service door evacuation slide inflation valve had not been removed after the replacement of evacuation slides in a MD-88 aircraft. | 0.921 |
| 940308 | A Line Mechanic loosely installed mount bolts during replacement of a Center Tank Fuel Quantity Transient Suppression Device (TSD) on a B737-300 aircraft to allow another Mechanic to connect a wire harness to the TSD. Mechanic realized after the aircraft departed that the mount bolts may not have been tightened. | During maintenance work on a B737-300 aircraft, a lack of communication between two Aviation Maintenance Technicians (AMTs) led to the temporary installation of the Center Fuel Quantity Transient Suppression Device (TSD) box with mount bolts finger tight. The AMT who installed the TSD harness was not informed about this, leading to loose bolts. The issue was later corrected by another AMT during a Routine Overnight (RON) inspection. | 0.920 |
| ACN | Synopsis (Safety Analyst) | Synopsis (ChatGPT) | CS |
|---|---|---|---|
| BERT Embedding | |||
| 837587 | A light twin and a single engine have a NMAC at Isla Grande. | The pilot was unable to communicate effectively with the tower due to a congested frequency, resulting in a near mid-air collision with another aircraft on converging flight paths. | 0.559 |
| 1889454 | Air carrier ground personnel reported Hazmat cargo was transported on wrong aircraft. | Hazmat intended for a later mainline trip was mistakenly loaded onto an express trip. | 0.621 |
| 1231062 | CE525 Captain expresses confusion over RNAV SID’s STAR’s after modification by ATC, in general and the UECKR1 specifically. | The flight crew received conflicting instructions from ATC during clearance, which led to confusion and misinterpretation of the clearance. | 0.623 |
| aeroBERT Embedding | |||
| 1671165 | C172 Pilot reported a NMAC while training. | During air work, the pilot was distracted by maintaining airspeed and bank angle while performing an emergency descent, leading to a lack of situational awareness. The pilot did not take sufficient steps to confirm the other aircraft’s position, and the two aircraft passed each other with a relatively small clearance. | 0.890 |
| 1878408 | Small Aircraft Instructor Pilot reported a NMAC. | On DATE at XA:20, a flight crew and their student were flying in the Northeast Practice Area in Arizona when they encountered another aircraft, Aircraft Y, that was not following the right of way standard right turn to avoid traffic. The incident was caused by a communication breakdown between the flight crew and the other aircraft on the NE Practice area frequency. | 0.882 |
| 1638197 | C310 pilot reported flying VFR into IMC. | The pilot cancelled IFR based on the belief that VMC prevailed in the area, which was not the case. The pilot had an unreasonable belief that the weather would improve and did not consider requesting immediate IFR clearance or performing a 180 turn. The incident was caused by the pilot’s decision-making and actions. | 0.894 |
| SBERT Embedding | |||
| 837587 | A light twin and a single engine have a NMAC at Isla Grande. | The pilot was unable to communicate effectively with the tower due to a congested frequency, resulting in a near mid-air collision with another aircraft on converging flight paths. | 0.123 |
| 1409509 | C172 pilot reported an NMAC in the vicinity of IGX airport. | During a VFR flight utilizing flight following, the pilot failed to set the ascent rate on the autopilot, causing the aircraft to hold the current altitude instead of climbing to the requested altitude of 4500 feet. This led to a potential conflict with another aircraft, and the pilot had to descend further to maintain separation. | 0.162 |
| 1028402 | EMB145 Captain describes the factors that resulted in missing a crossing restriction during the GIBBZ1 RNAV arrival to IAD. | The flight crew deviated from a new arrival procedure due to the First Officer’s inexperience in the aircraft and uncertainty about an acceptable rate of descent. The Captain’s focus on the next waypoint ahead of the current one led to a delay in realizing the aircraft was too high. | 0.218 |
| Class | Precision | Recall | F1 Score | Support |
|---|---|---|---|---|
| Communication Breakdown | 0.67 | 0.62 | 0.64 | 4332 |
| Confusion | 0.67 | 0.05 | 0.1 | 2570 |
| Distraction | 0.53 | 0.38 | 0.44 | 2072 |
| Fatigue | 0.71 | 0.69 | 0.7 | 481 |
| Human-Machine Interface | 0.44 | 0.04 | 0.08 | 1210 |
| Other/Unknown | 0.19 | 0.03 | 0.05 | 609 |
| Physiological - Other | 0.42 | 0.25 | 0.32 | 208 |
| Situational Awareness | 0.74 | 0.52 | 0.61 | 6475 |
| Time Pressure | 0.59 | 0.15 | 0.24 | 1132 |
| Training/Qualification | 0.32 | 0.47 | 0.38 | 1649 |
| Troubleshooting | 0.45 | 0.07 | 0.12 | 455 |
| Workload | 0.48 | 0.16 | 0.24 | 1305 |
| Weighted Average | 0.61 | 0.38 | 0.43 | 22498 |
| Party Responsible for Incident | Count |
|---|---|
| Flight Crew | 5744 |
| ATC | 1838 |
| Ground Personnel | 805 |
| Maintenance | 738 |
| Flight Crew, ATC | 133 |
| ACN | Incident Narrative | Incident Attribution (ChatGPT) | Rationale (ChatGPT) |
|---|---|---|---|
| 1805938 | The lead Flight Attendant was so uptight with a passenger not complying with the Mask policies, [Flight Attendant] thought it was prudent to chime the cockpit during landing rollout and advise the flight crew to notify a Supervisor to meet the aircraft. This was a direct violation of sterile cockpit procedures. Because flight crews repeatedly experience chimes from the cabin while in simulator training, they are most associated with fire or critical aircraft issues. This is never a good time to chime the cockpit unless it is an emergency. Especially for a mask compliance issue. Relaxed emphasis from Leadership on the tattling on passengers for improper use of masks (never saw this type of behavior from FA when it came to early seat-belt releases. Reissued sterile cockpit etiquette with a bulletin on scenario that are and are not acceptable for chiming the cockpit during landing rollout. | Flight Crew | The flight attendant’s actions caused a distraction to the flight crew during landing rollout. |
| 874307 | I was working Aircraft X inbound to ADS. Along with this aircraft I had several other VFR pop up aircraft that had to be low level to remain VFR, typically around 1,500 feet. Aircraft X was at 2,000 on a vector for an ILS approach approximately 15 miles southeast of ADS. I observed the aircraft in proximity to a 2,200 foot MVA. I, for some reason, registered that the aircraft was VFR and instructed the aircraft to maintain VFR at or below 2,500 so that he could maintain obstacle clearance. The pilot complied and descended to 1,600 to VFR conditions. I pointed out the antenna and the pilot reported it in sight. It was then that I realized that the aircraft was in fact IFR and I climbed him immediately to 3,000. By that time the aircraft was inside the MVA at 1,600. Recommendation, this event could have been avoided had I had a better scan. It was complicated with bad weather and having to watch aircraft that were deviating and descending/climbing in areas where they would not normally be being worked by other positions. | ATC | The incident was caused by the controller’s error in providing incorrect instructions to the pilot. |
| 868384 | Aircraft was presented to Crew in ZZZ with a deferred item open, stating the forward coffee maker and spigot were inop’ed at a previous Station and the deferred MEL included draining the A320 of potable water and deferring the entire water system. While reviewing the Maintenance Release, the First Officer reported the forward lavatory toilet flushed normally. Water (H20) quantity was checked and it was found to be full, in direct contrast to the MEL instructions for the deferral on the Maintenance Release. Maintenance Control was contacted and a Maintenance Report item sent. Contract Maintenance called to aircraft in ZZZ and he reinstated the water system as no faults could be located. A few other write-ups were handled by ZZZ Maintenance Technician and he left the aircraft, with the Deferral placard still located on the forward Cabin Intercommunication Data System (CIDS) panel. This item was not discovered until en-route to ZZZ1. Aircraft was not serviced with potable water in ZZZ, so it operated at least one leg in violation of the MEL. The ZZZ Maintenance Technician stated the aircraft appeared to be not configured correctly for the `No’ potable water operation as all the valves had been left open. If the aircraft had a frozen water system as originally expected in the first write-up, how can one drain a water system that is frozen? Rhetorical question but that was the procedure listed under the MEL. | Maintenance | The incident was caused by a maintenance error in deferring the water system and not properly configuring the aircraft for `No’ potable water operation. |
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