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• A Structured process
• Used for investigation an event
• Caused by maintenance technician and/or inspector
performance.
Error
Immediate Organization
Supervision
philosophy
environment • Planning
Maintenance/
• • Policies
Facilities • Organizing
technician/
• • Procedures
Weather • Prioritizing
inspector
• • Processes
Aircraft design • Delegating
• Knowledge • Selection
• Time pressure • Instructing
• Skills • Training
• Teamwork • Feedback
• Abilities • Continuous
• Documentation • Performance
• Other quality
• Communication management
characteristics
• • Improvemen
On the job • Team building
training t
The MEDA Event Model
Contributing
Factor Error Event
Probability Probability
Leads Leads
Contributing to to
Factor Error Event
Contributing
Factor
Probability Probability
Leads Leads
Contributing to to
Factor Error Event
Contributing
Factor
CF CF CF
Probability Probability
CF CF Event
Error
CF CF
MEDA investigation process
• Event based investigation process
• Maintenance technician fault or technical failure
• Interviewing of the maintenance technician
• Analysis
• implementation
MEDA Result Form
• Fatigue Assertiveness
• Time pressure Stress
• Peer pressure Situational Awareness
• Complacency
• Personal event
• Memory lapse
• Task distraction
• Organizational Factors: the organizational culture can have a
great impact.
• Quality of support from technical organization
• Company policies
• Not enough staff
• Work process procedures
• Work processes not followed
• Work group normal practice
• Team building
• Leadership/supervision
• Planning/organization of task
• Prioritization of task
• Delegation/assignment of task
• Unrealistic attitude/expectations
• Amount of supervision
• Communication: transfer of information (written, verbal, non-
verbal)
• Between departments
• Between mechanics
• Between shifts
• Between maintenance crew and lead
• Between lead and management
• Between flight crew and maintenance
How To Carry Out the MEDA Investigation Interview.