Human Factors Impact on Safety-Critical Industries – A Near-Fatal Aviation Case Study

When:  May 28, 2026 from 05:00 PM to 07:30 PM (CT)
Associated with  Madison Section

Please join us at an in-person presentation & taco buffet dinner on May 28 at Serendipity Labs.  Dinner registration deadline extended until 8am May 26. For presentation only, sign-up through May 27 at this event registration link.  Please share this with any colleagues who might benefit from learning more about this topic.

Topic: Impact of Human Factors on Safety-Critical Industries – An Insight into a Near-Fatal Aviation Case Study

Humanfactor errors contribute to more than 80 percent of incidents across aviation, transportation, healthcare, and other safetycritical fields.  These events occur where people, technology, and organizational systems intersect, and even small breakdowns in these interactions can escalate into serious consequences.

This presentation offers a focused overview of the cognitive, physical, and organizational influences that shape human performance.  It introduces the origins of humanfactor principles, the widely recognized Dirty Dozen conditions that often lead to errors, and practical ideas organizations can use to reduce risk.  A vivid aviation case study featuring a stunning, near-fatal incident will illustrate how multiple humanfactor breakdowns aligned to create a nearcatastrophic event.

Attendees will gain an appreciation of why human factors matter, and how even basic application of these principles can improve safety and operational outcomes.

Presentation Highlights

  • The origins of humanfactor considerations and the industries most affected by humanfactor errors.
  • The “Dirty Dozen” – Twelve common preconditions that contribute to human error.
  • A dramatic case study illustrating the effects of humanfactor errors in a stunning, nearfatal aviation incident.
  • Practical approaches to reducing the likelihood and impact of human errors.
  • Cultural elements that help organizations minimize humanfactorrelated issues.

Where:  Serendipity Labs  525 Junction Rd Suite 6500, Madison, WI 53717

When: 5:00-5:30 pm  Networking & Check-in

            5:30-6:15 pm  Buffet Dinner

            6:30-7:30 pm  Presentation

Dinner Menu:  Street Tacos with barbacoa and chicken tinga with sides of black beans, Santa Fe rice, sautéed onions/peppers, and guacamole.  Served with soft flour and crispy corn tortillas, lime crema, cilantro & onion, queso fresco cheese, tortilla chips, and assorted salsas.   Meal includes fruit infused water, sodas, coffee, and hot tea.   

Cost: Dinner & Presentation: ASQ Members (& guests of members): $10,  Non-ASQ Members: $15 and Students: $5,  Presentation Only:  Free

Speaker Biography

Deepak Ramakrishnan has more than forty years of experience in the aerospace and automotive industries, holding key roles in quality leadership, metrology, and manufacturing engineering.  His career includes significant contributions at RollsRoyce, Cummins, SPX Corporation, and Detroit Diesel Allison.  He has directed quality organizations across multiple facilities, led initiatives to implement Quality Management Systems (QMS), modernized measurement systems for aircraft engine components, and managed worldclass metrology operations.  He also served as a technical lead and software super user for major Right First Time improvement programs and was recognized as a subject matter expert for RollsRoyce North America.

As President of ILEX Consulting, Deepak provided training and guidance in structured problem solving, human factors, capability analysis, and QMS implementation. He has helped organizations strengthen operational performance, address complex field issues, and build more disciplined approaches to quality and reliability.  Deepak is an ASQ Certified Quality Engineer and a Six Sigma Green Belt.  He is a Senior Member of ASQ and currently serves as Secretary for the Madison Section.

Location

Serendipity Labs
525 Junction Rd
Suite 6500
Madison, WI 53717
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Contact

Russ Bessemer

russbosa@gmail.com