A.  general
Elsewhere we have discussed the technical aspects of 
flying. The reader should now understand how lift is produced by an airfoil to 
make an airplane fly, the basic construction of an airframe. ail about the 
operation and care of an aero engine, how to use aircraft communication and 
navigation radio equipment, how to navigate from A to B, the vagaries of 
weather, etc. Not too many years ago, it was generally believed that if an 
individual had a good understanding of all these technical aspects of pilotage, 
he had acquired the basic prerequisites to be a successful, efficient and safe 
pilot.
In the last few years, however, it has been learned that a thorough grasp of 
these subjects, though essential, is not enough. Human factors are a very 
important part of flight crew training. Human aspects, such as cockpit 
organization, crew co-ordination, fitness and health, sensory illusions and 
decision making are as vital to safety in the air as are flying techniques. The 
relationship of people with machines, the environment and other people is part 
of the human factor equation.
There is much to understand about the pilot himself and his physical and 
involuntary reactions to the unnatural environmental conditions of flying. 
During the Second World War, it was first realized that some airplane losses 
were due to pilot incapacitation rather than to enemy action. The challenge of 
explaining these unusual occurrences was taken up and since that time much 
research has been conducted into such subjects as hypoxia, spatial 
disorientation, hyperventilation, the bends, impairment due to drugs and 
alcohol, and mental stress. Startling and sobering information is now 
available.
Man is essentially a terrestrial creature. His body is equipped to operate at 
greatest efficiency within relatively narrow limits of atmospheric pressure and, 
through years of habit, has adapted itself to movement on the ground.
In his quest for adventure and his desire for progress, man has ventured into 
a foreign environment, the air high above the ground. But these lofty heights 
are not natural to man. As altitude increases, the body becomes less and less 
efficient to a point, at sufficient altitude, of incapacitation and 
unconsciousness. Completely deprived of oxygen, the body dies in 8 minutes. 
Without ground reference, the senses can play tricks, sometimes fatal 
tricks.
Airplane accidents are an occurrence that every conscientious pilot is 
concerned with preventing. Most aircraft accidents are highly preventable. Many 
of them have one factor in common. They are precipitated by some human failing 
rather than by a mechanical malfunction. In fact, statistics indicate that human 
factors are involved in 85% of aircraft accidents. Many of these have been the 
result of disorientation, physical incapacitation and even the death of the 
pilot during the flight. Others are the result of poor management of cockpit 
resources.
It is the intention of this chapter to explain briefly some of these human 
factors, to help pilots understand and appreciate the capacities and limitations 
of their own bodies, so that flying might never be a frightening or dangerous 
undertaking. But instead, the enjoyable and safe and efficient experience ail 
lovers of airplanes and the airways have always believed it to be.
      
B.  general health
Since flying an airplane demands that the pilot be alert and in full command 
of his abilities and reasoning, it is only common sense to expect that. an 
individual will ensure that he is free of any conditions that would be 
detrimental to his alertness, his ability to make correct decisions, and his 
rapid reaction times before seating himself behind the wheel of an airplane.
Certain physical conditions such as serious heart trouble, epilepsy, 
uncontrolled diabetes, and other medical problems that might cause sudden 
incapacitation and serious forms of psychiatric illness associated with loss of 
insight or contact with reality may preclude an individual from being judged 
medically fit to apply for a license.
Other problems such as acute infections are temporarily disqualifying and 
will not affect the status of a pilot's license. But they will affect his 
immediate ability to fly, and he should seek his doctor's advice before 
returning to the cockpit of his airplane.
In fact, any general discomfort, whether due to colds, indigestion, nausea, 
worry, lack of sleep or any other bodily weakness, is not conducive to safe 
flying. Excessive fatigue is perhaps the most insidious of these conditions, 
resulting in inattentiveness, slow reactions and confused mental processes. 
Excessive fatigue should be considered a reason for cancelling or postponing a 
flight.
      
C.  hypoxia
The advance in aeronautical engineering during the past few years has 
produced more versatile airplanes capable of flying at much higher altitudes 
than only a few years ago were considered attainable by the private pilot. At 
such high altitudes, man is susceptible to one of the most insidious 
physiological problems. hypoxia. Because hypoxia comes on without warning 
of any kind, the general rule of oxygen above 10,000 feet ASL by day and above 
5000 feet ASL by night is one the wise pilot will practice to avoid the hazard 
of this debilitating condition. Hypoxia can be defined as a lack of sufficient 
oxygen in the body cells or tissues.
The greatest concentration of air molecules is near to the earth's surface. 
There is progressively less air and therefore less oxygen (per unit volume) as 
you ascend to higher altitudes. Therefore each breath of air that you breathe 
at, for example, 15,000 feet ASL has about half the amount of oxygen of a breath 
taken at sea level.
The most important fact to remember about hypoxia is that the individual is 
unaware that he is exhibiting symptoms of this condition. The brain centre that 
would warn him of decreasing efficiency is the first to be affected and the 
pilot enjoys a misguided sense of well-being. Neither is there any pain, or any 
other warning signs that tell him that his alertness is deteriorating. The 
effects of hypoxia progress from euphoria (feeling of well being) to reduced 
vision, confusion, inability to concentrate, impaired judgment, slowed reflexes 
to eventual loss of consciousness.
      
      
effects on visions at 5000 feet
The retina of the eye is 
actually an outcropping of the brain and as such is more dependent on an 
adequate supply of oxygen than any other part of the body. For this reason, the 
first evidence of hypoxia occurs at 5000 feet in the form of diminished night 
vision. Instruments and maps are misread; dimly lit ground features are 
misinterpreted.
      
      
above 
10,000 feet
It is true that general physical fitness has 
some bearing on the exact altitude at which the effects of hypoxia will first 
affect a particular individual. Age, drinking habits, use of drugs, lack of 
rest, etc.. all increase the susceptibility of the body to this condition. 
However, the average has been determined at 10,000 feet.
At 10,000 feet, there is a definite but undetectable hypoxia. This altitude 
is the highest level at which a pilot should consider himself efficient in 
judgment and ability. However, continuous operation even at this altitude for 
periods of more than, say, four hours can produce fatigue because of the reduced 
oxygen supply and a pilot should expect deterioration in concentration, problem 
solving and efficiency.
At 14,000 feet, lassitude and indifference are appreciable. There is dimming 
of vision, tremor of hands, clouding of thought and memory and errors in 
judgment. Cyanosis (blue discolouring of the fingernails) is first noticed.
At 16,000 feet, a pilot becomes disoriented, is belligerent or euphoric and 
completely lacking in rational judgment. Control of the airplane can be easily 
lost.
At 18,000 feet, primary shock sets in and the individual loses 
consciousness.
At higher altitudes, death may result after a prolonged period.
The Air Navigation Orders rule that an aircraft should not be operated for 
more than 30 minutes between 10,000 feet and 13,000 feet or at ail above 13,000 
feet unless oxygen is readily available for each crew member.
D.  stagnant hypoxia
Stagnant hypoxia is a condition in which there is a temporary displacement of 
blood in the head. It occurs as a result of positive "g" forces (as in an abrupt 
pull out from a high speed dive), and, can be attributed to the fact that the 
circulatory system is unable to keep blood pumped to, the head.
E.  prevention of hypoxia
The only way to prevent hypoxia is to take steps against it before its’ 
onset. Remember the rule: Oxygen above 10,000 feet by day and above 5,000 feet 
at night.