Although the aircraft checklist has long been regarded as a foundation
of pilot standardization and cockpit safety, it has escaped the scrut
iny of the human factors profession. The improper use, or nonuse, of t
he normal checklist by flight crews is often cited as a major contribu
ting factor to aircraft accidents. This paper reports the results of a
field study of flight deck checklists and examines this seemingly mun
dane yet critical device from several perspectives: its functions, for
mat, design, length, and usage, and the limitations of the humans who
must interact with it. Certain sociotechnical factors, such as the air
line ''culture,'' cockpit resource management, and production pressure
s that influence the design and use of this device, are also discussed
. Finally, a list of design guidelines for normal checklists is provid
ed. Although the focus of this paper is on the air transport industry,
most of the principles discussed apply equally well to other high-ris
k industries, such as maritime transportation, power production, weapo
ns systems, space flight, and medical care.