Chain of events (accident analysis)

In accident analysis, a chain of events (or error chain) consists of the contributing factors leading to an undesired outcome.[1][2][3][4][5][6]

Aviation

In aviation accidents and incidents, these contributing actions typically stem from human factor-related mistakes and pilot error, rather than mechanical failure.[1][7] A study conducted by Boeing found that 55% of airline accidents between 1959 and 2005 were caused by such human related factors, while only 17% of accidents were caused by mechanical issues with the aircraft.[8]

The Tenerife airport disaster, the worst accident in aviation history, is a prime example of an accident in which a chain of events and errors can be identified leading up to the crash.[9] Pilot error, communications problems, fog, and airfield congestion (due to a bomb threat and explosion at another airport) all contributed to this catastrophe.[9]

See also

References

  1. 1 2 Willits, Pat (2007). Guided Flight Discovery: Private Pilot. Mike Abbott and Liz Kailey. Englewood: Jeppesen. pp. 10–26. ISBN 0-88487-429-X. OCLC 145504766.
  2. ↑ Gertler, Judith B. (11 March 2018). "Improving Safety-related Rules Compliance in the Public Transportation Industry". Transportation Research Board – via Google Books.
  3. ↑ "International Conference on Social, Education and Management Engineering". DEStech Publications, Inc. 9 July 2014 – via Google Books.
  4. ↑ Reese, Charles D. (25 October 2011). "Accident/Incident Prevention Techniques, Second Edition". CRC Press – via Google Books.
  5. ↑ Consulting, In c ABS (1 February 2002). "Principles of Risk-Based Decision Making". Government Institutes – via Google Books.
  6. ↑ Stellman, Jeanne Mager (11 March 1998). "Encyclopaedia of Occupational Health and Safety". International Labour Organization – via Google Books.
  7. ↑ Willits, Pat (2000). Guided Flight Discovery: Instrument/Commercial. Mike Abbott, Liz Kailey, and Jim Mowery. Englewood: Jeppesen. pp. 1–31. ISBN 0-88487-274-2. OCLC 145504766.
  8. ↑ Boeing (2016). "Statistical Summary of Commercial Jet Airplane Accidents Worldwide Operations" (PDF). Aviation Safety Boeing Commercial Airplanes.
  9. 1 2 "The Deadliest Plane Crash (transcript)". NOVA. PBS. 2006.


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