Chain of events (accident analysis) explained
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
Notes and References
- Book: Willits, Pat . Mike Abbott and Liz Kailey . Guided Flight Discovery: Private Pilot . 2007 . . . 978-0-88487-429-4 . 145504766 . 10–26 . 2007-08-07 . https://web.archive.org/web/20071011033547/http://www.jeppesen.com/wlcs/application/commercewf?origin=itemsummary.jsp&event=link(details)&wlcs_catalog_item_sku=JS314500&wlcs_catalog_category_id=AT1A1A8&wlcs_document_type=details . 2007-10-11 . dead .
- Web site: Improving Safety-related Rules Compliance in the Public Transportation Industry. Judith B.. Gertler. 11 March 2018. Transportation Research Board. Google Books.
- Web site: International Conference on Social, Education and Management Engineering. 9 July 2014. DEStech Publications, Inc. Google Books.
- Web site: Accident/Incident Prevention Techniques, Second Edition. Charles D.. Reese. 25 October 2011. CRC Press. Google Books.
- Web site: Principles of Risk-Based Decision Making. In c ABS. Consulting. 1 February 2002. Government Institutes. Google Books.
- Web site: Encyclopaedia of Occupational Health and Safety. Jeanne Mager. Stellman. 11 March 1998. International Labour Organization. Google Books.
- Book: Willits, Pat . Mike Abbott, Liz Kailey, and Jim Mowery . Guided Flight Discovery: Instrument/Commercial . 2000 . . . 0-88487-274-2 . 145504766 . 1–31 .
- Web site: Statistical Summary of Commercial Jet Airplane Accidents Worldwide Operations . Boeing . 2016 . Aviation Safety Boeing Commercial Airplanes.
- Web site: The Deadliest Plane Crash (transcript) . 2006 . NOVA . PBS .