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Chain of events (accident analysis)

Summary

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 edit

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 edit

References edit

  1. ^ a b Willits, Pat (2007). Guided Flight Discovery: Private Pilot. Mike Abbott and Liz Kailey. Englewood: Jeppesen. pp. 10–26. ISBN 978-0-88487-429-4. OCLC 145504766. Archived from the original on 2007-10-11. Retrieved 2007-08-07.
  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.[permanent dead link]
  8. ^ Boeing (2016). "Statistical Summary of Commercial Jet Airplane Accidents Worldwide Operations" (PDF). Aviation Safety Boeing Commercial Airplanes.
  9. ^ a b "The Deadliest Plane Crash (transcript)". NOVA. PBS. 2006.