Chain_of_events_(accident_analysis)

Chain of events (accident analysis)

Chain of events (accident analysis)

Series of contributing factors leading to an undesired outcome

This article is about chain of events in accident analysis. For other uses, see Chain of events.

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]
    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. [2]
    Gertler, Judith B. (11 March 2018). "Improving Safety-related Rules Compliance in the Public Transportation Industry". Transportation Research Board – via Google Books.
  3. [3]
    "International Conference on Social, Education and Management Engineering". DEStech Publications, Inc. 9 July 2014 – via Google Books.
  4. [4]
    Reese, Charles D. (25 October 2011). "Accident/Incident Prevention Techniques, Second Edition". CRC Press – via Google Books.
  5. [5]
    Consulting, In c ABS (1 February 2002). "Principles of Risk-Based Decision Making". Government Institutes – via Google Books.
  6. [6]
    Stellman, Jeanne Mager (11 March 1998). "Encyclopaedia of Occupational Health and Safety". International Labour Organization – via Google Books.
  7. [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. [8]
    Boeing (2016). "Statistical Summary of Commercial Jet Airplane Accidents Worldwide Operations" (PDF). Aviation Safety Boeing Commercial Airplanes.
  9. [9]
    "The Deadliest Plane Crash (transcript)". NOVA. PBS. 2006.


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