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Chain of events (accident analysis)

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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.

Aviation

In aviation accidents and incidents, these contributing actions typically stem from human factor-related mistakes and pilot error, rather than mechanical failure. 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.

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. Pilot error, communications problems, fog, and airfield congestion (due to a bomb threat and explosion at another airport) all contributed to this catastrophe.

See also

References

  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. 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. ^ "The Deadliest Plane Crash (transcript)". NOVA. PBS. 2006.


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