Human Error and Commercial Aviation Accidents: A Comprehensive, Fine-Grained Analysis Using HFACS

The Human Factors Analysis and Classification System (HFACS) is a theoretically based tool for investigating and analyzing human error associated with accidents and incidents. Previous research has shown that HFACS can be reliably used to identify general trends in the human factors associated with...

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Bibliographic Details
Main Authors: Shappell, Scott A, Detwiler, Cristy A, Holcomb, Kali A, Hackworth, Carla A, Boquet, Albert J, Wiegmann, Douglas A
Format: Report
Language:English
Subjects:
AIR CARRIER OPERATIONS
AIR TAXI OPERATIONS
AIR TRAFFIC CONTROLLERS
ALASKA
Anatomy and Physiology
AVIATION ACCIDENTS
AVIATION SAFETY
CLASSIFICATION
Commercial and General Aviation
COMMERCIAL AVIATION
COMMUTER ACCIDENTS
COMMUTER OPERATIONS
DECISION MAKING
ENVIRONMENTAL FACTORS
ERRORS
FLIGHT CREW ERRORS
FLIGHT CREWS
GEOGRAPHIC AREAS
GEOGRAPHIC DIFFERENCES
Geography
HFACS(HUMAN FACTORS ANALYSIS AND CLASSIFICATION SYSTEM)
HUMAN ERRORS
HUMAN FACTORS ENGINEERING
Human Factors Engineering & Man Machine System
MAINTENANCE PERSONNEL
MENTAL HEALTH
MENTAL LIMITATIONS
ORGANIZATIONAL FACTORS
PATTERNS
PERFORMANCE(HUMAN)
PERSONNEL MANAGEMENT
Personnel Management and Labor Relations
PHYSICAL LIMITATIONS
PHYSIOLOGY
Psychology
SKILLS
SUPERVISORY ERRORS
TREND ANALYSIS
VIOLATIONS
VISIBILITY
WEATHER
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Description
Summary:The Human Factors Analysis and Classification System (HFACS) is a theoretically based tool for investigating and analyzing human error associated with accidents and incidents. Previous research has shown that HFACS can be reliably used to identify general trends in the human factors associated with military and general aviation accidents. The aim of this study was to extend previous examinations of aviation accidents to include specific aircrew, environmental, supervisory, and organizational factors associated with 14 CFR Part 121 (Air Carrier Operations) and 14 CFR Part 135 (Commuter/Air Taxi Operations) accidents using HFACS. The majority of causal factors were attributed to the aircrew and the environment, with decidedly fewer associated with supervisory and organizational causes. Comparisons were made between HFACS categories and traditional situational variables such as weather, lighting, and geographic region. Recommendations were made based on the HFACS findings presented. Prepared in cooperation with Clemson University, Clemson, SC; Embry-Riddle Aeronautical University, Daytona Beach, FL; and the Mayo Clinic, Rochester, MN. This work was accomplished under approved subtask AM-B-05-HRR-521.