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3 Causes of Incidents and Accidents
Pages 22-28

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From page 22...
... In that case, there 2A CFIT accident occurs when a mechanically sound aircraft collides with the ground, typically because the flight crew loses situational awareness and does not understand the flight path of the aircraft relative to the ground. "Loss of control" accidents include collisions caused by engine failure, icing, stalls, or other circumstances that interfere with the ability of the flight crew to direct the motion of the aircraft.
From page 23...
... to monitor stopping distance would provide operators with an independent means of detecting potentially hazardous abnormalities. In 1996, accidents involving jet transport airplanes occurred in the United States at the rate of about 1.46 accidents per million flights (or one accident for every 685,000 flights)
From page 24...
... Cause factors associated with air traffic management include deficiencies in weather reporting, regulations, and the air traffic control system (navigational aids; air traffic control directives; and airport facilities, runways, and taxiways)
From page 25...
... 1 987-1 996 FIGURE 3-3 Primary cause factors for hull loss accidents involving large commercial jet airplanes worldwide. Source: Boeing, 1997.
From page 26...
... program such as the British Airways Safety Information System (BASIS) to monitor adherence to standard operating procedures and identify operational irregularities that could foreshadow accidents and incidents5 establishing training programs that emphasize basic piloting skills, upset recovery techniques, cockpit discipline, the use of standard operating procedures, and crew coordination and crew resource management 5This report uses FOQA as a generic term that is not limited to the specific program of the same name that the FAA sponsors.
From page 27...
... 0 20 40 60 80 100 120 Number of Events FIGURE 3-6 Airplane-related cause factors in worldwide incidents involving large commercial jet aircraft produced by a particular manufacturer (about 25 percent of the worldwide commercial jet fleet) , 1987 through 1996.
From page 28...
... Similarly, inappropriate crew response and fuel exhaustion, which are also essentially human factors problems, are the major contributors to propulsion-related fatal accidents. A1though aircraft system malfunctions are involved in a relatively small fraction of aircraft incidents and accidents, improvements in aircraft systems often improve safety by making aircraft more robust-providing flight crews with IMPROVING THE CONTINUED AIRWORTHINESS OF CIVIL AIRCRAFT more accurate information to improve their situational awareness and reducing the likelihood that a human error will result in an incident or accident.


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