Chain of events (accident analysis)

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]

References

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

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[GFDPrivate-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.

[GFDInstrument-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]}

[Boeing-8] Boeing (2016). "Statistical Summary of Commercial Jet Airplane Accidents Worldwide Operations" (PDF). Aviation Safety Boeing Commercial Airplanes.

[PBS-9] "The Deadliest Plane Crash (transcript)". NOVA. PBS. 2006.

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Chain of events (accident analysis)

Aviation

See also

References