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Additional resources for Human factors models for aviation accident analysis and prevention

Sample text

Guy A. Boy, Florida Institute of Technology, USA; NASA Kennedy Space Center, USA; and Fellow of the Air and Space Academy The authors undertake a comprehensive and systematic analysis of a range of approaches to error causation, and have extended this analysis into systemic accident and incident causation. They both advocate and demonstrate important new methodologies that can be used to draw meaning from complex occurrences, thereby enabling the identification and implementation of meaningful interventions.

The very idea that this domino is required in order to knock over the fourth, 舖Accident舗, shows that Heinrich postulated that one or both of these must be present for an accident to occur. This model was the first to really develop the importance of behaviour on influencing safety and accident causation and Heinrich felt that this third domino was the most important, and also easiest to remove from the picture in order to prevent accidents. The presence of this domino means that for the first time in investigating QF1 it would be necessary to dig deeper into the behaviour and rationale of the flight crew舗s actions; a movement towards truly integrating behaviour.

This was a significant step in the right direction for the study of causation and for modelling the Qantas incident more comprehensively. Any analysis is, however, still limited by the problems of a linear causal chain. g. personal life) that affected the crew. Also, in the instance of the first domino, heredity is somewhat questionable and the social environment was the same for the first officer and the captain, and yet it is possible to suggest it was the captain who made the first mistake. A major problem with this, and one that has been brought to light particularly in recent years (see, for example, Young et al.

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