Notice of RetractionHuman error and system safety: Case study of commercial aviation accidents in Mainland China

Rui Ma, X. Yuan
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引用次数: 3

Abstract

This paper tries to find out the relationship of human error and system safety in aviation domain by analysis the importance of human error category associated with 34 commercial aviation accidents with the Chinese Civil Aviation Human Error Analysis System (CN-HFACS). Unsafe acts of operators and the preconditions of unsafe acts account for 76% of all the categories; unsafe acts of operators are mainly basic skill errors, manipulation violations, and emergency handling mistakes; preconditions of unsafe acts are mainly adverse mental states, ineffective labor division and coordination, and physical/mental limitations; most of the unsafe supervision of middle management is inadequate supervision; organization influences are mainly due to mismanagement of crew resource and poor cultural atmosphere; governmental regulation problems are mainly of inadequate inspection and audit. The aviation employers' manipulation level is significantly improved while the violation actions continually increase. Most system safety problems are human error problems.
人为错误与系统安全:以中国大陆商用航空事故为例
本文利用中国民航人为错误分析系统(CN-HFACS)对34起商业航空事故中人为错误类别的重要性进行分析,试图找出航空领域人为错误与系统安全的关系。操作人员的不安全行为和不安全行为的前提条件占所有类别的76%;操作人员的不安全行为主要是基本技能错误、操作违规和应急处理失误;不安全行为的前提条件主要是不良的心理状态、无效的分工和协调、身体/精神上的限制;中层管理人员的不安全监管主要表现为监管不足;组织影响主要是由于船员资源管理不善和文化氛围不佳;政府监管问题主要表现在检查和审计不足。航空用人单位操纵水平显著提高,违法行为不断增多。大多数系统安全问题都是人为错误问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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