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1

An aviation accident report data-driven approach to scenario design for a centrifuge-based dynamic flight simulator

Lewkowicz Rafał

Journal of KONBiN

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2023

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Vol. 53, iss. 4

161--189

EN

The use of flight simulators in investigating an aviation incident or accident related to human errors has been identified as an important part of a strategy to improve safety. This study aimed to replicate a real flight of the MiG-29 aircraft using a centrifuge-based dynamic flight simulator and to determine the simulator’s accuracy in recreating in-flight aircraft performance. A 60-second recording of the real flight of the MiG-29 aircraft, captured by the flight data recorder, was chosen for replication in the HTC-07 human training centrifuge simulator. To evaluate how accurately the simulator replicates the performance of the aircraft, the linear accelerations and angular velocities acting on a pilot during the real flight were compared with those during the replication of that flight in the simulator. The fit of these parameters was assessed using the root mean square percentage error (RMSPE) and the correlation coefficient (r). The highest replication accuracy was achieved for the vertical component of the linear acceleration (RMSPE=2068; r=0.98), while the worst result was obtained for the longitudinal component (RMSPE=14205; r=0.31). Inaccuracies were much more pronounced for the angular velocity. The roll angular velocity had the lowest replication error (RMSPE=12640). However, its correlation with the recorded velocity during the real flight was very weak (r=-0.02). Despite some inaccuracies in replicating other components of the acceleration and angular velocity vectors, the HTC-07 simulator seems valuable for investigating aviation incidents or accidents related to human factors.

PL

Wykorzystanie symulatorów lotu w badaniach incydentu lub wypadku lotniczego, którego przyczyną mógł być błąd ludzki, zostało uznane za ważną część strategii poprawy bezpieczeństwa lotów. Celem tego badania było odtworzenie rzeczywistego lotu samolotu MiG-29 w dynamicznym symulatorze lotu opartym na wirówce przeciążeniowej oraz ocena, czy symulator ten może dokładnie odtworzyć osiągi samolotu podczas lotu. Do odtworzenia w wirówce przeciążeniowej – symulatorze HTC-07 wybrano 60-sekundowe nagranie rzeczywistego lotu samolotu MiG-29, zarejestrowane przez pokładowy rejestrator danych lotu. W celu oceny, jak dokładnie symulator odtwarza osiągi samolotu porównano przyspieszenia liniowe i prędkości kątowe działające na pilota podczas rzeczywistego lotu z przyspieszeniami działającymi podczas replikacji tego lotu w symulatorze. Dopasowanie tych parametrów oceniono za pomocą średniokwadratowego błędu procentowego (RMSPE) oraz współczynnika korelacji (r). Największą dokładność replikacji osiągnęła składowa pionowa przyspieszenia liniowego (RMSPE = 2068; r = 0,98), podczas gdy najgorszy wynik miała składowa podłużna (RMSPE = 14205; r = 0,31). Niedokładności były znacznie bardziej widoczne w przypadku prędkości kątowej. Prędkość kątowa przechyłu miała najniższy błąd replikacji (RMSPE = 12640), jednak jej korelacja z zarejestrowaną prędkością podczas rzeczywistego lotu była bardzo słaba (r = -0,02). Pomimo niedokładności w odtwarzaniu pozostałych składowych wektorów przyspieszenia i prędkości kątowej, symulator HTC-07 wydaje się cennym narzędziem do badania incydentów lub wypadków lotniczych związanych z czynnikiem ludzkim.

2

“Just culture”? Conflicts of interest in the investigation of aviation accidents

Balcerzak T.A.

Zeszyty Naukowe. Transport / Politechnika Śląska

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2017

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z. 94

5--17

EN

The sole purpose of air accident investigations should be the prevention of accidents and other incidents in the future, without apportioning blame or liability. A civil aviation safety system is based on feedback and lessons learned from accidents and incidents, while requiring the strict application of rules on confidentiality in order to ensure the availability of valuable sources of information in the future. Therefore, related data, especially sensitive safety information, should be protected in an appropriate manner. Information provided by an individual in the framework of a safety investigation should not be used against them, in full respect of constitutional principles, and national and international law. Each “involved person” who knows about an accident or serious incident should promptly notify the competent state authority for carrying out an investigation of the event. “Involved person” refers to one of the following: the owner; a member of the crew; the operator of the aircraft involved in an accident or serious incident; any person involved in the maintenance, design, manufacture of that aircraft or in the training of its crew; any person involved in air traffic control, providing flight information or providing airport services, which provided services for the aircraft concerned; staff of the national civil aviation authority; or staff of the European Aviation Safety Agency. In terms of the protection level of the organization (employer), employees who report an event or submit an application to the investigation cannot bear any prejudice from their employer because of information provided by the applicant. The protection does not cover (exclusions): infringement with wilful misconduct (direct intent, recklessness infringement); infringement committed by a clear and serious disregard of the obvious risks; and serious professional negligence, i.e., the failure to provide unquestionably duty of care required under the circumstances, causing possible or actual damage to persons or property leading the level of aviation safety being seriously compromised. All employees in the aviation sector, regardless of their function, have safety-related duties and are therefore critical to the security of the entire civil aviation system. The safety of this system requires that any event that has or may have an impact on security in aviation should be reported voluntarily and without delay, because it is necessary to conduct an appropriate investigation in order to increase the level of safety. “Just Culture” is the basic premise for the effective functioning of the reporting of events required for all aviation organizations in order to maintain and raise the safety level. As safety management is based on precise data, it is necessary to introduce appropriate procedures, which allow for obtaining information not only about the events that have already occurred, but also about any other events that could potentially cause hazardous conditions. All the procedures and rules of operation relating to the policy of Just Culture should be constructed so that they not only comply with the provisions of applicable law, but are also rational and understandable by all stakeholders, as well as provide certain comfort and confidentiality to persons reporting events that affect airline safety. Changes in the existing legal system should be established in cooperation with all concerned institutions: law enforcement, including the courts and public prosecution, aviation insurers, the Aircraft Accident Investigation Commission and other entities. Is it possible to reconcile the interests of the so-called culture of aviation safety, i.e., Just Culture, with the requirements of the above-mentioned institutions and traders involved in the implementation of air transport and the exploration of the effects of aerial surveys? The answers to this and similar questions will be widely presented in this article.

3

An expert system for the quantification of fault rates in construction fall accidents

Birgonul M. T., Dikmen I., Budayan C., Demirel T.

International Journal of Occupational Safety and Ergonomics

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2016

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Vol. 22, No. 1

20--31

EN

Introduction. Expert witness reports, prepared with the aim of quantifying fault rates among parties, play an important role in a court's final decision. However, conflicting fault rates assigned by different expert witness boards lead to iterative objections raised by the related parties. This unfavorable situation mainly originates due to the subjectivity of expert judgments and unavailability of objective information about the causes of accidents. As a solution to this shortcoming, an expert system based on a rule-based system was developed for the quantification of fault rates in construction fall accidents. The aim of developing DsSafe is decreasing the subjectivity inherent in expert witness reports. Methodology. Eighty-four inspection reports prepared by the official and authorized inspectors were examined and root causes of construction fall accidents in Turkey were identified. Using this information, an evaluation form was designed and submitted to the experts. Experts were asked to evaluate the importance level of the factors that govern fall accidents and determine the fault rates under different scenarios. Based on expert judgments, a rule-based expert system was developed. The accuracy and reliability of DsSafe were tested with real data as obtained from finalized court cases. Result. DsSafe gives satisfactory results.

4

Assessment of accident severity in the construction industry using the Bayesian theorem

Alizadeh S. S., Mortazavi S. B., Sepehri M. M.

International Journal of Occupational Safety and Ergonomics

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2015

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Vol. 21, No. 4

551--557

EN

Aim: Construction is a major source of employment in many countries. In construction, workers perform a great diversity of activities, each one with a specific associated risk. The aim of this paper is to identify workers who are at risk of accidents with severe consequences and classify these workers to determine appropriate control measures. Methods: We defined 48 groups of workers and used the Bayesian theorem to estimate posterior probabilities about the severity of accidents at the level of individuals in construction sector. First, the posterior probabilities of injuries based on four variables were provided. Then the probabilities of injury for 48 groups of workers were determined. Results: With regard to marginal frequency of injury, slight injury (0.856), fatal injury (0.086) and severe injury (0.058) had the highest probability of occurrence. It was observed that workers with <1 year's work experience (0.168) had the highest probability of injury occurrence. The first group of workers, who were extensively exposed to risk of severe and fatal accidents, involved workers ≥50 years old, married, with 1–5 years' work experience, who had no past accident experience. Conclusion: The findings provide a direction for more effective safety strategies and occupational accident prevention and emergency programmes.

5

Investigated Serious Occupational Accidents in The Netherlands, 1998–2009

Bellamy L. J., Manuel H. J., Oh J. I. H.

International Journal of Occupational Safety and Ergonomics

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2014

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Vol. 20, No. 1

19--32

EN

Since 2003, a project has been underway to analyse the most serious occupational accidents in The Netherlands.All the serious occupational accidents investigated by the Dutch Labour Inspectorate for the 12 years of 1998−2009 inclusive have been entered into a database, a total of 20 030 investigations. This database uses a model of safety barriers supported by barrier tasks and management delivery systems such that, when combined with sector and year information, trends in the data can be analysed for their underlying causes. The trend analyses show that while the number of victims of serious reportable accidents is significantly decreasing, this is due to specific sectors, hazards and underlying causes. The significant results could not easily be directly associated with any specific regulation or action undertaken in The Netherlands although there have been many different approaches to reducing accidents during the period analysed, which could be contributing to the effect.

6

Identifying Training Deficiencies in Military Pilots by Applying the Human Factors Analysis and Classification System

Li W. C., Harris D.

International Journal of Occupational Safety and Ergonomics

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2013

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Vol. 19, No. 1

3--18

EN

Without accurate analysis, it is difficult to identify training needs and develop the content of training programs required for preventing aviation accidents. The human factors analysis and classification system (HFACS) is based on Reason's system-wide model of human error. In this study, 523 accidents from the Republic of China Air Force were analyzed in which 1762 human errors were categorized. The results of the analysis showed that errors of judgment and poor decision-making were commonly reported amongst pilots. As a result, it was concluded that there was a need for military pilots to be trained specifically in making decisions in tactical environments. However, application of HFACS also allowed the identification of systemic training deficiencies within the organization further contributing to the accidents observed.

7

Causation of Severe and Fatal Accidents in the Manufacturing Sector

Carillo-Castrillo J. A., Rubio-Romero J. C., Onieva L.

International Journal of Occupational Safety and Ergonomics

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2013

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Vol. 19, No. 3

423--434

EN

The main purpose of this paper is to identify the most frequent causes of accidents in the manufacturing sector in Andalusia, Spain, to help safety practitioners in the task of prioritizing preventive actions. Official accident investigation reports are analyzed. A causation pattern is identified with the proportion of causes of each of the different possible groups of causes. We found evidence of a differential causation between slight and non-slight accidents. We have also found significant differences in accident causation depending on the mechanism of the accident. These results can be used to prioritize preventive actions to combat the most likely causes of each accident mechanism. We have also done research on the associations of certain latent causes with specific active (immediate) causes. These relationships show how organizational and safety management can contribute to the prevention of active failures.