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研究生: 薛智文
Davin Sigmund
論文名稱: 直升機事故的致災因素與模式分析
Causal Factors Classification and Pattern Analysis for Helicopter Accidents
指導教授: 紀佳芬
Chia-Fen Chi
口試委員: 張庭彰
Tin-Chang Chang
張琬喻
Woan-Yuh Jang
學位類別: 碩士
Master
系所名稱: 管理學院 - 工業管理系
Department of Industrial Management
論文出版年: 2020
畢業學年度: 108
語文別: 英文
論文頁數: 103
中文關鍵詞: Classification FrameworksCausal FactorsAccident Pattern
外文關鍵詞: Classification Frameworks, Causal Factors, Accident Pattern
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  • Understanding how accidents occur is fundamental to accident prevention. The application of classification frameworks has been proven to be effective and enable a comprehensive understanding of the root causal factors associated with incidents and accidents (Baysari et al., 2009). The current study demonstrated how the classification frameworks can be applied to exhibit the underlying conditions or events that may have contributed to helicopter accidents or incidents. Three classification frameworks, including IATA TEM-based accident classification system, Safety factor classification, and Human Factors Analysis and Classification System (HFACS) were applied to analyses 22 helicopter accidents and incidents investigated by the Taiwan Transportation Safety Board over a 19 years period, i.e. 1999-2018. The application of three classification frameworks retrospectively to the helicopter-related cases revealed three major accident patterns associated with helicopter incidents and accidents, including maintenance events, environmental factors (poor visibility and terrain/obstacle), and ground event. Subsequently, the most common causal factor category and the chain of causal factors involved in each pattern were determined. The application of three classification frameworks also revealed both strengths and limitations respecting to the taxonomy and analysis process for each classification framework.


    Understanding how accidents occur is fundamental to accident prevention. The application of classification frameworks has been proven to be effective and enable a comprehensive understanding of the root causal factors associated with incidents and accidents (Baysari et al., 2009). The current study demonstrated how the classification frameworks can be applied to exhibit the underlying conditions or events that may have contributed to helicopter accidents or incidents. Three classification frameworks, including IATA TEM-based accident classification system, Safety factor classification, and Human Factors Analysis and Classification System (HFACS) were applied to analyses 22 helicopter accidents and incidents investigated by the Taiwan Transportation Safety Board over a 19 years period, i.e. 1999-2018. The application of three classification frameworks retrospectively to the helicopter-related cases revealed three major accident patterns associated with helicopter incidents and accidents, including maintenance events, environmental factors (poor visibility and terrain/obstacle), and ground event. Subsequently, the most common causal factor category and the chain of causal factors involved in each pattern were determined. The application of three classification frameworks also revealed both strengths and limitations respecting to the taxonomy and analysis process for each classification framework.

    ABSTRACT i ACKNOWLEDGMENT ii TABLE OF CONTENT iii LIST OF FIGURES v LIST OF TABLES vii CHAPTER 1 INTRODUCTION 1 CHAPTER 2 LITERATURE REVIEW 6 CHAPTER 3 RESEARCH METHODOLOGY 38 CHAPTER 4 RESULT 52 CHAPTER 5 DISCUSSION AND CONCLUSION 72 REFERENCES 90

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