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研究生: 莊慶昇
Tjendra, Vincent
論文名稱: 飛機環境控制系統元件缺陷的風險及根本原因分析
Risk and Root Cause Analysis for the Defective Environmental Control System Component in Airplane
指導教授: 紀佳芬
Chia-Fen Chi
口試委員: 張琬喻
Woan-Yuh Jang
張庭彰
Tin-Chang Chang
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: 2023
畢業學年度: 112
語文別: 英文
論文頁數: 63
外文關鍵詞: Environmental Control System, Failure Modes and Effects Analysis , Functional Block Diagram, HMEP, Fault Tree Analysis, Latent failures
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  • ABSTRACT I ACKNOWLEDGMENT II TABLE OF CONTENTS III LIST OF FIGURES V LIST OF TABLES VI CHAPTER 1 INTRODUCTION 1 1.1 Background 1 1.2 Research Objective 4 1.3 Research Scope and Constraint 5 1.4 Thesis Organization 5 CHAPTER 2 LITERATURE REVIEW 7 2.1 Environmental Control System 7 2.2 Risk & Root Cause Analysis 10 2.2.1 Functional Block Diagram (FBD) 10 2.2.2 Fault Tree Analysis (FTA) 11 2.2.3 Failure Modes & Effects Analysis (FMEA) 13 2.2.4 Five Whys Analysis 15 2.2.5 Human-Machine-Environment-Procedure (HMEP) Root Cause Classification 16 CHAPTER 3 RESEARCH METHODOLOGY 18 3.1 Determine the data source 18 3.1.1 Taiwanese Aviation Accident Investigation Organization 19 3.1.2 Non-Taiwanese Aviation Accident Investigation Organization 21 3.2 Data Summary 24 CHAPTER 4 RESULT 26 4.1 Functional Block Diagram for Airplane’s Environmental Control System 26 4.2 FTA for Airplane’s Environmental Control System 29 4.2.1 FTA for Abnormal Cockpit/Cabin Pressure Event 30 4.2.2 FTA for Smoke, Odors and Fumes in Cockpit/Cabin Event 33 4.3 FMEA for Airplane’s Environmental Control System 37 CHAPTER 5 DISCUSSION AND CONCLUSION 43 5.1 Discussion 43 5.2 Conclusion 55 5.3 Limitation on current research 57 REFERENCES 58 APPENDIX A 63

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