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Frequency of Specific Categories of Aviation Accidents and Incidents During 2001-2010

The purpose of this study was to determine the types of accidents or incidents that are most important to the aviation safety risk. All accidents and incidents from 2001-2010 were assigned occurrence categories based on the taxonomy developed by the Commercial Aviation Safety Team/International Civil Aviation Organization (CAST/ICAO) Common Taxonomy Team (CICTT). The most frequently recorded categories were selected within each of five metrics: total accidents, fatal accidents, total injuries, fatal injuries and total incidents. This analysis was done separately for events within Part 121, Scheduled Part 135, Non-Scheduled Part 135 and Part 91. Combining those five sets of categories resulted in groups of between seven and eleven occurrence categories, depending on the flight operation. These groups represent 65-85% of all accidents and 68-81% of incidents.

Evans, Joni K.↗

An Examination of Commercial Aviation Accidents and Incidents Related to Integrated Vehicle Health Management

The Integrated Vehicle Health Management (IVHM) Project is one of the four projects within the National Aeronautics and Space Administration's (NASA) Aviation Safety Program (AvSafe). The IVHM Project conducts research to develop validated tools and technologies for automated detection, diagnosis, and prognosis that enable mitigation of adverse events during flight. Adverse events include those that arise from system, subsystem, or component failure, faults, and malfunctions due to damage, degradation, or environmental hazards that occur during flight. Determining the causal factors and adverse events related to IVHM technologies will help in the formulation of research requirements and establish a list of example adverse conditions against which IVHM technologies can be evaluated. This paper documents the results of an examination of the most recent statistical/prognostic accident and incident data that is available from the Aviation Safety Information Analysis and Sharing (ASIAS) System to determine the causal factors of system/component failures and/or malfunctions in U.S. commercial aviation accidents and incidents.

Reveley, Mary S.↗

Characterizing the Severe Turbulence Environments Associated With Commercial Aviation Accidents: A Real-Time Turbulence Model (RTTM) Designed for the Operational Prediction of Hazardous Aviation Turbulence Environments

Real-time prediction of environments predisposed to producing moderate-severe aviation turbulence is studied. We describe the numerical model and its postprocessing system designed for said prediction of environments predisposed to severe aviation turbulence as well as presenting numerous examples of its utility. The numerical model is MASS version 5.13, which is integrated over three different grid matrices in real time on a university work station in support of NASA Langley Research Center s B-757 turbulence research flight missions. The postprocessing system includes several turbulence-related products, including four turbulence forecasting indices, winds, streamlines, turbulence kinetic energy, and Richardson numbers. Additionally, there are convective products including precipitation, cloud height, cloud mass fluxes, lifted index, and K-index. Furthermore, soundings, sounding parameters, and Froude number plots are also provided. The horizontal cross-section plot products are provided from 16 000 to 46 000 ft in 2000-ft intervals. Products are available every 3 hours at the 60- and 30-km grid interval and every 1.5 hours at the 15-km grid interval. The model is initialized from the NWS ETA analyses and integrated two times a day.

Kaplan, Michael L.↗

Analysis of general-aviation accidents using ATC radar records

It is pointed out that general aviation aircraft usually do not carry flight recorders, and in accident investigations the only available data may come from the Air Traffic Control (ATC) records. A description is presented of a technique for deriving time-histories of aircraft motions from ATC radar records. The employed procedure involves a smoothing of the raw radar data. The smoothed results, in combination with other available information (meteorological data and aircraft aerodynamic data) are used to derive the expanded set of motion time-histories. Applications of the considered analytical methods are related to different types of aircraft, such as light piston-props, executive jets, and commuter turboprops, as well as different accident situations, such as takeoff, climb-out, icing, and deep stall.

Wingrove, R. C.↗

Causal Factors and Adverse Conditions of Aviation Accidents and Incidents Related to Integrated Resilient Aircraft Control

The causal factors of accidents from the National Transportation Safety Board (NTSB) database and incidents from the Federal Aviation Administration (FAA) database associated with loss of control (LOC) were examined for four types of operations (i.e., Federal Aviation Regulation Part 121, Part 135 Scheduled, Part 135 Nonscheduled, and Part 91) for the years 1988 to 2004. In-flight LOC is a serious aviation problem. Well over half of the LOC accidents included at least one fatality (80 percent in Part 121), and roughly half of all aviation fatalities in the studied time period occurred in conjunction with LOC. An adverse events table was updated to provide focus to the technology validation strategy of the Integrated Resilient Aircraft Control (IRAC) Project. The table contains three types of adverse conditions: failure, damage, and upset. Thirteen different adverse condition subtypes were gleaned from the Aviation Safety Reporting System (ASRS), the FAA Accident and Incident database, and the NTSB database. The severity and frequency of the damage conditions, initial test conditions, and milestones references are also provided.

Reveley, Mary S.↗

Changes in Frequency of the Severity and Type of Aviation Accidents (1987 to 2016)

This document reports the fourth analysis to identify the types of accidents with the greatest impact on the overall safety risk in U.S. civil aviation. The first three analyses examined accidents in 1997-20061, in 2001-20102 and in 2005-20143. The safety risks herein are defined to include four elements: (1) the number of total accidents; (2) the number of fatal accidents; (3) the number of total injuries; (4) the number of fatal injuries. Two of the previous analyses also included the number of incidents, but incident data since 2007 are difficult to separate by flight operation. Other incident details are no longer recorded as well. Due to these changes, the author’s working copy of the incident data has not been updated since 2011 (for incidents through 2010), and the incident data were not included in this analysis. Powerplant and non-powerplant system component failures were the only categories with a greater contribution to the overall safety risk from incidents than from accidents. Accident types, as well as accident rates, have been shown to vary considerably among different flight operations (e.g., large air carriers versus general aviation). For this reason, all analyses were done separately for four types of flight operations (Part 121, Scheduled Part 135, Non- Scheduled Part 135 and Part 91).

Evans, Joni K.↗

An Updated Examination of Aviation Accidents Associated with Turbulence, Wind Shear and Thunderstorm

One of the technical challenges within the Atmospheric Environment Safety Technologies (AEST) Project of the Aviation Safety Program was to "improve and expand remote sensing and mitigation of hazardous atmospheric environments and phenomena"1. In 2012, the author performed an analysis comparing various characteristics of accidents associated with different types of atmospheric hazard environments2. This document reports an update to that analysis which was done in preparation for presenting these findings at the 2015 annual meeting of the Transportation Research Board. Specifically, an additional three years of data were available, and a time-trend analysis was added.

Evans, Joni K.↗

Crew Communication as a Factor in Aviation Accidents

The incidence of air transport accidents caused by problems in crew communication and coordination was investigated. Communication patterns which are most effective in specific situations were determined. Methods to assess the effectiveness of crew communication patterns were developed. The results lead to the development of new methods training crews in effective communication and provide guidelines for the design of aviation procedures and equipment.

Goguen, J. A.↗

Linguistic methodology for the analysis of aviation accidents

A linguistic method for the analysis of small group discourse, was developed and the use of this method on transcripts of commercial air transpot accidents is demonstrated. The method identifies the discourse types that occur and determine their linguistic structure; it identifies significant linguistic variables based upon these structures or other linguistic concepts such as speech act and topic; it tests hypotheses that support significance and reliability of these variables; and it indicates the implications of the validated hypotheses. These implications fall into three categories: (1) to train crews to use more nearly optimal communication patterns; (2) to use linguistic variables as indices for aspects of crew performance such as attention; and (3) to provide guidelines for the design of aviation procedures and equipment, especially those that involve speech.

Goguen, J. A.↗

Aviation accidents and the theory of the situation

Social-psychological factors effecting the performance of flight crews are examined. In particular, a crew member's perceptual-psychological constructs of the flight situation (theories of the situation) are discussed. The skills and willingness of a flight crew to be alert to possible errors in the theory become critical to their effectiveness and their ability to ensure a safe flight. Several major factors that determine the likelihood that a faulty theory will be detected and revised are identified.

Bolman, L.↗

Crew Communication as a Factor in Aviation Accidents

The crew communication process is analyzed. Planning and explanation are shown to be well-structured discourse types, described by formal rules. These formal rules are integrated with those describing the other most important discourse type within the cockpit: the command-and-control speech act chain. The latter is described as a sequence of speech acts for making requests (including orders and suggestions), for making reports, for supporting or challenging statements, and for acknowledging previous speech acts. Mitigation level, a linguistic indication of indirectness and tentativeness in speech, was an important variable in several hypotheses, i.e., the speech of subordinates is more mitigated than the speech of superiors, the speech of all crewmembers is less mitigated when they know that they are in either a problem or emergency situation, and mitigation is a factor in failures of crewmembers to initiate discussion of new topics or have suggestions ratified by the captain. Test results also show that planning and explanation are more frequently performed by captains, are done more during crew- recognized problems, and are done less during crew-recognized emergencies. The test results also indicated that planning and explanation are more frequently performed by captains than by other crewmembers, are done more during crew-recognized problems, and are done less during-recognized emergencies.

Goguen, J.↗

Analysis of general aviation accidents during operations under instrument flight rules

A report is presented to describe some of the errors that pilots make during flight under IFR. The data indicate that there is less risk during the approach and landing phase of IFR flights, as compared to VFR operations. Single-pilot IFR accident rates continue to be higher than two-pilot IFR incident rates, reflecting the high work load of IFR operations.

Bennett, C. T.↗

Characterizing the Severe Turbulence Environments Associated With Commercial Aviation Accidents: 44 Case Study Synoptic Observational Analyses - Part 1

A 44 case study analysis of the large-scale atmospheric structure associated with development of accident-producing aircraft turbulence is described. Categorization is a function of the accident location, altitude, time of year, time of day, and the turbulence category, which classifies disturbances. National Centers for Environmental Prediction Reanalyses data sets and satellite imagery are employed to diagnose synoptic scale predictor fields associated with the large-scale environment preceding severe turbulence. These analyses indicate a predominance of severe accident-producing turbulence within the entrance region of a jet stream at the synoptic scale. Typically, a flow curvature region is just upstream within the jet entrance region, convection is within 100 km of the accident, vertical motion is upward, absolute vorticity is low, vertical wind shear is increasing, and horizontal cold advection is substantial. The most consistent predictor is upstream flow curvature and nearby convection is the second most frequent predictor.

Kaplan, Michael L.↗

Characterizing the Severe Turbulence Environments Associated with Commercial Aviation Accidents: Hydrostatic Mesobeta Scale Numerical Simulations of Supergradient Wind Flow and Streamwise Ageostrophic Frontogenesis - Part 2

Simulation experiments reveal key processes that organize a hydrostatic environment conducive to severe turbulence. The paradigm requires juxtaposition of the entrance region of a curved jet stream, which is highly subgeostrophic, with the entrance region of a straight jet stream, which is highly supergeostrophic. The wind and mass fields become misphased as the entrance regions converge resulting in the significant spatial variation of inertial forcing, centripetal forcing, and along- and cross-stream pressure gradient forcing over a mesobeta scale region. This results in frontogenesis and the along-stream divergence of cyclonic and convergence of cyclonic ageostrophic vertical vorticity. The centripetally forced mesoscale front becomes the locus of large gradients of ageostrophic vertical vorticity along an overturning isentrope. This region becomes favorable for streamwise vorticity gradient formation enhancing the environment for organization of horizontal vortex tubes in the presence of buoyant forcing.

Kaplan, Michael L.↗

AWE: Aviation Weather Data Visualization Environment

Weather is one of the major causes of aviation accidents. General aviation (GA) flights account for 92% of all the aviation accidents, In spite of all the official and unofficial sources of weather visualization tools available to pilots, there is an urgent need for visualizing several weather related data tailored for general aviation pilots. Our system, Aviation Weather Data Visualization Environment AWE), presents graphical displays of meteorological observations, terminal area forecasts, and winds aloft forecasts onto a cartographic grid specific to the pilot's area of interest. Decisions regarding the graphical display and design are made based on careful consideration of user needs. Integral visual display of these elements of weather reports is designed for the use of GA pilots as a weather briefing and route selection tool. AWE provides linking of the weather information to the flight's path and schedule. The pilot can interact with the system to obtain aviation-specific weather for the entire area or for his specific route to explore what-if scenarios and make "go/no-go" decisions. The system, as evaluated by some pilots at NASA Ames Research Center, was found to be useful.

Spirkovska, Lilly↗

Satellite Delivery of Aviation Weather Data

With aviation traffic continuing to increase worldwide, reducing the aviation accident rate and aviation schedule delays is of critical importance. In the United States, the National Aeronautics and Space Administration (NASA) has established the Aviation Safety Program and the Aviation System Capacity Program to develop and test new technologies to increase aviation safety and system capacity. Weather is a significant contributor to aviation accidents and schedule delays. The timely dissemination of weather information to decision makers in the aviation system, particularly to pilots, is essential in reducing system delays and weather related aviation accidents. The NASA Glenn Research Center is investigating improved methods of weather information dissemination through satellite broadcasting directly to aircraft. This paper describes an on-going cooperative research program with NASA, Rockwell Collins, WorldSpace, Jeppesen and American Airlines to evaluate the use of satellite digital audio radio service (SDARS) for low cost broadcast of aviation weather information, called Satellite Weather Information Service (SWIS). The description and results of the completed SWIS Phase 1 are presented, and the description of the on-going SWIS Phase 2 is given.

Kerczewski, Robert J.↗

Investigation of Asymmetric Thrust Detection with Demonstration in a Real-Time Simulation Testbed

The purpose of this effort is to develop, demonstrate, and evaluate three asymmetric thrust detection approaches to aid in the reduction of asymmetric thrust-induced aviation accidents. This paper presents the results from that effort and their evaluation in simulation studies, including those from a real-time flight simulation testbed. Asymmetric thrust is recognized as a contributing factor in several Propulsion System Malfunction plus Inappropriate Crew Response (PSM+ICR) aviation accidents. As an improvement over the state-of-the-art, providing annunciation of asymmetric thrust to alert the crew may hold safety benefits. For this, the reliable detection and confirmation of asymmetric thrust conditions is required. For this work, three asymmetric thrust detection methods are presented along with their results obtained through simulation studies. Representative asymmetric thrust conditions are modeled in simulation based on failure scenarios similar to those reported in aviation incident and accident descriptions. These simulated asymmetric thrust scenarios, combined with actual aircraft operational flight data, are then used to conduct a sensitivity study regarding the detection capabilities of the three methods. Additional evaluation results are presented based on pilot-in-the-loop simulation studies conducted in the NASA Glenn Research Center (GRC) flight simulation testbed. Data obtained from this flight simulation facility are used to further evaluate the effectiveness and accuracy of the asymmetric thrust detection approaches. Generally, the asymmetric thrust conditions are correctly detected and confirmed.

aircraft safety↗