The rising trend of fatal aircraft accidents since 2018suggests a limited safety capability of airlines in terms of learning fromincidents (LFI). We evaluated 2,208 voluntary incident reports from commercialEuropean pilots using qualitatively driven mixed methods to investigate LFI“bottlenecks.” The results showed that the report frequencydepends on the type of pilots’ active failure causing the incident(performance-based errors, judgment and decision-making errors andviolations). Learning opportunities were lacking, especially for incidentscaused by pilots’ inadequate decision-making. Confidential reporting haspositive effects on LFI, as these reports contained more information aboutlatent failures. Furthermore, we identified several latent failures that arerisk factors for certain unsafe acts. Our results may support airlines invarious LFI activities.
Aviation Psychology and Applied Human Factors – American Psychological Association
Published: Jan 1, 2021