Loss of Control on the Ground - An Analysis by SERA Software
Keywords:
Human Error, SERA, Classification System, Flight 3054.Abstract
Due to increasingly reliable aircraft technology, equipment and material failures have become rare. Today, aircraft accident causes are primarily attributed to the human link in the system. The ability to investigate, classify and detect the human factors that cause incidents and accidents is thus vital to prevent their recurrence and for designing the logic to help prevent their propagation. The goal of this work is to analyze an accident which took place in Brazil, which included at least one human factor as a probable cause, and with the respective investigation already concluded by the authority. For this purpose the SERA software is used as a tool to investigate, analyze, classify and to prevent recurrences.
.........................................................
Perda de Controle no Solo - Uma Análise pelo Programa SERA
RESUMO: Com o constante aumento da confiabilidade da tecnologia aeronáutica, as falhas que ocorrem devido a equipamentos ou materiais são cada vez mais raras e as principais causas de acidentes são atribuíveis, hoje em dia, ao ser humano. Assim, a habilidade para investigar, classificar e detectar os fatores humanos, que se encontram na origem de acidentes e incidentes, passa a ter importância central no esforço de se evitar recorrências ou ainda no estabelecimento de defesas, de modo a impedir que os "erros humanos" se repitam ou se propaguem. O objetivo deste trabalho foi analisar um acidente ocorrido no Brasil, onde houvesse pelo menos um fator humano como uma das hipóteses prováveis para o acidente, e, cuja investigação já tivesse sido concluída pelo órgão investigador. Foi escolhido o programa SERA (Systematic Error and Risk Analysis), uma ferramenta que é utilizada para investigação, análise e classificação de erros humanos em acidentes aeronáuticos e, portanto, tornando possível a prevenção das recorrências destes erros.
...................................................................................
PALAVRAS-CHAVE:
Erro humano, SERA, Sistema de Classificação, Voo 3054.
Downloads
Issue
Section
License
COPYRIGHT
The submission of originals to Aviation in Focus implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Aviation in Focus as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Aviation in Focus, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Aviation in Focus endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.