The contribution of design to accidents

Kinnersley, Steve; Roelen, Alfred

doi:10.1016/j.ssci.2006.08.010

Cited by 66 publications

(28 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kinnersley and Roelen [7] have validated approximately 50-60% of root cause of accidents were in design stage. In addition, their study mentioned that investigations do not always allow classification of the failure according to the design stage [7].…”

Section: Sms (Safety Management System) Qms (Quality Management System)mentioning

confidence: 99%

“…In addition, their study mentioned that investigations do not always allow classification of the failure according to the design stage [7]. These investigations were conducted with the aim for preventing similar accidents.…”

Section: Sms (Safety Management System) Qms (Quality Management System)mentioning

confidence: 99%

“…Also, practical short-term solutions to identified problems are usually operational, training, etc. So the importance of design is not always highlighted in the investigation [7].…”

Section: Sms (Safety Management System) Qms (Quality Management System)mentioning

confidence: 99%

See 2 more Smart Citations

Roles of Safety Management System (SMS) in Aircraft Development

Lee¹,

Kim²

2015

International Journal of Aeronautical and Space Sciences

View full text Add to dashboard Cite

Safety is the first priority in civil aviation, and so the International Civil Aviation Organization (ICAO) has introduced and mandated the use of Safety Management Systems (SMS) by airlines, airports, air traffic services, aircraft maintenance organizations, and training organizations. The aircraft manufacturing industry is the last for which ICAO has mandated the implementation of SMS. Since SMS is a somewhat newer approach for most manufacturers in the aviation industry, they hardly believe in the value of implementing SMS. The management of safety risk characteristics that occur during early aircraft development stages and the systematic linkage that the safety risk has to do with an aircraft in service could have a significant influence on the safe operation and life cycle of the aircraft. This paper conducts a case analysis of the McDonnell Douglas MD-11 accident/incident to identify the root causes and safety risk levels, and also verified why aircraft manufacturing industry should begin to adopt SMS in order to prevent aircraft accident.

show abstract

Section: Sms (Safety Management System) Qms (Quality Management System)mentioning

confidence: 99%

Section: Sms (Safety Management System) Qms (Quality Management System)mentioning

confidence: 99%

See 1 more Smart Citation

Roles of Safety Management System (SMS) in Aircraft Development

Lee¹,

Kim²

2015

International Journal of Aeronautical and Space Sciences

View full text Add to dashboard Cite

show abstract

“…Designed levels of performance are based upon a specific set of operational assumptions and limited by technological and economic realities that may or may not reflect actual system performance, overtime. But these discrepancies are often unknown prior to the system becoming operational, and it has been shown that system design can, in fact, contribute to accidents as either root causes, or as contributory factors (Kinnersley & Roelen, 2007). And, in any case, these operational assumptions will evolve over time requiring continual evaluation, modification and fine-tuning over the operative life of the system.…”

Section: Proactive Phasementioning

confidence: 99%

The art of measuring nothing: The paradox of measuring safety in a changing civil aviation industry using traditional safety metrics

Lofquist

2010

Safety Science

View full text Add to dashboard Cite

Measuring safety as an outcome variable within the ultra-safe civil aviation industry during periods of deliberate organizational change is a difficult, and often fruitless, task. Anticipating eroding safety processes, based on measuring nothing happening over time, does not adequately capture the true state of an evolving safe system, and this is particularly relevant for leaders and managers in a civil aviation industry responsible for maintaining and improving ultra-safe performance while simultaneously managing demanding strategic business goals.In this paper, I will look at the difficulties of measuring safety as an outcome measure in high reliability organizations (HROs) using the traditional measures of incident and accident reporting during periods of deliberate organizational change inspired by the results from a three-year longitudinal case study of the Norwegian Air Navigation Services provider -Avinor.I will first review the current safety literature relating to Safety Management Systems (SMSs) used in the civil aviation industry. I will then propose a more holistic model that shifts the focus from the traditional safety monitoring mechanisms of risk analysis and trial and error learning, to the natural interactivity within socio-technical systems as found in High Reliability Organizations.And finally, I will present a summary of the empirical results of an alternate methodology for measuring perceived changes in safety at the operational level as leading indicators of evolving safety at at the organizational level.

show abstract

“…An iced wing on an aircraft can lead to a complete stall with devastating consequences as evidenced by the crash of an ATR-72 commuter aircraft near Roselawn, Indiana on October 31 st 1994. 16 As shown in Figure 1.4, ice accretion can also occur under similar environmental conditions on an aircraft engine. 17 These conditions can cause a loss in engine power and thus create an aviation safety hazard.…”

Section: Motivation and Problem Definitionmentioning

confidence: 96%

Impinging Drops on Superhydrophobic Surfaces at Icing Conditions

Yeong

View full text Add to dashboard Cite

Due to their excellent water repellent characteristics, superhydrophobic surfaces have been hypothesized to be icephobic. This is based on the premise that water droplets will be repelled from the surface before ice nucleation can occur. The icephobic nature of these surfaces provides an attractive solution to current icing problems that can occur in aerospace applications. However, significant challenges remain before anti-wetting coatings could be implemented as an effective ice mitigation tool. For example, the majority of current synthetic superhydrophobic surfaces are fragile and unable to withstand the harsh environmental conditions that are encountered by aerospace applications. In addition, their static and dynamic wettability at varying temperatures and humidity, as well as their ice-shedding performance under the impact of a super-cooled icing cloud, are not well understood.Therefore, in this dissertation, fabrication techniques for a previously developed nanocomposite surface were improved so that coatings of consistent antiwetting performance and durability could be produced. The icephobicity of this nanocomposite coating was then systematically investigated. First, an experiment was conducted to study the wettability of a water drop on the coating for a full temperature cycle (20 -3The investigation was then extended to study the impact and rebound dynamics of a iv drop on an inclined coating, at different fluid viscosities and at various temperatures (50°C to -8°C). This was followed by a study of ice adhesion strength of the coatings -cooled water droplets. The receding contact angle was discovered from these experiments to be a key parameter in controlling superhydrophobic wettability and ice adhesion. Therefore, the receding angle depinning dynamics from a superhydrophobic surface were also studied in detail at micron length scales and at microsecond temporal scales. In summary, results from this dissertation revealed the crucial parameters that govern the icing performance of a nanocomposite superhydrophobic surface.

show abstract

The contribution of design to accidents

Cited by 66 publications

References 0 publications

Roles of Safety Management System (SMS) in Aircraft Development

Roles of Safety Management System (SMS) in Aircraft Development

The art of measuring nothing: The paradox of measuring safety in a changing civil aviation industry using traditional safety metrics

Impinging Drops on Superhydrophobic Surfaces at Icing Conditions

Contact Info

Product

Resources

About