應用「人爲因素分析與歸類系統」與「飛安自願報告」分析空軍運輸機隊潛在飛行風險

Applying HFACS and ROCARE to Explore Potential Risks for Military Transport Aircraft in R.O.C. Air Force

10.6459/JCM.201009_7(2).0006

徐華君(H. C. Hsu)；李倫文(L. W. Li)；許悅玲(W. C. Li)；李文進(Y. L. Hsu)

人爲因素 ； 飛航安全 ； 人爲因素分析與歸類系統HFACS ； 飛安自願報告系統 ； Human factors ； Flight safety ； HFACS ； and ROCARE

危機管理學刊

7卷2期（2010 / 09 / 01）

59 - 68

繁體中文

無論民航公司、民航主管或軍方，飛行安全是每一個單位所要追求的目標，如何降低失事率一直是每位從事飛行有關人員努力的方向。本研究以「人爲因素分析與歸類系統(HFACS)」爲理論架構，並以空軍官校飛行安全教育訓練中心出版之「主動式飛安報告系統專刊」之內容，對空運部隊之案例以內容分析法進行獨立分析，探討人爲因素因子在飛行中發生錯誤以及所佔比例。研究結果呼應HFACS理論，亦即「架構中每一較高層級均會直接影響下一層級的子項目」，顯示這些人爲因素不論從最高層級的組織管理階層，到最低層級的飛行員操作行爲，彼此間的關係更爲複雜。此發現除可提供空軍爲威脅疏失管理調查分析外，亦可依分析結論作爲失事預防策略之參考。

For a business that is entirely based on public confidence, accidents will have a tremendous impact not only on the airlines involved but also on the industry as a whole. Due to the complex ways in which accidents happen because of aviation industry’s multi-level human involvement, this research aims to apply Human Factors Analysis and Classification System (HFACS) and ROC Armed Forces Voluntary Aviation Safety Reporting System (ROCARE) to analyze the potential risks existed in the Military Transport Aircraft in R.O.C. Air Force. It is found that the most frequently occurring categories in level-4, level-2, and level-1 are ”organizational climate”, ”adverse mental states” and ”Decision errors” respectively. The latent failures and active failures at different levels also pinpoint the need and the directions for flight safety improvement for Military Transport pilots in the future.

1. CAA, Civil Aviation Authority(1998).Global Fatal Accident Review 1980-96 (CAP 681).London:Civil Aviation Authority.
2. Li, W. C.,Young, H. T.,Wang, T.,Harris, D.(2007).International Cooperation and Challenges: Understanding Cross-cultural Issues in the Processes of Accident Investigation, International Society of Air Safety Investigators Conference: International Cooperation and Challenge,Singapore:
3. Li, W.C.,Harris, D.(2006).Pilot error and its relationship with higher organizational levels: HFACS analysis of 523 accidents.Aviation Space Environmental Medicine,77(10),1056-1061.
4. Reason, J.(1997).Managing the Risks of Organizational Accidents.Aldershot, England:Ashgate.
5. Reason, J.(1990).Human Error.New York:Cambridge University.
6. Wiegmann, D. A.,Shappell, S. A.(2003).A Human Error Approach to Aviation Accident Analysis: The Human Factors Analysis and Classification System.Aldershot, England:Ashgate.
7. 王維邦(2002)。組織飛航安全文化之探討。空軍學術月刊，553
8. 李文進、Harris, D.、李宗憲(2006)。人爲因素分析與歸類系統應用在飛安失事調查之研究。空軍學術期刊，592
9. 邱皓政(2006)。量化研究方法（二）。台北:雙葉。

1. 潘柏仲(2017)。運用類神經網路法建立航空安全預測模式。中原大學工業與系統工程學系學位論文。2017。1-77。