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Annual Safety Review 2014
Commercial Air Transport
PAGE
50
Figure 13 shows the result of the analysis in terms of the most recurrent causal and contributory factors in LOC‑I
accidents. These factors are populated based on the event type taxonomy within Version 2.5.0.0 of the ECCAIRS
Aviation Taxonomy.
The top six factors were:
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Use of policy/procedures:
the flight crew did not use the applicable procedure or policy, or did not ap‑
plied it properly, either intended or unintendedly.
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Monitoring of equipment/instruments:
the flight crew did not monitor properly or was unable to
monitor adequately the indications of aircraft equipment or instruments. This is normally associat‑
ed to the monitoring of the attitude, altitude or airspeed of the aircraft, or to the position of aircraft
flight controls.
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Flight crew CRM:
lack of, inadequate or inefficient Cockpit Resource Management (CRM). An event re‑
lated to the CRM and Human Factors interaction between flight crew.
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Handling of the go‑around:
inadequate handling of the go‑around by the flight crew.
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Response to warning system:
inadequate, erroneous or insufficient response to a warning system by
the flight crew. This is normally associated to the response to stall warnings, unreliable airspeed indi‑
cations or flight control failures.
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Distraction:
job related – Events where the flight crew is distracted for job related reasons. The distrac‑
tion is normally caused by unexpected warnings or meteorological conditions.