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A misjudged approach to a high accident rate : exploration of accident causes and instructor decisons relating to inexperienced glider pilots

机译:对事故率高的错误判断方法:探索与无经验的滑翔机飞行员有关的事故原因和指导员判决

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摘要

Very little research has focussed on inexperienced pilots and there is a notion in literature and popular texts that such pilots are one of the safest groups. Despite this, ‘early-solo’ UK glider pilots were found to have a higher accident rate than any other group. Research was conducted in order to investigate the issues surrounding this. It was identified that accidents sustained by these pilots tended to be initiated by events in the approach and landing phases of fight, and caused by misjudgement of the approach path and landing flare. Most accidents to more experienced pilots were found to be different in all respects. It was subsequently found that instructors believed the highest accident likelihood to be associated with more experience pilots, in line with literature. It was also found that instructors wrongly believed that the ‘approach’ phase was the least likely in-flight phase to be associated with accident causes for low-hours pilots. Critical Incident Technique was used to investigate instructor decisions with regard to sending pilots solo. An initial model of the decision process was put forward. It was found that, with one critical exception, when events occurred on assessment flights that were similar to causal accident factors (from the accident analysis), instructors disallowed solo flight. An absence of potential accident factors was apparently insufficient to allow solo flight by itself; instructors required further evidence in order to confirm that students were ready to fly alone. Exceptionally, pilot performance in terms of the approach path did not appear to be a critical factor when instructors considered disallowing solo flight, highlighting a possible gap in the instructor decision process. It was recommended that further research be conducted to validate and extend the decision model, and that the approach phase be focussed upon more in both training and assessment.
机译:很少有研究集中在没有经验的飞行员上,并且在文献和通俗文献中都有这样的想法,即这样的飞行员是最安全的群体之一。尽管如此,发现“早期独奏”英国滑翔机飞行员的事故发生率比其他任何组都要高。为了调查有关此问题,进行了研究。可以确定,这些飞行员​​遭受的事故往往是由战斗的进近和着陆阶段的事件引起的,并且是由于进近路径和着陆耀斑的错误判断引起的。发现大多数经验丰富的飞行员在所有方面都是不同的。随后发现,根据文献,讲师认为发生事故的可能性最高与更多经验丰富的飞行员有关。还发现,教练错误地认为,“进场”阶段是与低空位飞行员的事故原因相关的最不可能的飞行阶段。关键事件技术用于调查教员关于单独派遣飞行员的决定。提出了决策过程的初始模型。结果发现,除了一个严重的例外,当评估飞行中发生的事件与因果事故因素相似(来自事故分析)时,教练员禁止单人飞行。没有潜在的事故因素显然不足以允许单人飞行。指导员需要进一步的证据才能确认学生已准备好独自飞行。例外地,当教练员考虑禁止单人飞行时,飞行员在进近路径方面的表现似乎并不是关键因素,这突显了教练员决策过程中可能存在的差距。建议进行进一步的研究以验证和扩展决策模型,并在培训和评估中将方法阶段的重点更多地放在研究上。

著录项

  • 作者

    Harris Don; Jarvis Stephen;

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  • 年度 2009
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  • 原文格式 PDF
  • 正文语种 English
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