Abstract
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This paper aims to present the application of a fishbone sequential diagram in air traffic management (ATM) incident investigations performing as a key connection between safety occurrence analysis methodology (SOAM) and accident/incident data reporting (ADREP) approaches. SOAM analysis is focused on organizational cause detection; nevertheless, this detection of individual causes from a complete incident scenario presents a complex analysis, and even more, the chronological relationship between causes, which is lacking in SOAM, should be tracked for post-investigation analysis. The conventional fishbone diagram is useful for failure cause classification; however, we consider that this technique can also show its potential to establish temporal dependencies between causes, which are categorized and registered with ADREP taxonomy for future database creation. A loss of separation incident that occurred in the Edmonton area (Canada) is used as a case study to illustrate this methodology as well as the whole analysis process. | |
International
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Si |
JCR
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Si |
Title
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Symmetry-Basel |
ISBN
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2073-8994 |
Impact factor JCR
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1,256 |
Impact info
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Datos JCR del año 2017 |
Volume
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11 |
|
10.3390/sym11040491 |
Journal number
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4 |
From page
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491 |
To page
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511 |
Month
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ABRIL |
Ranking
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