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http://dx.doi.org/10.12985/ksaa.2014.22.3.015

The Study on Common Factors of Typical CFIT Accident with Go-around Failure and Go-around Gate Operation of Foreign Carriers (An Analysis of Korean CFIT Accidents through TEM)  

Choi, Jin-Kook (극동대학교 항공운항학과)
Publication Information
Journal of the Korean Society for Aviation and Aeronautics / v.22, no.3, 2014 , pp. 15-23 More about this Journal
Abstract
There have been CFIT(Controlled Flight Into Terrain) accidents that can be prevented if the crew executed go-around. This study is to analyse the common factors of three typical CFIT accidents of Korea in TEM(threat and error management) frame, and the examples of go-around gate and the countermeasures of eight airlines through the survey facilitating go-around to prevent CFIT. The common factors found in three typical CFIT accidents occurred in Korea or by Korean carriers turned out to be in mountainous terrain, in bad weather while in non-precision approach or circling approach by captain as PF(Pilot Flying) when crew make monitoring errors and communication errors. It also turned out that the crew in all three typical tragic CFIT accidents did not execute go-around in unstabilized approaches. The captains did not respond immediately when first officers advised them to go-around until it is too late. Seven out of eight Airlines answered that they use stabilized approach height as 1,000 feet to be stabilized earlier to have more safety margin by enhancing go-around gate regardless of the weather to prevent CFIT in the survey.
Keywords
Go-around; CFIT; Go-around gate; TEM(Threat and Error Management);
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
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1 허광준,"국내선 여객기는 군소공항이 두렵다", 시사저널, 197호, 1993
2 "Controlled Flight Into Terrain, Korean Air Flight 801, Boeing747-300, HL7468, Nimitz Hill, Guam, August 6, 1997. Aircraft Accident Report", National Transportation Safety Board, 2000
3 "항공기 사고조사 보고서 공항접근(CFIT)사고 中國國際航空公司(CA) 129편 B767-200ER, B2552 김해, 돗대산 2002. 4. 15", 건설교통부 항공사고조사위원회, 2005
4 FAA AC 120-71A, "Standard Operating Procedures for Flight Deck Crewmembers", FAA, 2003, pp. 3, 7, app.19-2
5 Timothy Graham, "Threat and error Management: An Analysis of Reported Safety Occurrences to the Civil Aviation Authority of New Zealand", Master, Massey University, Palmerston North,New Zealand, 2010, pp 89,
6 "Flight Operations Briefing Notes", Airbus, 2007, pp. 2, 5, 10
7 Rob Barry, Tom Mcginty and Andy Pasztor, "The Wall Street Journal Analysis: Foreign Airline Crews Had Difficulties With San Francisco Landings", Wall Street Journal, 2013
8 박상수, 김기우, 명노해, "숙련급 조종사와 초급 조종사와의 주의 배분 차이 분석", 대한인간공학회 Vol.23, No.1, 2004   과학기술학회마을   DOI
9 손영우, "조종사 상황인식의 적응적 전문성: 전문가와 초보자의 인지과정비교", 2009
10 Clinton, Eames-Brown, "Regional Airline Operation Safety Audit", Austrailian Transport Safety Bureau, Canberra, Australia, 2007.p.25
11 권보헌, 김칠영, "자동화된 조종실에서의 조종사 태도에 관한 연구" 한국항공운항학회지, 제13권, 제2호, 2005년 6월, p.7
12 Helmeich, Wilhelm, Klinect & Merritt, "Culture, Error, and Crew Resource Management", University of Texas, Austin, Texas, 1999, p 5.
13 송병흠, "조종사 훈련, 심사에 대한 정부관리방안 연구", 한국항공대학교 안전관리연구소, 2011, P. 3-27
14 Merritt, Klinect, "Defensive Flying for pilots: An introduction to Threat and Error Management", The University of Texas Human Factors Research Project, TLC, Austin Texas, pp.5, 9, 2006.
15 "항공법 시행규칙", 국토교통부, 2014
16 "Statistical Summary of Commercial Jet Airplane Accidents Worldwide Operations 1959- 2012", Boeing, 2013, p22.
17 Gunter, Don and Tesmer, Bruce, "Threat and Error Management Training", 11th Int'l Symposium on Aviation Psychology, Ohio State University, Columbus Ohio, Mar. 7, 2001, pp. 1-3.
18 Maurino, Dan, "Threat and Error Management", Canadian Aviation Seminar, Vancouver, BC, 18-20 April, 2005, pp 1-6
19 "항공우주공학용어사전, 새녘출판사, 2012 http://terms.naver.com/entry.nhn?docId=1647080&cid=2914&categoryId=2914
20 "Killers in Aviation: FSF Task Force Present Facts about Approach-and-Landing"ALAR: Approach and landing and Controlled-flight-into-terrain Accidents)", Flight Safety Digest, Vol.17 No.11-12, Vol.18 No.1-2, 1999, pp. 4, 6, 34-36, 79, 80, 83, 250.
21 "Go around Safety Forum: Findings and Conclusions", Flight Safety Foundation[FSF], 2013
22 "아시아나항공 B737 여객기 사고조사결과", 교통부, 1993
23 ICAO, "Human Factors Training Manual: Doc. 9683", International Civil Aviation Organization, Montreal, Canada 2003, pp. 2-2-8, 2-2-12, 2-2-15, 2-2-17,