Aircraft accidents are generally the end result of a number of latent conditions arising in the organizational and managerial sectors. These conditions frequently permit or even motivatethe unsafe acts by the flight crew. The Human Factors Analysis and ClassificationSystem (HFACS) is a system safety tool for the investigation and analysis of underlying human causal factors in aircraft accidents. Using the HFACS framework, four researchers classified the human factors identified by the Brazilian Aeronautical AccidentsInvestigation and Prevention Center (CENIPA) during the investigation of a mishap(PR-AFA) that happened in Brazil in 2014. CENIPA argued that errors and violations by both pilots contributed to the accident.Resultsof this study indicate that inappropriate decision making by upper-level management had an adverse effect on the performance ofthe PR-AFA pilots. Most importantly, safety strategies to mitigate unsafe acts by crewmembersshould receive significant attentionfromthe highest managerial levels of the organization.
Mendonca, F. A.,
& Keller, J.
(2017). A Case Study Using the Human Factors Analysis and Classification System Framework. 19th International Symposium on Aviation Psychology, 113-118.