A Case Study of Fishbone Sequential Diagram Application and ADREP Taxonomy Codification in Conventional ATM Incident Investigation

Liang, Zhengyu and Arnaldo Valdes, Rosa Maria and Gomez Comendador, Victor Fernando and Saez Nieto, Francisco Javier (2019). A Case Study of Fishbone Sequential Diagram Application and ADREP Taxonomy Codification in Conventional ATM Incident Investigation. "Symmetry", v. 11 (n. 4); pp. 491-511. ISSN 2073-8994. https://doi.org/10.3390/sym11040491.

Description

Title: A Case Study of Fishbone Sequential Diagram Application and ADREP Taxonomy Codification in Conventional ATM Incident Investigation
Author/s:
  • Liang, Zhengyu
  • Arnaldo Valdes, Rosa Maria
  • Gomez Comendador, Victor Fernando
  • Saez Nieto, Francisco Javier
Item Type: Article
Título de Revista/Publicación: Symmetry
Date: April 2019
ISSN: 2073-8994
Volume: 11
Subjects:
Freetext Keywords: ATM incident analysis; fishbone sequential diagram; ADREP taxonomy; SOAM
Faculty: E.T.S. de Ingeniería Aeronáutica y del Espacio (UPM)
Department: Sistemas Aeroespaciales, Transporte Aéreo y Aeropuertos
Creative Commons Licenses: Recognition - No derivative works - Non commercial

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Abstract

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.

More information

Item ID: 57782
DC Identifier: https://oa.upm.es/57782/
OAI Identifier: oai:oa.upm.es:57782
DOI: 10.3390/sym11040491
Official URL: https://www.mdpi.com/2073-8994/11/4/491
Deposited by: Memoria Investigacion
Deposited on: 28 Apr 2021 08:42
Last Modified: 28 Apr 2021 08:42
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