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多样本可控飞行撞地事件致因关联分析OACSCD

A Causal Correlations Analysis with Multi-sample Controlled Flight Into Terrain Incidents

中文摘要英文摘要

为深入探究不同等级后果事件致因关联研究不足的问题,基于"安全Ⅱ"视角,以可控飞行撞地(con-trolled flight into terrain,CFIT)类高风险事件为例,分析不同后果样本事件致因及其关联性.选取航空安全网(aviation safety network,ASN)128篇、航空安全报告系统(aviation safety reporting system,ASRS)354篇CFIT事件为样本,依据威胁与差错管理模型(threat and error management,TEM)分析事件潜在的条件、威胁、机组差错、航空器非预期状态和措施,识别出3367个致因因素和2169条因果/时序关系,经语义分析整合、因果/时序关系梳理建立基于46个贝叶斯网络节点的样本事件演化网络模型;依据贝叶斯网络和关联规则计算节点间先验概率、条件概率及相关性,确定样本事件高概率节点和链路.结果表明:①运行压力—机组疲劳—失去情景意识—错误设置高度表—航空器偏离高度路径是导致CFIT事故的高风险路径;②机组疲劳(57%)、航司/局方管理不足(17%)等消极因素出现时,发生可控飞行撞地事故概率增加24%;③从"安全Ⅱ"的视角展开研究,航空系统的应对措施(78%)和执行改出动作(84%)等积极因素生效时,稳定进近的概率增加34%,可有效降低发生可控飞行撞地的发生风险.

To address the research gap regarding the causal correlations among incidents with varying consequence severities,this study adopts a Safety-Ⅱperspective and takes controlled flight into terrain(CFIT),a high-risk avia-tion accident category,as the research object to analyze the causal factors and the interrelationships across samples with distinct outcome levels.A total of 128 CFIT accident investigation reports from the Aviation Safety Network(ASN)and 354 voluntary reports from the Aviation Safety Reporting System(ASRS)are selected as the analytical sample.Guided by the threat and error management(TEM)model,a systematic analysis is conducted to identify la-tent conditions,threats,flight crew errors,undesired aircraft states,and countermeasures inherent in the sampled ac-cidents,which resulted in the identification of 3367 causal factors and 2169 causal-temporal relationships.Follow-ing semantic analysis and integration of these relationships,a Bayesian network(BN)model is constructed,result-ing in an accident evolution network model comprising 46 BN nodes.Association rule mining is employed to com-pute conditional probabilities and inter-node correlations,so as to delineate the high-probability causal chains of the samples.Results demonstrate that:①the primary high-risk pathway leading to CFIT accidents is:operational pres-sure→flight crew fatigue→loss of situational awareness→incorrect altimeter setting→aircraft deviation from the intended altitude profile.②When negative factors including flight crew fatigue(accounting for 57%of the iden-tified negative factors)and inadequate management by airlines/regulatory authorities(17%)are present,the proba-bility of CFIT accidents increases by 24%.③From the Safety-Ⅱperspective,when positive factors,such as avia-tion system response measures(with an effectiveness rate of 78%)and the execution of recovery actions(84%)take effect,the probability of a stable approach is enhanced by 34%,thereby significantly mitigating the risk of CFIT oc-currences.

刘俊杰;衣文正;雷俐;田鹏程;张爱华

中国民航大学安全科学与工程学院 天津 300300中国民航大学安全科学与工程学院 天津 300300中国民航大学安全科学与工程学院 天津 300300中国民航大学安全科学与工程学院 天津 300300中国民航大学安全科学与工程学院 天津 300300

航空航天

飞行安全可控飞行撞地安全Ⅱ自愿报告致因关联分析贝叶斯网络

flight safetycontrolled flight into terrainSafety Ⅱvoluntary reportingcausal correlation analysisBayesian networks

《交通信息与安全》 2025 (6)

67-75,9

国家自然科学基金项目(72501284)、民航局安全能力建设项目(ASSA202218、HA202509)资助

10.3963/j.jssn.1674-4861.2025.06.007

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