1.1 Why Event Investigation is important
- Maintenance was the primary cause of 8.3% of the US accidents in the 1990s for 100+ passenger jets.
- A maintenance event started the accident chain in 26% of the worldwide accidents in 2003 for Western- and Eastern-built jets and turboprops.
- Worldwide ramp incidents cost $5 billion in 2004.
- Event investigation programs help to identify contributing factors to errors and violations and to create corrective actions to prevent future events.
- Event investigation is a method for sharing human performance issues within the organization.
- Event investigation is a key part of a Safety Management System, required by many National Aviation Authorities (NAAs).