FlyDubai FZ981 Accident final report, extract and analysis of human factors for the below points from the final report:
1- Give a brief description of the human factor related circumstances of the FlyDubai FZ981 accident.
2- Identify the chain of events and probable error sequence that led to the accident.
3- Identify, classify and evaluate the human factors, and probable errors which contributed to the accident.
4- using the SH(C)EL model, Clearly identify and discuss the interfaces and probable mismatches, specifically in Liveware (operator), For instance in FZ891 accident it involves both a PF (pilot flying) and an ATC error, you need to look at both the PF and the ATC operator separately as the centre of their own SH(C)EL system.
5- Use the Swiss Cheese Model [which describes human error at each of the four levels of failure: 1. Organisational influences 2. Unsafe supervision 3. Preconditions for unsafe acts 4. Unsafe acts of operators]
to identify probable active systemic failures and then utilize the SH(C)EL model to classify these human factor issues together with other analytics).
6-Explain how the final report’s findings enabled the investigators to understand the human factor issues in this accident.
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