Transcription of EUROCONTROL EXPERIMENTAL CENTRE …
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EUROCONTROL EXPERIMENTAL CENTRE …
The information contained in this document is the property of the EUROCONTROL Agency and no part should be reproduced in any form without the Agency s permission. The views expressed herein do not necessarily reflect the official views or policy of the Agency. EUROPEAN ORGANISATION FOR THE SAFETY OF AIR NAVIGATION EUROCONTROL EXPERIMENTAL CENTRE REVISITING THE swiss cheese model OF ACCIDENTS EEC Note No. 13/06 Project Safbuild Issued: October 2006 EUROCONTROL REPORT DOCUMENTATION PAGE Reference: EEC Note No. 13/06 Security Classification: Unclassified Originator: EEC - SAS (Safety Analysis and Scientific) Originator (Corporate Author) Name/Location: EUROCONTROL EXPERIMENTAL CENTRE CENTRE de Bois des Bordes F - 91222 Br tigny-sur-Orge Cedex FRANCE Telephone : +33 (0)1 69 88 75 00 Internet : Sponsor: EATM Sponsor (Contract Authority) Name/Location: EUROCONTROL Agency Rue de la Fus
Revisiting the « Swiss Cheese » Model of Accidents EUROCONTROL Project Safbuild - EEC Note No. 13/06 1 1. PREAMBLE In the evening of the 1st July 2002, a Bashkirian Airlines TU-154 collided at flight level 350 with a DHL Boeing 757 cargo aircraft above the Lake Constance, Germany, near the city of Überlingen,
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