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Human Error and General Aviation Accidents: A ...

Human Error and General Aviation Accidents: A Comprehensive, Fine-Grained Analysis Using HFACSD ouglas WiegmannTroy FaaborgUniversity of IllinoisInstitute of AviationSavoy, IL 61874 Albert BoquetCristy DetwilerKali HolcombScott ShappellCivil Aerospace Medical InstituteFederal Aviation AdministrationOklahoma City, OK 73125 December 2005 Final ReportDOT/FAA/AM-05/24 Offi ce of Aerospace MedicineWashington, DC 20591 NOTICEThis document is disseminated under the sponsorship ofthe Department of Transportation in the interest ofinformation exchange. The United States Governmentassumes no liability for the contents Report Documentation Page 1. Report No. 2. Government Accession No. 3. Recipient's Catalog No. DOT/FAA/AM-05/24 4. Title and Subtitle 5. Report Date December 2005 Human Error and General Aviation Accidents: A Comprehensive, Fine-Grained Analysis Using HFACS 6.

and other basic fl ight skills that occur without signifi cant conscious thought. As a result, these skill-based actions are particularly vulnerable to failures of attention and/or memory. In fact, attention failures have been linked to many skill-based errors such as the breakdown in visual

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