以人為因素分析與歸類系統(HFACS)探討我國超輕型載具失事原因

The Exploration of Ultralight Vehicle Accidents from the Republic of China Applying the Human Factors Analysis and Classification System

王醒榕、向張文、蘇筠珊、婁鏡崧、游重山、趙淑美
T. J. Wang, C.W. Xian, Y. S. Su, J. S. Lou, C. S. Yu and S. M. Chao

中華民國空軍軍官學校 航空管理學系


摘要

自民國93年起,我國開始實施「超輕型載具飛行管理辦法」,此舉讓愛好天空的國民可以更自由的在台灣本島上空飛翔。然自開放以來,發生多起超輕型載具失事意外,損失的不僅載具本身,更危害到載具操作者的生命安全。因此,向來被忽略的超輕型載具安全議題應嚴肅面對。本研究旨以「人為因素分析與歸類系統(HFACS)」全面探討民國九十四年至民國一百零七年我國超輕型載具失事之「人為因素」。因為飛航安全是否得以維護,皆與「人為因素」有著密不可分的關聯。本研究發現民航局現有之查核制度並未能有效執行取締非法超輕載具飛行活動及查核國內超輕載具數量;研究亦發現許多意外案例因操作者飛行素養不足以應付突發狀況。若民航局可以提出更加有效率的管理方法,則超輕載具之飛安狀況可以獲得改善。

關鍵字:人為因素分析與歸類系統、超輕型載具、民航局、飛安會。

ABSTRACT

Since in 1993, the Republic of China has begun to implement the "ultra-light vehicle flight management measures", which allows the people who love to fly in the sky can have freely over the island of Taiwan. Since the opening, there have been many accidents involving ultra-light vehicles, and the loss of not only the vehicles themselves, but also the safety of the vehicle operators. Therefore, the safety issues of ultra-light vehicles that have always been neglected should be seriously faced. The purpose of this research is to comprehensively explore the "human factors" of ultra-light vehicle wrecks from the period of the Republic of China to the "Human Factors Analysis and Classification System (HFACS)". Because the safety of flying is maintained, it is closely related to the "human factors." The research found that the existing check system of the Civil Aviation Authority failed to effectively enforce the illegal flying of ultra-light vehicles and check the number of domestic ultra-light vehicles. The research also found that many accident cases were inadequate due to the operator's flight literacy to cope with unexpected situations. If the Civil Aviation Authority can propose a more efficient management method, the fly-safe condition of the ultra-light vehicle can be improved.

Keywords: Human Factor Analysis Classification System (HFACS); Ultra-Light Vehicle; Civil Aeronautics Administration (CAA); Aviation Safety Council (ASC)