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Article

A Case Study of Fishbone Sequential Diagram Application and ADREP Taxonomy Codification in Conventional ATM Incident Investigation

1
School of Aerospace Engineering, Universidad Politécnica de Madrid (UPM), D. de Sistemas Aeroespaciales, Transporte Aéreo y Aeropuertos, Plaza Cardenal Cisneros n3., 28040 Madrid, Spain
2
Aeronautic, Space & Defence Division, ALTRAN Innovacion S.L., Calle Campezo, 1, 28022 Madrid, Spain
3
School of Aerospace, Transport and Manufacturing, Cranfield University, Centre for Aeronautics, Cranfield MK43 OAL, UK
*
Authors to whom correspondence should be addressed.
Symmetry 2019, 11(4), 491; https://doi.org/10.3390/sym11040491
Received: 18 March 2019 / Revised: 29 March 2019 / Accepted: 2 April 2019 / Published: 4 April 2019
This paper aims to present the application of a fishbone sequential diagram in air traffic management (ATM) incident investigations performing as a key connection between safety occurrence analysis methodology (SOAM) and accident/incident data reporting (ADREP) approaches. SOAM analysis is focused on organizational cause detection; nevertheless, this detection of individual causes from a complete incident scenario presents a complex analysis, and even more, the chronological relationship between causes, which is lacking in SOAM, should be tracked for post-investigation analysis. The conventional fishbone diagram is useful for failure cause classification; however, we consider that this technique can also show its potential to establish temporal dependencies between causes, which are categorized and registered with ADREP taxonomy for future database creation. A loss of separation incident that occurred in the Edmonton area (Canada) is used as a case study to illustrate this methodology as well as the whole analysis process. View Full-Text
Keywords: ATM incident analysis; fishbone sequential diagram; ADREP taxonomy; SOAM ATM incident analysis; fishbone sequential diagram; ADREP taxonomy; SOAM
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MDPI and ACS Style

Liang Cheng, S.Z.Y.; Arnaldo Valdés, R.M.; Gómez Comendador, V.F.; Sáez Nieto, F.J. A Case Study of Fishbone Sequential Diagram Application and ADREP Taxonomy Codification in Conventional ATM Incident Investigation. Symmetry 2019, 11, 491. https://doi.org/10.3390/sym11040491

AMA Style

Liang Cheng SZY, Arnaldo Valdés RM, Gómez Comendador VF, Sáez Nieto FJ. A Case Study of Fishbone Sequential Diagram Application and ADREP Taxonomy Codification in Conventional ATM Incident Investigation. Symmetry. 2019; 11(4):491. https://doi.org/10.3390/sym11040491

Chicago/Turabian Style

Liang Cheng, Schon Z.Y., Rosa M. Arnaldo Valdés, Victor F. Gómez Comendador, and Francisco J. Sáez Nieto 2019. "A Case Study of Fishbone Sequential Diagram Application and ADREP Taxonomy Codification in Conventional ATM Incident Investigation" Symmetry 11, no. 4: 491. https://doi.org/10.3390/sym11040491

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