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This paper discusses how the problem of analysing human erroneous behaviour can be appropriately tackled by a framework comprising the following four phases: (i) the consideration for a paradigm of human behaviour; (ii) the development of a taxonomy of human erroneous actions; (iii) the evaluation of appropriate tables of data; (iv) a methodology of analysis at different levels of complexity. An application of the proposed method has been focused on the accident of the flight AZ-404 Milan-Zurich. The study has been performed from two different hypotheses concerning the human erroneous behaviour. The results, in terms of root causes and manifestations, have been compared.

Additional information

Authors: CACCIABUE P C, JRC Ispra (IT);PEDRALI M, JRC Ispra (IT);HOLLNAGEL E, Computer Resources International, Space Division, BirkerÝd (DK)
Bibliographic Reference: Paper presented: ICAO Flight Safety and Human Factors Symposium, Washington (US), April 12-15, 1993
Availability: Available from (1) as Paper EN 37503 ORA
Record Number: 199310720 / Last updated on: 1994-11-29
Original language: en
Available languages: en