United States Department of Transportation
i
Controller and pilot error in airport operations : a review of previous research and analysis of safety data
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2001-01-01
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[PDF-4.53 MB]
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Edition:Final Report; January 1997-June 1999
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Abstract:The purpose of this study was to examine controller and pilot errors in airport operations to identify potential tower remedies. The
first part of the report contains a review of the literature of studies conducted of tower operationsand of efforts to integrate systems
in the tower. The second part of the report contains an analysis of 256 tower operational errors and deviations, 67 reports of pilot
deviations, 326 reports submitted to the Aviation Safety Reporting System by pilots and controllers, and 23 National
Transportation Safety Board final reports of accidents and incidents. The report identifies factors associated with these incidents
and potential remedies.
The tower "shortfalls" that this study points to are the need for: better memory aids for controllers (and more consistent use of
memory aids); improved means of controller-pilot communication; improved means to facilitate coordination among controllers;
and improved surveillance and monitoring equipment. Additional recommendations were: improved aids for pilots situation
awareness, such as better airport markings and lighting; airport-specific risk analyses,and revision ofthe means of recording
operational errors.
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