ICAO CIRCULAR 276-1999 Accident Incident Reporting (ADREP) Annual Statistics - 1998《事故 事件报告(ADREP)年度统计数据-1998》.pdf

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1、CIRCULAR 276-AN/162 ICA0 CIRCULAR 1999 ACCIDENT/INCIDENT REPORTING (ADREP) ANNUAL STATISTICS - 1998 Approved by the Secretary General and published under his authority INTERNATIONAL CIVIL AVIATION ORGANIZATION MONTREAL 0 CANADA COPYRIGHT International Civil Aviation OrganizationLicensed by Informati

2、on Handling Services STD*ICAO CIRCULAR 27b-AN/LbZ-ENGL 1999 W 989141b OL109bS TZ8 W Published in separate English, French, Russian and Spanish editions by the International Civil Aviation Organization. All correspondence, except orders and subscriptions, should be addressed to the Secretary General.

3、 Orders should be sent to one of the following addresses, together with the appropriate remittance (by bank draft, cheque or money order) in U.S. dollars or the currency of the country in which the order is placed. Credit card orders (American Express, MasterCard and Visa) are accepted at ICAO Headq

4、uarters. international Civil Aviation Organization. Attention: Document Sales Unit 999 University Street, Montreal, Quebec, Canada H3C 5H7 Telephone: (514) 954-8022; Telex: 05-245 13; Facsimile: (5 14) 954-6769; Sitatex: YULADYA; E-mail: sales-uniticao.int Cairo Airport Road, Heliopolis, Cairo 11776

5、 Telephone: (20 2) 267-4840; Facsimile: (20 2) 267-4843; Sitatex: CAICAYA 92522 Neuilly-sur-Seine (Cedex) Tlphone: (33 1) 46 41 85 85; Tlcopieur: (33 1) 46 41 85 00; Sitatex: PAREUYA or i7 Park Street, Calcutta 700016 Telephone: (91 11) 331-5896; Facsimile: (91 1 I) 332-2639 Telephone: (81 3) 3503-2

6、686; Facsimile: (81 3) 3503-2689 P.O. Box 46294, Nairobi Telephone: (254-2) 622-395; Facsimile: (254 2) 226-706;. Sjttex: NBOCAYA Masaryk No. 29-3er. piso, Col. Chapultepec Morales, Mxico, D.F., 11570 Telfono: (52 5) 250-321 1; Facsimile: (52 5) 203-2757; Sitatex: MEXCAYA Telfono: (51 14) 302260; Fa

7、csimile: (51 14) 640393; Sitatex: LIMCAYA Telephone: (7 095) 417-0405; Facsimile: (7 095) 417-0254 Tlphone: (221) 8-23-54-52; Tlcopieur: (221) 8-23-69-26; Sitatex: DKRCAYA Telephone: (27-1 1) 3 15-0003/4; Facsimile: (27-1 1) 805-3649; E-mail: Planta Tercera, Despacho 3. 11, 28027 Madrid Telfono: (3

8、4 91) 321-3148; Facsimile: (34 91) 321-3157; Correo electrnico: sscc.ventasoaciaena.es Telephone: (66 2) 537-8189; Facsimile: (66 2) 537-8199; Sitatex: BKKCAYA 37 Windsor Street, Cheltenham, Glos., GL52 2DG Telephone: (44 1242) 235-151; Facsimile: (44 1242) 584-139 Egypr. ICAO Regional Director, Mid

9、dle East Office, Egyptian Civil Aviation Complex, France. Directeur rgional de IOACI, Bureau Europe et Atlantique Nord, 3 bis, villa mile-Bergerat, India. Oxford Book and Stationery Co., Scindia House, New Delhi I10001 Japan. Japan Civil Aviation Promotion Foundation, 15-12, I-chome, Toranomon, Mina

10、to-Ku, Tokyo Kenya. ICAO Regional Director, Eastern and Southern African Office, United Nations Accommodation, Mexico. Director Regional de la OACI, Oficina Norteamrica, Centroamrica y Caribe, Peru. Director Regional de la OACI, Oficina Sudamrica, Apartado 4127, Lima 100 Russian Federation. Aviaizda

11、t, 48, I. Franko Street, Moscow 121351 Senegal. Directeur rgional de IOACI, Bureau Afrique occidentale et centrale, Bote postale 2356, Dakar South Africa. Avex Air Training (Pty) Ltd., Private Bag X102, Halfway House, 1685, Republic of South Africa Spain. A.E.N.A. - Aeropuertos Espaoles y Navegacin

12、Area, Calle Juan Ignacio Luca de Tena, 14, Thoiland. ICAO Regional Director, Asia and Pacific Office, P.O. Box i i, Samyaek Ladprao, Bangkok 10901 Unired Kingdom. Westward Digital Limited, 3/99 Catalogue of ICAO Publications and Audio-visual Training Aids Issued annually, the Catalogue lists all pub

13、lications and audio-visual training aids currently available. Monthly supplements announce new publications and audio-visual training aids, amendments, supplements, reprints, etc. Available free from the Document Sales Unit, ICAO COPYRIGHT International Civil Aviation OrganizationLicensed by Informa

14、tion Handling ServicesSTD*ICAO CIRCULAR 27b-AN/IbZ-ENGL 1777 484141b O1LO4bb 7bLi TABLE OF CONTENTS Introduction . Page (iii) Part I. General information regarding the ADREP data 1 Part II. Accidenttypes 3 Part III. Information for the year 1997 9 Part IV. Trend information and preliminary data for

15、the year 1999 . 42 Part V. List of accidents involving passenger fatalities in scheduled and non-scheduled operationsin 1998 45 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTD*ICAO CIRCULAR 27b-AN/LbZ-ENGL 1797 W qB4141b 01104b7 BTO The designations em

16、ployed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of ICA0 concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. COPYRIGH

17、T International Civil Aviation OrganizationLicensed by Information Handling ServicesINTRODUCTION GENERAL 1. The information in this publication is based on accident and incident reports provided to ICAO by Contracting States in accordance with the reporting requirements in Chapter 6 of Annex 13, Air

18、cratAccident and Incident Investigation. 2. This edition of the ICAO AccidenVlncident Reporting (ADREP) annual statistics contains detailed information for the year 1998, preliminary data for the year 1999, and ten year trends from 1990 to 1999. ADREP data reports are sent to ICAO upon completion of

19、 an accident or incident investigation, and therefore data can be published only with some delay. PURPOSE 3. The purpose of ADREP statistics is to provide data that may be useful for general safety studies and accident prevention programmes. For more specific needs, States are invited to make full u

20、se of ADREP information by making specific ADREP requests to facilitate safety studies, accident prevention programmes and accident investigations. LIMITATIONS 4. The reader should be aware of the following: a) the AccidenVlncident Reporting Manual (ADREP Manual) (Doc 91 56) contains lists of codes

21、to be used by States in the preparation of ADREP reports. Due to the sensitive subject matter, it is possible for the compiler to show unintentional bias in the choice of codes used to describe the occurrence and, in particular, those organizations or persons involved; b) some occurrences are report

22、ed to ICAO through electronic means. Most of this data is converted to ICAOs format before it is entered into the ADREP database. Since some of the data reported is not compatible with the ADREP coding system, precision is not attainable in all cases: and c) coding of accidents and incidents have be

23、en redefined over time, in particular those pertaining to incidents. Older data has not been recoded to reflect the new coding and format. COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTD-ICA0 CIRCULAR 27b-AN/LbZ-ENGL 1777 48LiLllLb O11Ullb7 b73 W LAYOU

24、T 5. This circular contains five parts: Part I provides general information regarding the scope of the information contained in the ADREP system. Part II presents information on accident types which have been the focus of accident prevention programmes in the last 1 O years. Part III contains detail

25、ed information for the year 1997. Part IV provides general accident trend information including preliminary data for 1999. Part V provides a list of accidents involving passenger fatalities in scheduled and non- scheduled operations in 1998. COPYRIGHT International Civil Aviation OrganizationLicense

26、d by Information Handling ServicesSTD=ICAO CIRCULAR 27b-AN/lbZ-ENGL 1779 M 48gl4lL OLL0470 375 B Part I GENERAL INFORMATION REGARDING THE ADREP SYSTEM 1. As of 23 March 1999, the ICA0 ADREP system contained data from some 24 374 reports: 4 41 4 preliminary reports, 17 054 data reports, and unofficia

27、l data on 2 906 occurrences, which were within the reporting requirements of Annex 13, Chapter 6. Of a total of 24 374 reports, 83.6% were accident reports and 16.4% were incident reports. 2. of the types of aircraft, 93% were for fixed-wing aircraft, and 7% for helicopters. General aviation account

28、ed for 52.9% of the reports, and airline operations for 47.1 Yo. In terms 3. number of engines are shown below: The percentages of reports in relation to the mass category of the aircraft involved and their Mass category L Eelow2250kg: 1151 b Above 272 o00 kg: 582 Number of engines 6 77 27 O01 - 272

29、 000 kg: 4529 5701 - 27 O00 kg: 3669 1 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTD=ICAO CIRCULAR 27b-AN/LbZ-ENGL 2777 L(BL(1L(Lb 0220472 221 = 2 ICA0 CIRCULA FI 276-A N/162 4. The information in Part II presents data from the last 10 years based on

30、 8 755 reports and Part III, for the year 1997 is based on 986 reports. The table below shows the distribution of these reports into accident/incident data reports, preliminary reports and unofficial reports, for the last 1 O years. 1200 - I t I 600 400 200 O 89 90 91 92 93 94 95 96 97 98 Unofficial

31、 Preliminary Data Note.- The reporting to ICA0 of an accident is usually done twice, first with a short report called a “Preliminary Report“ and, when the investigation is completed, with a complete report called an “Accident Data Report“. A Preliminary Report is not required for incidents (only for

32、 accidents) nor is it required if the Accident Data Report can be submitted within 30 days of the date of the accident. COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesPart II ACCIDENT TYPES The following tables present accident types in airline operations

33、, which have been of special interest and subject to specific accident prevention programmes in the last 1 O years. It should be noted that a given accident may fall into more than one of the following accident types. Note on the statistical tables.- The tables were developed with data from the ADRE

34、P reporting system. in the ADREP report, each accidenthcident may be described by up to five events. For each event type, there is a corresponding phase of operation and up to ten descriptive factors consisting of one subject and up to three modifiers. For each description factor there are up to thr

35、ee related explanatory factors consisting of one organization/person, a subject and a modifier. 3 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTD*ICAO CIRCULAR 27b-AN/lbZ-ENGL L 484L4lb OLL0473 OT4 4 Controlled Flight into Terrain (CFIT) CFIT is define

36、d as an accident in which aircraft, under the control of the crew, is flown into terrain (or water) with no prior awareness on the pari of the crew of the impending accident. The prevention of these types of accidents has recently been the subject of an industry task force. Based on the work of the

37、task force, some accidents have been re- classified in 1998. The tables present information on accidents which were classified as “CFIT“ accidents. 70 60 50 40 30 20 10 O 1 O00 800 600 400 200 O ICA0 CIRCULAR 276-AN/162 - Number of events t + + + 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 Num

38、ber of related fatalities 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTD-ICA0 CIRCULAR 27b-ANIlbZ-ENGL 1777 m 48LiL9lb 0110979 T30 = 5 Wind shear The tables present information on occurrences where win

39、d shear was quoted as a type of event or where a factor “wind cheat“ was entered in the report. 4 “ ICA0 CIRCULAR 276-AN/162 5 Number of events . . . . 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 Number of related fatalities . . . . . . . 1989 1990 1991 1992 1993 1984 1995 1996 1997 1998 COPYR

40、IGHT International Civil Aviation OrganizationLicensed by Information Handling Services20 Aircraft collisions The tables present information on collisions between two aircraft (collisions between an aircraft and other objects are not included). 15 10 5 O Number of events . 1989 1990 1991 1992 1993 1

41、994 1995 1996 1997 1998 400 Number of related faalitisr . . . . . . . . 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTDmICAO CIRCULAR 27b-AN/LbZ-ENGL 1999 484141b O11047b 803 7 *- ICA0 CIRCULAR 276-AN/I

42、 62 Icing 10 The tables present information on occurrences in which either an event “aircraft encountered icing“ was coded, or “icing“ was coded as a factor. 8 4 2 O + . + + Number of events . . . . . + + 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 100 Number of relatad fatalities . + . . . +

43、. . . i -t . . + 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTD=ICAO CIRCULAR 27b-AN/LbZ-ENGL 1777 W 484L4Lb OLL0477 74T 8 ICA0 CIRCULAR 276-AN/162 80 Loss of control The tables present information on

44、accidents in which at least one event was coded as “loss of control“. 70 60 50 40 30 20 10 O loo0 800 600 400 200 O Number of events + 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 -t . Number of related fatalities IIIIII 1989 1990 1991 1992 1993 1994 1996 1996 1997 1998 COPYRIGHT International

45、Civil Aviation OrganizationLicensed by Information Handling ServicesPart 111 INFORMATION FOR THE YEAR 1997 I Note.- Tables 111-1 and Ill-2provide data for 1998. The charts that follow provide data up to 1997 only. 9 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling

46、Services$!CD 037- O0 -0 O0 O0 O0 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTD.ICA0 CIRCULAR 27b-AN/Lb2-ENGL 1799 m 48414Lb OLL0480 234 Il AmWmY ICA0 CIRCULAR 276-AN/162 COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handl

47、ing ServicesSTD-ICA0 CIRCULAR 27b-AN/LbZ-ENGL 1777 D qBLIL91b 0110481 170 D MANOEUVRING STANDING TAXIING EMERGENCYNNCONTROLLED DESCENT POST IMPACT ICA0 CIRCULAR 276-ANA 62 FIXED WING AIRCRAFT Airline Operations Accidents e m- -_*Y 12 - m - - - - - - Phase of operation I MANOEUVRING TAXIING EMERGENCY

48、NNCONTROLLED DESCENT POST IMPACT APPROACH 4, ,” I, z i EN-ROUTE c LANDING I I l l -a 4 -4 -2 O 2 0% COPYRIGHT International Civil Aviation OrganizationLicensed by Information Handling ServicesSTD.ICAO CIRCULAR 27b-AN/Lb2-ENGL 1999 m 48414Lb OLL0482 O07 m DIVERSION AIRFRAME FAILURE TAKE-OFFRANDING OC

49、CURRENCE COLLISION WITH MOVING AIRCRAFT POWER LOSS -ADDITIONAL ENGINE EVACUATION WEATHER RELATED EVENT WHEELSUP LANDING 13 mwum ICA O CIRCULAR 2 76-A NA 62 1- I -7 y- m - - y I - m : a I Type of event COMPONENT/SYSTEM FAILURE POWER LOSS - FIRST ENGINE GEAR COLLAPSEDIRETRACTED FIRE/EXPLOSION/FUMES LOSS OF CONTROL DIVERSION AIRFRAME FAILURE TAKE-OFFRANDING OCCURRENCE 1: - I :- - IF J COLLISION WITH MOVING AIRCRAFT POWER LOSS -ADDITIONAL ENGINE EVACUATION WEATHER RELATED WENT WHEELSUP LANDING OVERRUN DAMAGE TO AIRCRAFT