Computer-Related Incidents with Commercial Aircraft

The Australian Transport Safety Bureau

ATSB is the Australian accident investigation authority. Their reports are very-high quality documents and recent ones are available on the WWW in PDF format. Accident investigation specialists explicitly use James Reason's model of human error for determining not only the active errors which contribute to an accident, but also the latent errors, the organisational, managerial and oversight errors, which Reason and others have identified as being major contributors to complex system accidents - aviation, encompassing regulation, oversight authorities, air traffic control and communication, as well as pilots and aircraft, is a complex system in this sense. Reason, of the University of Manchester in England, is a reknowned specialist in human error who has done considerable work with ICAO. Those wanting good examples of Reason's methods in practice would do well to surf around this site.