Guill F C
Crew Systems Division, Naval Air Systems Command, Washington, DC 20361.
Aviat Space Environ Med. 1989 Oct;60(10 Pt 2):B1-10.
A major problem apparent in many safety investigation reports concerning aviation mishaps, and especially in their component Flight Surgeon's Reports (FSRs), is the failure of the investigators to recognize needs beyond those of their immediate organizational structures and chains of command in conducting the investigation, and reporting the resultant facts and findings. If aircrew losses and serious injuries are to be reduced, other needs must also be considered and addressed. These additional needs include those of aircrew automated escape system (AAES) and aircrew life support system (ALSS) acquisition personnel who formulate, design, and test requirements, and AAES and ALSS designers and manufacturers who need to know how well and under what conditions of use their equipment is performing. Each mishap, in a sense, constitutes an extremely costly yet highly realistic test of the AAES and ALSS involved. If properly and thoroughly examined, these mishaps will yield exceptionally valuable insights into AAES and ALSS problems and successes and the reasons underlying system behavioral differences. This paper discusses a number of the AAES and ALSS community's needs which investigating medical officers should consider if the U.S. Navy is to gain from these expensive and often tragic mishaps.
许多关于航空事故的安全调查报告中,尤其是其中的飞行军医报告(FSR)部分,明显存在一个主要问题,即调查人员在进行调查以及报告最终事实和调查结果时,未能认识到超出其直接组织结构和指挥链之外的需求。如果要减少机组人员的伤亡,还必须考虑并解决其他需求。这些额外需求包括制定、设计和测试要求的机组人员自动逃生系统(AAES)和机组人员生命支持系统(ALSS)采购人员的需求,以及需要了解其设备在何种使用条件下性能如何的AAES和ALSS设计师及制造商的需求。从某种意义上说,每次事故都构成了对所涉及的AAES和ALSS的极其昂贵但高度现实的测试。如果对这些事故进行妥善且全面的调查,它们将为AAES和ALSS的问题与成功之处以及系统行为差异背后的原因提供极具价值的见解。本文讨论了一些AAES和ALSS领域的需求,如果美国海军要从这些代价高昂且往往悲惨的事故中吸取教训,负责调查的军医人员就应予以考虑。