| University | Singapore University of Social Science (SUSS) |
| Subject | SFTY320: Human Factors in Aviation Safety |
Assignment Brief:
Each student is to research and submit a written assignment report of the following accident involving aircraft VH-NGA and the circumstances associated with the collision with terrain accident reported by the Australian Transport Safety Bureau (ATSB) in its Aviation Occurrence Investigation, AO-2009 (reopened) Final dated 23 November 2017.
Following the format in Table 1, the report is to provide your analysis of what occurred and discuss salient gaps and deficiencies from a human factors perspective using Reason’s Swiss Cheese Model and any other 1 of the other following prescribed human factor models (SHELL model, SCHELL model, PEAR model, Dirty Dozen model, HFACS model). If appropriate, the paper should also indicate any resultant changes to aviation regulations and legislation.
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