Research Article
BibTex RIS Cite

Hot Air Balloon Accidents in Turkish Airspace: Human Factors Through RCA and HFACS

Year 2025, Volume: 9 Issue: 3, 614 - 622
https://doi.org/10.30518/jav.1697241

Abstract

Hot air balloons play a significant role in tourism in Türkiye. Despite offering a unique experience, they are also associated with a relatively high risk of accidents. According to the Turkish Ministry of Transport and Infrastructure (2024), hot air balloon accidents account for 36% of aviation incidents, highlighting the need for closer examination of these occurrences. Since human factors constitute the dominant contributory element in aviation accidents, it is crucial to analyze hot air balloon incidents from this perspective.
This study examines two serious hot air balloon accidents in Türkiye that occurred between 2021 and 2024, focusing on the human factors involved. Using a mixed methodology, including the 5 Whys Root Cause Analysis (RCA) and the Human Factors Analysis and Classification System (HFACS), the research investigates systemic issues. Data were collected from official accident reports published by the Transport Safety Investigation Center under the Ministry of Transport and Infrastructure of the Republic of Türkiye. The analysis reveals significant patterns in decision-making errors, insufficient meteorological assessments, inadequate training, and organizational shortcomings.
The findings show that both accidents were driven by systemic failures rather than pilot error alone. These included issues with organizational processes, supervisory oversight, and safety culture. The study emphasizes the need for improved meteorological systems, better training for adverse weather conditions, and enhanced safety management practices that stress the importance of a proactive safety culture and stronger operational planning to address human factors and reduce risks in hot air balloon operations.

Ethical Statement

This study involves document analysis and does not require additional ethical approval, as it does not involve human participants or sensitive data. It was conducted in compliance with relevant ethical guidelines and standards.

Supporting Institution

This research was not supported by any external institution.

Thanks

No acknowledgments or thanks are due for this submission.

References

  • ATLAS.ti Scientific Software Development GmbH. (2023). ATLAS.ti (Version 23) [Qualitative data analysis software]. https://atlasti.com
  • Aslaner, M.A. (2019). Hot-air balloon tour accidents in the Cappadocia region. Aerospace Medicine and Human Performance, 90(2), 123-127.
  • Barsalou, M., & Starzyńska, B. (2023). Inquiry into the use of five whys in industry. Quality Innovation Prosperity, 27(1), 62-78.
  • Cowl, C.T., Jones, M.P., Lynch, C.F., Sprince, N.L., Zwerling, C., & Fuortes, L.J. (1998). Factors Associated With Fatalities and Injuries From Hot-Air Balloon Crashes. JAMA, 279(13), 1011-1014.
  • Degani, A., & Wiener, E. L. (1997). Procedures in complex systems: The airline cockpit. IEEE Transactions on Systems, Man, and Cybernetics - Part A: Systems and Humans, 27(3), 302-312.
  • Directorate General of Civil Aviation. (2024). Balloon operations and flight statistics. Retrieved from https://web.shgm.gov.tr/tr/arama?searchkey=balon
  • Dunn, A. (2004), “Getting root cause analysis to work for you”, ICOMS, available at: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.172.914&rep=rep1&type=pdf
  • Ercan, E., & Avcı, A.U. (2022). Analysis of Turkish Civil Aviation Accidents Between 2003 And 2017. Journal of Aviation, 6(2), 148-154.
  • Filtness, A.J., Goode, N., & Cook, R.W. (2014). Causal factors of hot air ballooning incidents: identification, frequency, and potential impact. Aviation, Space, and Environmental Medicine, 85(12), 1190-1198.
  • Key, K., Hu, P., Choi, I., & Schroeder, D. (2023). Safety culture assessment and continuous improvement in aviation: A literature review. Federal Aviation Administration.
  • Kılıç, B. (2020). The analysis of hot-air balloon accidents by human factor analysis and classification system. Journal of Aeronautics and Space Technologies, 13(1), 17-24.
  • Lee, J.-Y., Huang, C.-H., Sie, Y.-A., Yang, P.-C., Su, C.-C., & Chang, J.-T. (2025). Applying the Human Factors Analysis and Classification System within root cause analysis to prevent medical errors and enhancing patient safety culture: insights from a medical center. International Journal for Quality in Health Care, 37(1), mzaf009.
  • Nevşehir Investment Support Office. (2017). Hot-air balloon industry report. Retrieved from https://www.ahika.gov.tr/assets/upload/dosyalar/ahika_2017_nevsehir-sicak-hava-balonu_sektor- raporu.pdf
  • Novotná, M. & Kunc, J. (2022). Balloon Tourism. In D. Buhalis (Ed.), Encyclopedia of Tourism Management and Marketing. Edward Elgar Publishing Ltd., Cheltenham, UK.
  • OECD/ITF. (2016). Zero road deaths and serious injuries: Leading a paradigm shift to a Safe System. OECD Publishing.
  • Reason, J. (1997). Managing the risks of organizational accidents. Ashgate.
  • T.C. Ulaştırma ve Altyapı Bakanlığı. (2025). Hava aracı kaza ve olay raporları [Aircraft accident and incident reports]. Ulaşım Emniyeti İnceleme Merkezi. https://ulasimemniyeti.uab.gov.tr/hava-araci
  • Al-Rifai, M. (2025), "Unlocking insights: evaluating 5Whys methodology for root cause analysis and employee problem-solving skills in 91 case studies", International Journal of Lean Six Sigma, Vol. ahead-of-print No. ahead-of-print.
  • Serrat, O. (2017). The Five Whys Technique. In: Knowledge Solutions. Springer, Singapore.
  • Shappell, S. A., & Wiegmann, D. A. (2000). The Human Factors Analysis and Classification System -- HFACS. Retrieved from https://commons.erau.edu/publication/737
  • Shappell, S., Detwiler, C., Holcomb, K., Hackworth, C., Boquet, A., & Wiegmann, D. A. (2007). Human Error and Commercial Aviation Accidents: Analysis Using the Human Factors Analysis and Classification System. Human Factors: The Journal of the Human Factors and Ergonomics Society, 49(2), 227–242.
  • Ulaşım Emniyeti İnceleme Merkezi. (2024). Hava aracı kazaları istatistikleri: 2024 yılı verileri. T.C. Ulaştırma ve Altyapı Bakanlığı. https://ulasimemniyeti.uab.gov.tr/uploads/pages/istatistikler/hava-2024-istatistik.pdf
  • Vincent, C., & Amalberti, R. (2016). Safer Healthcare: Strategies for the Real World. Springer Open.
  • Wiegmann, D. A., & Shappell, S. A. (2003). A human error approach to aviation accident analysis: The human factors analysis and classification system. Ashgate Publishing Company.
  • Wu, A.W., Lipshutz, A.K., & Pronovost, P.J. (2008). Effectiveness and efficiency of root cause analysis in medicine. JAMA, 299(6), 685-687.
There are 25 citations in total.

Details

Primary Language English
Subjects Air Transportation and Freight Services
Journal Section Research Articles
Authors

Derya Azık Özkan 0000-0002-9014-4029

Early Pub Date October 9, 2025
Publication Date October 15, 2025
Submission Date May 11, 2025
Acceptance Date July 8, 2025
Published in Issue Year 2025 Volume: 9 Issue: 3

Cite

APA Azık Özkan, D. (2025). Hot Air Balloon Accidents in Turkish Airspace: Human Factors Through RCA and HFACS. Journal of Aviation, 9(3), 614-622. https://doi.org/10.30518/jav.1697241

Journal of Aviation - JAV 


www.javsci.com - editor@javsci.com


9210This journal is licenced under a Creative Commons Attiribution-NonCommerical 4.0 İnternational Licence