An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States
Abstract
A significant portion of aviation accidents is attributed to human factors, highlighting the need for comprehensive and systematic analyses in this field. This study examines 57 scheduled commercial aircraft accidents that occurred in the United States between 2020 and 2024 using the Human Factors Analysis and Classification System (HFACS) framework, with the aim of evaluating the contributing human factors in a multi-layered manner. The research demonstrates that human errors are not solely the result of individual performance deficiencies but also stem from systemic, managerial, and organizational shortcomings. The study utilizes official accident reports from the United States National Transportation Safety Board (NTSB), analysed through content and descriptive analysis techniques. Only accidents involving turbofan-powered fixed-wing aircraft engaged in scheduled passenger transportation were included. NTSB reports are considered highly reliable primary sources due to their comprehensive analysis of technical, operational, and human factors related to aviation incidents. Based on 207 coding conducted according to the HFACS model, human errors were analysed across four levels: unsafe acts, preconditions for unsafe acts, supervisory factors, and organizational influences. The analysis revealed that the most frequently observed human errors were related to decision-making and perception, primarily resulting from cognitive limitations, information deficiencies, and inadequate situational awareness. Environmental factors such as turbulence and technological shortcomings were also identified as direct threats to operational safety. Furthermore, operational planning errors, the neglect of safety priorities, dysfunctional procedures, and insufficient resource management were highlighted as indirect contributors stemming from managerial and organizational deficiencies. The findings emphasize the necessity of developing accident prevention strategies not only at the individual level but also across organizational and systemic levels.
Keywords
References
- Avcı, F., & Ercan, S. (2022). Türk Sivil Havacılık Kazalarının HFACS Modeliyle Değerlendirilmesi (2003–2017). Hava cılık Emniyeti ve İnsan Faktörleri Dergisi, 7(1), 58–75.
- Baber, E. (2007). İnsan faktörü analizi ve sınıflandırma sistemi (HFACS) ve kara havacılık kazalarına uygulanabilirliği (Yüksek Lisans Tezi). Gazi Üniversitesi, Fen Bilimleri Enstitüsü
- Bilbro, J. (2013). An inter-rater comparison of DOD human factors analysis and classification system (HFACS) and human factors analysis and classification system maritime (HFACS-M) (Doctoral dissertation, Monterey, California: Naval Postgraduate School).
- CASA. (2014c). SMS 6 – SMS for aviation – A practical guide: Safety policy and objectives (2nd ed.). CASA. https://www.casa.gov.au/sites/default/files/2021-06/safety-management-systems-book-6-human- factors.pdf
- de Hoyos, J. U. (2019). Human Factor in Military Aviation Accidents: A Resume of 31 USAF accidents extracted from Accident Investigation Board public reports https://openlibrary.org/books/OL33881833M/Human_Factor_in_Military_Aviation_Accidents
- Deaton, J. E., & Morrison, J. G. (2010). Aviation research and development: A framework for the effective practice of human factors, or “What your mentor never told you about a career in human factors…”. In J. A. Wise, V. D. Hopkin & D. J. Garland (Eds.), Handbook of Aviation Human Factors (2nd ed.,]). Boca Raton, FL: CRC Press.
- Demirhan, Y. (2024). Ticari uçak kazalarının HFACS modeli ile incelenmesi ve EYS açısından değerlendirilmesi (Yüksek Lisans Tezi). Türk Hava Kurumu Üniversitesi, Sosyal Bilimler Enstitüsü.
- Dönmez, K. (2018). 21. yüzyıl havacılık olaylarında operasyon organizasyon ilişkisi: İnsan faktörleri analiz ve sınıflandırma sistemi uygulaması (Yüksek Lisans Tezi). Anadolu Üniversitesi, Fen Bilimleri Enstitüsü.
Details
Primary Language
English
Subjects
Air Transportation and Freight Services
Journal Section
Research Article
Early Pub Date
October 16, 2025
Publication Date
October 19, 2025
Submission Date
June 30, 2025
Acceptance Date
August 25, 2025
Published in Issue
Year 2025 Volume: 9 Number: 3
APA
Kaya, M. A., & Göçmen, D. (2025). An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States. Journal of Aviation, 9(3), 703-713. https://doi.org/10.30518/jav.1729542
AMA
1.Kaya MA, Göçmen D. An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States. JAV. 2025;9(3):703-713. doi:10.30518/jav.1729542
Chicago
Kaya, Münevver Aycel, and Didem Göçmen. 2025. “An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States”. Journal of Aviation 9 (3): 703-13. https://doi.org/10.30518/jav.1729542.
EndNote
Kaya MA, Göçmen D (October 1, 2025) An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States. Journal of Aviation 9 3 703–713.
IEEE
[1]M. A. Kaya and D. Göçmen, “An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States”, JAV, vol. 9, no. 3, pp. 703–713, Oct. 2025, doi: 10.30518/jav.1729542.
ISNAD
Kaya, Münevver Aycel - Göçmen, Didem. “An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States”. Journal of Aviation 9/3 (October 1, 2025): 703-713. https://doi.org/10.30518/jav.1729542.
JAMA
1.Kaya MA, Göçmen D. An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States. JAV. 2025;9:703–713.
MLA
Kaya, Münevver Aycel, and Didem Göçmen. “An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States”. Journal of Aviation, vol. 9, no. 3, Oct. 2025, pp. 703-1, doi:10.30518/jav.1729542.
Vancouver
1.Münevver Aycel Kaya, Didem Göçmen. An Analysis of Commercial Aircraft Accidents Using the Human Factors Analysis and Classification System (HFACS): The Case of The United States. JAV. 2025 Oct. 1;9(3):703-1. doi:10.30518/jav.1729542