ISASI Seminars Technical Papers

Technical Papers

2019 Technical Papers (All)
View list of 2019 technical papers.

Tuesday, September 3rd

Main Hall

• Small Country / Big Accident
  Hubert Hanjause Hamani, Alan Stray and Michael Poole
• Black Swan Events
  Stéphane Cote
• Comparisons and Lessons Learned from UA232 Sioux City and AA383 Chicago Uncontained Events
  David Chapel and Daniel Kemme
• Airmanship 2.0: Innovating Aviation Human Factors Forensics to Necessarily Proactive Role
  Frederik Mohrmann and John Stoop
• The Paradox of Intuition - A Neuroscience Approach to Training Pilots for Unexpected Events
  Laurie Earl and Jim Sheffield
• Inattentional Blindness and Bias During Visual Scan
  Capt. Amit Singh
• Challenges of Accident Investigation in Africa
  Charles Bagabo and Jan Smetink

Parallel Session

• The Head Injury Criteria and Future Accident Investigations
  JM Davies, WA Wallace, CL Colton, O Tomlin, AR Payne
• LAMIA Flight 2933: Who Lived, Who Died, and Why
  Anthony Brickhouse, Diego Garcia, and Julian Echeverri
• Analysis of Aviation Accident Videos at NTSB
  Dan Horak
• Why Did the Helicopter Collide with Trees?
  Koji Fukuda
• Analysing Large and Complex Image Collections During a Safety Investigation
  Floris Gisolf, Zeno Geradts, and Marcel Worring

 

Wednesday, September 4th

Main Hall

• Do We Need an Annex 13 for Commercial Space Accident Investigation?
  Joseph Sedor
• Take-Off Performance Incidents, Do We Need to Accept Them or Can We Eliminate Them
  Bart Bernard, Martin Nijhof, and Gerard van Es
• Erroneous Takeoff Performance, Why the Past is Still Highly Relevant Today
  Eur. Ing. Steve Hoare
• Unstabilized Take-Off Techniques on A340-300
  Vincent Ecalle
• Updating the Concept of Cause in Accident Investigation
  Nancy Leveson, Capt. Darren Straker, and Capt. Shem Malmquist
• Investigating Accidents in Highly Automated Systems: Systemic Problems Identified Through Analysis of Air France 447
  Capt. Shem Malmquist and Nancy Levenson

Parallel Session

• Investigation of the In-flight Failure of the Stratos III Sounding Rocket
  Rolf Wubben, Eoghan Gilleran, Krijn de Kievit, Bart Kevers, Maurits van Heijningen, and Martin Christiaan Olde
• Human Factors in Civil Aircraft Accident Investigations
  William (Bill) Bramble
• Human Factors Investigation at the ATSB
  Mike Walker
• Investigating Human Factors
  Fanny Rome
• Introduction of Human Factors Discipline In-House at AAIB
  Toni Flint

 

Thursday, September 5th

Main Hall

• Integral Safety Management System at Schiphol
  Dr. Jasper Daams
• The Importance of High Load Event Reporting
  Arben Dika
• Breaking Airlines Flight Data Monitoring Barriers: A Pilot’s Perspective
  Capt. Bertrand de Courville
• Themes and Systems Safety Investigations (TSSI)
  Proactively Investigating for System Safety Improvements – Daniel Foley and Matthew Harris
• Research-Based Insights: The Importance of Lightweight Data Recorders for General Aviation Aircraft
  Beverley Harvey, Bruce Mullen and Christina Rudin-Brown
• Does what Happened in the Aircraft Matter Anymore?
  Dr. Nathalie Boston
• Flying over Conflict Zones – Follow-up Recommendations MH17 Crash Investigation
  Marieke van Hijum
• Safety Promotion at the Manufacturer, Acknowledging the Past Helps Establish the Future
  Eric East

Parallel Session

• New Safety Investigator Profile
  Daniel Barafani and Enriqueta Zambonini
• Competency-Based Education: A Framework for a More Efficient and Safer Aviation Industry
  Flavio Mendonca, Julius Keller and Dr. Brian Dillman
• Accidents Past, Accidents Future: Safety in the Age of Unmanned Aviation
  Thomas Farrier
• Evolution of Mishap Prevention: Application of Human Factors Evaluation Techniques for Unmanned Aircraft Systems (UAS)
  Elise Lagerstrom
• Review of Aviation Safety Regulation And Practices Of Remotely Piloted Aircraft Systems (RPAS) in China
  Lin Yang
• Flying Over or Near Conflict Zones – The Way Forward
  Kas Beumkes

2018 Technical Papers (All)
View list of 2018 technical papers.

Tuesday

• Challenges of Investigating an Experimental Unmannded Demonstrator Aircraft Incident
  James Buse and Jeff Kraus
• Service Provider Investigations, New Opportunities
  Richard Davies and Paula Gray
• Use of sUAS in Developing Photogrammetric Model for Wind Simulation
  Bill English and Mike Bauer

Wednesday

• The EC225 LP Accident near Turøy in Norway - Kare Halvorsen, Tor Norstegard
  Kare Halvorsen and Tor Norstegard
• EASA Involvement in Safety Investigations - Mario Colavita
  Mario Colavita
• The Growing Level of Aircraft Systems Complexity and Software Investigation
  Paulo Soares Oliveria Filho
• Investigating How Regulators and Industry Endavor to Address the Risks of Erroneous Data Entries
  Florent Duru and David Nouvel
• Investigating Our Future
  Nat Nagy
• 5mm Crack Leading to an Engine Fire
  David Lim

Thursday

• Aircraft Tyre Hydroplaning and How to Analyse it in Runway Excursion Events
  Gerard van Es
• Application of Innovative Investigation Technologies
  Sundeep Gupta, Albert Urdiroz

2017 Technical Papers (All)
View list of 2017 technical papers.

Tuesday

• (Keynote Speech) Investigations: Do They Make a Difference?
  Robert L. Sumwalt
• Airbus Support to Accident Investigation
  Nicolas Bardou
• The Role of Investigations in Creating and Implementing Safety Nets: Minding the Gap
  Jim Burin
• Pre-existing Fracture in a Helicopter Composite Rotor Blade System
  Torstens Skujins and Joseph F. Rakow
• The EASA’s Annual review of Safety Recommendations
  Mario Colavitax
• Colgan Eight Years Later - Making a Difference in Aviation Safety
  Roger Cox
• Video Velocity Analysis
  Adam Cybanski
• The Passenger Brace Position in Aircraft Accident Investigations: Investigations - Do They Really Make a Difference?
  Jan M Davies, Martin Maurino, and Jenny Yoo
• AF447 and Germanwings investigations – What difference do or did they make?
  Philippe Plantin de Hugues and Arnaud Desjardin

Wednesday

• Helicopter Accident Trends in 8 ISASI Countries and How We Might Improve the Fatal Accident Even Further
  Robert C. Matthews, Rex Alexander, and Richard B. Stone
• Investigations, Recommendations, and Safety Management Systems
  Thomas A. Farrier
• Investigation Into ATC Matter
  Curt Fischer
• Managing a Complex Aircraft Systems Investigation
  Barry Holt and David Fisher
• Hazards of Excessive Pilot Flight Control Forces
  Robert E. Joslin
• How Data from Internal Safety Investigations and Processes Can be Used to Assess Performance of Safety Management
  Nektarios Karanikas
• The Effect of ICAO Type Aerodrome Weather Forecasts on Aircraft Operations
  David Wilson
• Why it Makes a Difference to Report and Investigate UAS Incidents … Even When They Don’t Really Happen
  Jeff Guzzetti

Thursday

• (Keynote Speech) Investigations: Do They Make a Difference?
  James Viola
• Forest Chump and the Trees
  L. Pete Kelley
• Crash Scene Hazard Management: An Updated Approach
  Major Tyler Brooks, Major Claire Maxwell, and Master Warrant Officer Gary Lacoursiere
• Learning from Accidents that are a Consequence of Complex Systems
  John Thomas and Shem Malmquist
• Lessons Learned from Aviation Accidents
  Daniel I Cheney
• Lessons Learned from Aviation Occurrence: Integrated Pilots’ Visual Parameters into Cockpit Recorders for Accident Investigation and Prevention
  Thomas Wang, Wen-Chin Li, and John J. H. Lin
• Fiction Versus Reality, The Impact of Hollywood on Accident Investigations
  Katherine A. Wilson and Darren Straker
• Using Scanning and Simulation Technology to Analyze Aviation Mishaps
  Rawson Wood, Richard Watson, and Krysta Amezcua
• Use of Data Science to Make the Difference in Investigation Analysis Process
  Marion CHOUDET and Sébastien DAVID

2016 Technical Papers (All)
View list of 2016 technical papers.

Tuesday

• Sukhoi Superjet - Airborne Image Recorder Supported Investigation
  Ragnar Gudmundsson, Icelandic ITSB
• Protection of Investigation Records
  Marcus Costa, ICAO
• Reverse-Engineering the Causal Links Reveals Safety Analysis Issues
  David Romat and Sébastien David, BEA France
• Investigating a MD-88 Runway Excursion
  Joshua Migdal, Delta Air Lines
• Investigation of Single-pilot Operation Accidents
  Fabio Bonnett, Embraer
• Collaborative Component Examinations
  Eric East, Boeing Commercial Airplanes
• Feedback from the Tutorial on Extending the Networks
  Olivier Ferrante, ESASI
• Feedback from the Tutorial on Military Accident investigations
  Jim Roberts, Boeing

Wednesday

• Keynote Speaker
  Paulo Soares, Embraer
• MH17 Safety Investigation
  Kas E. Beumkes, Dutch Safety Board
• Safety Recommendations: A foundational building-block to EASA’s Safety Risk Management process
  Mario Colavita, European Aviation Safety Agency
• Aviation Safety Improvements: Advancing Safety Through Multiple Means
  Kristi Dunks, National Transportation Safety Board
• Accidents During Non-Precision Approaches – Still a Recurrent Issue
  Thomas Lepagnot, Airbus
• Using a Drone and Photogrammetry Software to Create Orthomosaic Images and 3D Models of Aircraft Accident Sites
  Stuart Hawkins, UK AAIB
• Extend the Network and Exploit Available Resources: Lessons Learnt from Two Major Investigations
  Michael Guan, Aviation Safety Council, Taiwan
• Cabin Safety Aspects in Accident Investigations: A Crucial Link
  Martin Maurino, ICAO

Thursday

• Keynote Speaker
  Kathy Fox, Chair of TSB Canada
• Germanwings Safety Investigation
  Romain Bevillard, BEA France
• An Additional Approach to Establishing the State of Operation of a Turbofan Engine During an Aircraft Accident
  Douglas Zabawa, Pratt & Whitney
• The effect of commuting on pilot self-assessment of stress and performance
  Thomas Friesacher & Matthew Greaves, Cranfield University
• Investigating Linkages Between an Occurrence Event and an Organisations’ Safety System Performance
  Heather Fitzpatrick, Australian Transport Safety Bureau
• MH17: Mission beyond borders
  Ron Smits, Dutch Safety Board, Netherlands
• Alliance or Rebellion: Linking Efforts of State Safety Oversight Agencies
  Jeff Guzzetti, Federal Aviation Administration
• Aircraft Controllability and Primary Flight Displays Every link is important
  Knut Lande, LandAvia Ltd
• Links for a Successful Investigation
  Luis Gracia, Airbus (Military Aircraft)

2015 Technical Papers (All)
View list of 2015 technical papers.

• Unstable Approaches: A Global Problem
  David Ross
• Investigating Human Fatigue Factors – A Tale of Two Accidents
  Katherine Wilson, Ph.D.
• Fixing the Holes: Infrastructure, Training and Oversight
  Alain Agnesetti and Arnaud Desjardin
• The Threat to Independence and Impartiality When Using Manufacturer’s Resources and Expertise
  Robert (Bob) Vickery
• Use of Modern Technologies and Methodologies to Improve Helicopter Accident Investigation
  Prof. Dr. Thomas Gogel, Seth Buttner and Dr. Marcus Bauer
• Boeing 787 Lithium Battery Incidents – Boeing Activities to Support Multiple Complex Investigations
  Lori Anglin and John R. Lowell
• Divorcing the Regulator: The Establishment of an Independent Investigative Authority
  Captain Ibrahim S Koshy
• Human Factors in Extremis: The Rogue Pilot Phenomenon
  Thomas Anthony
• EASA and the Protection of Safety Investigation Independence
  Bernard Bourdon
• Lessons Learned from Commercial Airplane Accidents: Creation of a Web-based Safety Knowledge System
  Daniel I. Cheney
• Is it a Space Plane or Rocket? The Unique Aspects of a Commercial Space Accident Investigation.
  E. Lorenda Ward
• A small accident but a very complex Investigation
  Leo P. Murray
• Investigating the Voyager pitch down incident – a case study in civil / military co-operation
  Col Crispin Orr
• A New Tool for Analyzing the Potential Influence of Vestibular Illusions
  Randall J. Mumaw, Eric Groen, Lars Fucke, Richard Anderson, Jelte Bos, and Mark Houben
• A Family Affair: AirAsia Group in Light of Indonesia AirAsia Flight QZ8501
  Tony Fernandes
• Challenges of Sea Search and Recovery Operations – Sharing of Experience from a Recent Joint Operation
  Tatang Kurniadi and Ng Junsheng
• Independence Does Not Mean Isolation - A practical Approach
  Johann Reuss

2014 Technical Papers (All)
View list of 2014 technical papers.

• Safety Management; Reversing the False Glide Slope Myth
  Kas Beumkes and Michiel Schuurman
• Working with the news media: practical tips for investigators
  Professor Graham Braithwaite
• GE Aviation SMS Framework and Investigation Lessons Learned
  David Chapel
• VFR into dark night: Nothing to see but much to change
  Rob Chopin and Mike Walker
• Safety Cultures and Accident Investigation: Lessons Learned from a National Transportation Safety Board Forum
  Barbara A. Czech, Loren Groff and Barry Strauch
• Unmanned Aerial Systems for Aircraft Accident Investigations: Enhancing Capabilities, Regulatory Concerns, and Implications for Safety Management Systems (SMS)
  Bill English, Jeff Kraus and Paul Pillar
• Asiana 214: Initial Organization Charts the Course of a Major Accident Investigation
  Bill English and Tim LeBaron
• Challenges for organizational investigation - learn from a flight training school plane crash investigation
  Koji Fukuda
• Towards the next generation of HUMS sensor
  Dr Matthew Greaves
• Just Culture
  Kevin Humpreys
• In Service Safety at Boeing
  Simon Lie
• Fuel Contamination can still pose a Risk
  Victor Liu
• Touchdown too long, SMS comes up short
  Philippe Mauviot and Romain Bevillard
• A review of Safety Management System elements and the identification of organisational factors
  Hans Meyer
• 75 years of scientific accident investigation support at the Bend
  L. Molent and N. Athiniotis
• Change Point Analysis applied to SMS
  Paulo Manoel RAZABONI
• A professional culture of safety – The influence, measurement and development of organisational safety culture
  Rick Sellers
• Challenges of large airline aviation safety investigation organizations and their Safety Management System
  Jerry Tsujimoto

2013 Technical Papers (All)
View list of 2013 technical papers.

• Frank Del Gandio Opening Remarks
  Frank Del Gandio
• The Principle Of National Sovereignty In Air Safety Investigation
  Jean-Paul
• Keynote Address
  Dr. Cho
• What will be in the rearview mirror of next-generation investigators?
  Wendy Tadros
• Teaching New Investigators to Think: From Ayn Rand’s Objectivism to Sherlock Holmes Deductive Reasoning
  William D. Waldock and L. Pete Kelley
• Preparing the Next Generation of Investigators
  Guillaume Adam and Johan Condette
• A New Capability for Crash Site Documentation
  Major Adam Cybanski
• Delegating Full Investigative Authority to a Foreign Agency
  Jon Lee
• Investigating Accidents, but How to Prevent the Next?
  Thomas Fakoussa
• Improving our Capability to Investigate for Organizational and Management Factors
  Joel Morley and Jon Stuart
• Benchmarking Aviation Safety Professionals through Certification
  Dr. Roger L. Brauer and Curt Lewis
• Recruiting the Next Generation of Investigators: Using University Partnerships to Advance Air Safety
  Daniel Scalese
• The Investigation of a Lithium-Ion Battery Fire Onboard a Boeing 787 by the US National Transportation Safety Board
  Joseph M. Kolly, Joseph Panagiotou, and Barbara A. Czech
• The Agony and the Ecstasy of Utilizing Safety Data for Modern Accident Prevention and Investigation
  Jeff Guzzetti
• Airbus A320 wingstrike at Hamburg Airport going around the world within hours via YouTube.
  Johann Reuss
• Investigating Runway Overruns – a Manufacturer's Perspective
  Frederico Moreira Machado and Carlos Eduardo Bordignon Martinez
• Flight Data: Then, Now and Coming Soon
  Michael Poole
• Instant flight data analysis
  Paulo Manoel RAZABONI
• Preparing the Next Generation of Investigators – from a New Investigator’s Perspective
  Dr. Brian C. Kuo
• Learning From and Preparing for Traditional Airline Accident Investigations while Transitioning to SMS Risk-Based Investigation Processes
  Timothy J. Logan and Dennis G. Post
• Preparing the Next Generation of Investigative & Regulatory Authorities
  Dr. Robert Matthews
• Preparing the next Generation of Investigators
  Yang Lin
• Playground 101 Building and Maintaining Relationships Lessons You Should Have Learned in Kindergarten
  John Purvis

2012 Technical Papers (All)
View list of 2012 technical papers.

• Teaching New Investigators to Think: From Ayn Rand’s Objectivism to Sherlock Holmes Deductive Reasoning
  William D. Waldock and L. Pete Kelley
• Voluntary Safety Programs and Safety Management Systems: What is needed to move from Reactive to Predictive
  Timothy J. Logan
• Facing The Change: From Organisational Responsibility To Personal Accountability
  Lieutenant Commander Natalee Johnston and Lieutenant Carmencita Handford
• Safety Boards and the Evolution of Predictive Safety Management
  Michael Cunningham
• Accident Investigation: Reactive, But Irreplaceable Lessons Learned with the JJ3054 Runway Excursion
  Fernando S. A. de Camargo
• Ultra Low Cost Flight Path Recording for General Aviation and Legacy Aircraft
  Major Adam Cybanski
• Proactively monitoring emerging risks through the analysis of occurrence and investigation data: Techniques used by the Australian Investigator
  Stuart Godley
• The Development of the Maintenance Operations Safety Survey: challenges in transferring a predictive safety tool from flight operations to aircraft maintenance.
  Marie Langer and Prof. Graham Braithwaite
• Managing a major accident investigation in a small country The case of the B737-800, Ethiopian flight 409, crashing off the coast of Beirut – Lebanon
  Captain Mohammed Aziz, Ph.D.
• The Benefits of a Safety Studies Program to Proactively Promote Aviation Safety
  Joseph M. Kolly and Loren S. Groff
• Design of an innovative stall recovery device
  J.A. Stoop and J.L. de Kroes
• From Daedalus to Smartphones and NextGen: The Evolution of Accident Investigation Tools and Techniques
  Jay F. Graser
• Revisiting Trajectory Analysis - Evolving the Cranfield Model
  Matthew Greaves
• The Use of Odds Ratios and Relative Risk to Quantify Systemic Risk Pathways in Air Traffic Control
  Dr. Michael W. Sawyer, Dr. Katherine A. Berry and Edward M. Austrian
• Reactive & Proactive Flight Data Usage
  Mike Poole and Captain Muhtar Usman
• Unmanned Aircraft System Accidents: Learning to Predict the Unpredictable
  Thomas A. Farrier
• A holistic approach to aircraft accident/incident investigation
  Phil Sleight
• Evolution of Aviation Safety from Reactive to Predictive
  Léopold Sartorius, Sébastien David and Martine Del Bono
• Key Note Address to ISASI 2012
  Deborah A.P. Hersman
• Key Note Address to ISASI 2012
  Wendy Tadros
• History of the flight AF447 accident investigation, Keynote Speech
  Jean-Paul Troadec

2011 Technical Papers (All)
View list of 2011 technical papers.

• Major Investigations, New (and Revised) Thinking Ahead
  Robert M. MacIntosh Jr.
• Accident Prevention Beyond Investigations
  Dr. Yukiko Kakimoto
• Investigation: A Shared Proces
  Sébastien David and Léopold Sartorius
• Flight Path Analysis based on Video Tracking and Matchmoving
  Major Adam Cybanski
• BUILDING PARTNERSHIPS IN UNMANNED AIRCRAFT SYSTEMS OPERATIONAL SAFETY AND ACCIDENT INVESTIGATIONS
  Thomas A. Farrier
• Analysis of Fuel Tank Explosion aboard Airplanes
  N. Albert Moussa and Venkat Devarakonda
• Smaller Nations and Annex 13
  Syed Naseem Ahmed
• Introducing the 787
  Tom Dodt
• Investigating and Preventing the Loss of Control Accident…The Continued Need For Multi-Layered Systems-Safety Intervention Strategies, Part I
  Dr. Patrick R. Veillette
• Regulatory Runway Incursion Awareness Systems
  Robert E. Joslin
• AF447 Underwater Search and Recovery Operations A Shared Government-Industry Process
  Olivier Ferrante, Michael Kutzleb and Michael Purcell
• Timeliness, an investigators challenge
  John Stoop
• Human Factors Standardization In Safety Applications
  Helena Reidemar
• Long Distance Investigations
  Thorkell Agustsson
• Media in a High Profile Accident
  Thierry Thoreau
• Understanding Pilots’ Cognitive Processes for Making In-flight Decisions under Stress
  Wen-Chin Li, Don Harris, Yueh-Ling Hsu and Thomas Wang
• Helicopter Design for Maintainability: Guidelines and Recommendations
  Andrés Serrano Velásquez, Guilherme Conceição Rocha and Donizeti de Andrade
• ISASI 2011 Program, Salt Lake City, Utah
• Will “Back to Basics” Still Work? Leadership Aspects of Aircraft Accident Investigation in the Millennial Generation
  Mont J. Smith and Mitchell Morrison
• Evaluation of Structural Integrity for Transport Aircraft Encountering Severe Atmospheric Turbulence
  Ray C. Chang, C. Edward Lan and Wen-Lin Guan
• Impact dynamics – Cases and cautions (words)
  Robert Carter, Anne Evans and Andrew Walton
• Impact dynamics – Cases and cautions (biographies)
  Robert Carter, Anne Evans and Andrew Walton
• Impact dynamics – Cases and cautions (words and images)
  Robert Carter, Anne Evans and Andrew Walton
• Who Is Onboard in GA and Air Taxi Accidents
  Dr. Robert Matthews
• Who Is Onboard in GA and Air Taxi Accidents: Implications for Child Restraint Systems & Other Issues in General Aviation
  Dr. Robert Matthews
• Who Is Onboard in GA and Air Taxi Accidents (abstract only)
  Dr. Robert Matthews
• AN INVESTIGATION MEDIA/COMMUNICATIONS STRATEGY – HOW MUCH OF A SHARED PROCESS WITH THE MEDIA
  Ian Sangston
• Helicopter Design for Maintainability: Guidelines and Recommendations
  Andrés Serrano Velásquez, Guilherme Conceição Rocha and Donizeti de Andrade
• Using “ASTERIX” in accident investigation Transforming raw radar data to answer investigative questions
  Paul Farrell and Michiel Schuurman

Edit This Page Exit Edit Mode