Two causal analyses of the Black Hawk shootdown during operation provide comfort

ABSTRACT

We perform a Why-Because Analysis (WBA) starting from the information in the Executive Summary of the U.S. DoD Aircraft Accident Investigation Board report on the shootdown of two U.S. Army Black Hawk transport helicopters by U.S.A.F. F-15 fighter aircraft over Northern Iraq on 14 April 1994, during Operation Provide Comfort. We compare with the effort of Snook to perform a similar analysis.

References

1. {BEdS03} Jens Braband, Bernhard Evers, and Ernesto de Stefano. Towards a Hybrid Approach for Incident Root Cause Analysis. In Proceedings of the 21st International System Safety Conference, Unionville, Virginia, 2003. System Safety Society.]]
2. {Bieds} Bieleschweig Workshops in System Engineering. Proceedings available through www.rvs.uni-bielefeld.de, 2002 onwards.]]
3. {GLL97} Torsten Gerdsmeier, Peter B. Ladkin, and Karsten Loer. Analysing the Cali Accident with a WB-Graph. In Chris Johnson, editor, Proceedings of the First Workshop on Human Error and Systems Development, number GAAG-TR-97-2. Glasgow Accident Analysis Group, 1997.]]
4. {Lad00} Peter B. Ladkin. Causal Reasoning about Aircraft Accidents. In Floor Koornneef and Meine van der Meulen, editors, Computer Safety, Reliability and Security: 19th International Conference, SAFECOMP 2000, number 1943 in Lecture Notes in Computer Science, pages 344--60, Rotterdam, The Netherlands, October 2000. Berlin:Springer-Verlag.]]
5. {Lad01} Peter B. Ladkin. Causal System Analysis, Draft Version 2. RVS Group, University of Bielefeld, 2001. Also in press.]]
6. {LAS02} N. G. Leveson, Polly Allen, and Margaret-Anne Storey. The Analysis of a Friendly Fire Accident using a Systems Model of Accidents. In Proceedings of the 20th International System Safety Conference, Unionville, Virginia, 2002. System Safety Society.]]
7. {Lew73a} David Lewis. Causation. Journal of Philosophy, 70:556--67, 1973. Also with extensive postscripts in {Lew86}.]]
8. {Lew73b} David Lewis. Counterfactuals. Harvard University Press, 1973. Reissued in 2001 by Blackwell Publishers, Oxford and Malden, MA.]]
9. {Lew86} David Lewis. Philosophical Papers, Volume II. Oxford University Press, Oxford, 1986.]]
10. {LL98} Peter B. Ladkin and Karsten Loer. Why-Because Analysis: Formal Reasoning About Incidents. RVS Group, University of Bielefeld, 1998. Available through www.rvs.uni-bielefeld.de.]]
11. {Per84} Charles Perrow. Normal Accidents. Basic Books, New York, 1984.]]
12. {Per94} William Perry. Memorandum for the Secretaries of the Army, Navy, Air Force, Chairman of the Joint Chiefs of Staff, and Chiefs of Staff of the Army, Air Force, and Chief of Naval Operations: Subject: Aircraft Accident and Corrective Action. U.S., Office of the Secretary of Defence, 1994.]]
13. {Sag93} Scott D. Sagan. The Limits of Safety: Organizations, Accidents, and Nuclear Weapons. Princeton University Press, Princeton, New Jersey, 1993.]]
14. {Sno00} Scott A. Snook. Friendly Fire. Princeton University Press, Princeton, New Jersey, 2000.]]
15. {USA94} USAF Aircraft Accident Investigation Board. U.S. Army Black Hawk Helicopters 87--26000 and 88--26060: Volume 1, Executive Summary: UH-60 Black Hawk Helicopter Accident, 14 April 1994. Available from www.schwabhall.com/opc_report.htm, on the WWW site of the U.S. Army C. Company, 6-159th Aviation Regiment, Schwäbisch Hall, Germany., 1994. Also available in Word#8482; format through www.rvs.uni-bielefeld.de.]]
16. {Vau96} Diane Vaughan. The Challenger Launch Decision. University of Chicago Press, Chicago, 1996.]]

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