{"id":34700,"date":"2025-03-11T14:34:59","date_gmt":"2025-03-11T06:34:59","guid":{"rendered":"https:\/\/www.yunshan.net\/blog\/?p=34700"},"modified":"2025-03-11T14:34:59","modified_gmt":"2025-03-11T06:34:59","slug":"%e6%95%85%e9%9a%9c%e6%a0%b9%e5%9b%a0%e5%88%86%e6%9e%90%e5%9c%a8%e8%88%aa%e7%a9%ba%e5%ae%89%e5%85%a8%e4%b8%ad%e7%9a%84%e4%bd%9c%e7%94%a8%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/www.yunshan.net\/blog\/archives\/34700.html","title":{"rendered":"\u6545\u969c\u6839\u56e0\u5206\u6790\u5728\u822a\u7a7a\u5b89\u5168\u4e2d\u7684\u4f5c\u7528\uff1f"},"content":{"rendered":"

\n

\"\u6545\u969c\u6839\u56e0\u5206\u6790\u5728\u822a\u7a7a\u5b89\u5168\u4e2d\u7684\u4f5c\u7528\uff1f\"<\/p>\n<\/p>\n

\u524d\u8a00<\/strong>
\n2022\u5e743\u670821\u65e5\uff0c\u4e1c\u822aMU5735\u822a\u73ed\u7684\u5760\u6bc1\u4e8b\u4ef6\u9707\u60ca\u5168\u7403\u3002\u4e8b\u6545\u8c03\u67e5\u7ec4\u901a\u8fc7\u957f\u8fbe\u6570\u6708\u7684\u6545\u969c\u6839\u56e0\u5206\u6790<\/a><\/a>\uff08Root Cause Analysis, RCA\uff09\uff0c\u6700\u7ec8\u9501\u5b9a\u98de\u884c\u63a7\u5236\u7cfb\u7edf\u4e0e\u4eba\u4e3a\u64cd\u4f5c\u7684\u4ea4\u4e92\u7f3a\u9677\u3002\u8fd9\u4e00\u6848\u4f8b\u63ed\u793a\u4e86\u822a\u7a7a\u5b89\u5168\u4e2d\u4e00\u4e2a\u6c38\u6052\u7684\u771f\u7406\uff1a\u4e8b\u6545\u4ece\u6765\u4e0d\u662f\u5355\u4e00\u56e0\u7d20\u7684\u7ed3\u679c\uff0c\u800c\u662f\u591a\u91cd\u5931\u6548\u94fe\u7684\u4ea4\u7ec7<\/strong>\u3002\u5728\u822a\u7a7a\u4e1a\uff0c\u6bcf\u4e00\u6b21\u4e8b\u6545\u5f81\u5019\u7684\u80cc\u540e\uff0c\u90fd\u9690\u85cf\u7740\u590d\u6742\u7684\u7cfb\u7edf\u6027\u6f0f\u6d1e\u3002\u5982\u4f55\u62bd\u4e1d\u5265\u8327\u3001\u7cbe\u51c6\u5b9a\u4f4d\u95ee\u9898\u6e90\u5934\uff1f\u8fd9\u6b63\u662f\u6545\u969c\u6839\u56e0\u5206\u6790<\/a><\/a>\u7684\u6838\u5fc3\u4f7f\u547d\u2014\u2014\u901a\u8fc7\u79d1\u5b66\u65b9\u6cd5\u62c6\u89e3\u4e8b\u6545\u94fe\u6761\uff0c\u5c06\u201c\u9ed1\u5323\u5b50\u201d\u4e2d\u7684\u6a21\u7cca\u7ebf\u7d22\u8f6c\u5316\u4e3a\u53ef\u884c\u52a8\u7684\u5b89\u5168\u6539\u8fdb\u65b9\u6848<\/strong>\u3002<\/p>\n

\n

\u4e00\u3001\u6545\u969c\u6839\u56e0\u5206\u6790\uff1a\u822a\u7a7a\u5b89\u5168\u94fe\u6761\u7684\u201c\u7ec8\u6781\u5b88\u62a4\u8005\u201d<\/strong><\/h3>\n

\u822a\u7a7a\u5b89\u5168\u88ab\u79f0\u4e3a\u201c\u7cfb\u7edf\u5de5\u7a0b\u7684\u5929\u82b1\u677f\u201d\uff0c\u6d89\u53ca\u673a\u68b0\u8bbe\u8ba1\u3001\u7535\u5b50\u63a7\u5236\u3001\u6c14\u8c61\u9884\u6d4b\u3001\u4eba\u5458\u57f9\u8bad\u7b49\u6570\u5341\u4e2a\u4e13\u4e1a\u9886\u57df\u3002\u636e\u56fd\u9645\u6c11\u822a\u7ec4\u7ec7\uff08ICAO\uff09\u7edf\u8ba1\uff0c80%\u7684\u822a\u7a7a\u4e8b\u6545\u4e0e\u4eba\u4e3a\u56e0\u7d20\u76f8\u5173<\/strong>\uff0c\u4f46\u201c\u4eba\u4e3a\u5931\u8bef\u201d\u672c\u8eab\u5f80\u5f80\u662f\u66f4\u6df1\u5c42\u6b21\u7cfb\u7edf\u7f3a\u9677\u7684\u8868\u8c61\u3002\u4f8b\u5982\uff0c\u98de\u884c\u5458\u64cd\u4f5c\u5931\u8bef\u53ef\u80fd\u4e0e\u9a7e\u9a76\u8231\u8bbe\u8ba1\u4e0d\u5408\u7406\u3001\u57f9\u8bad\u4f53\u7cfb\u4e0d\u5b8c\u5584\u6216\u75b2\u52b3\u7ba1\u7406\u5236\u5ea6\u7f3a\u5931\u76f4\u63a5\u76f8\u5173\u3002<\/p>\n

\u6545\u969c\u6839\u56e0\u5206\u6790\u7684\u4f5c\u7528\uff0c\u6b63\u662f\u8df3\u51fa\u201c\u5f52\u548e\u4e8e\u4e2a\u4eba\u201d\u7684\u601d\u7ef4\u9677\u9631<\/strong>\uff0c\u8f6c\u800c\u901a\u8fc7\u7cfb\u7edf\u6027\u56de\u6eaf\uff0c\u8bc6\u522b\u4e8b\u6545\u80cc\u540e\u7684\u6280\u672f\u7f3a\u9677\u3001\u6d41\u7a0b\u6f0f\u6d1e\u6216\u7ba1\u7406\u76f2\u533a\u3002\u7f8e\u56fd\u56fd\u5bb6\u8fd0\u8f93\u5b89\u5168\u59d4\u5458\u4f1a\uff08NTSB\uff09\u7684\u8c03\u67e5\u62a5\u544a\u663e\u793a\uff0c\u5e94\u7528RCA\u7684\u822a\u7a7a\u4e8b\u6545\u6574\u6539\u63aa\u65bd\uff0c\u53ef\u4f7f\u540c\u7c7b\u4e8b\u6545\u590d\u53d1\u7387\u964d\u4f4e67%<\/strong>\u3002\u8fd9\u79cd\u4ece\u201c\u6cbb\u6807\u201d\u5230\u201c\u6cbb\u672c\u201d\u7684\u8f6c\u53d8\uff0c\u4f7f\u5f97RCA\u6210\u4e3a\u73b0\u4ee3\u822a\u7a7a\u5b89\u5168\u7ba1\u7406\u7684\u57fa\u77f3\u3002<\/p>\n

\n

\u4e8c\u3001\u62c6\u89e3RCA\u7684\u56db\u5927\u6838\u5fc3\u6b65\u9aa4<\/strong><\/h3>\n
    \n
  1. \n

    \u6570\u636e\u91c7\u96c6\uff1a\u4ece\u788e\u7247\u4e2d\u62fc\u51d1\u771f\u76f8<\/strong>
    \n\u4e8b\u6545\u53d1\u751f\u540e\uff0c\u9ed1\u5323\u5b50\uff08\u98de\u884c\u6570\u636e\u8bb0\u5f55\u4eea\u548c\u8231\u97f3\u8bb0\u5f55\u5668\uff09\u662fRCA\u7684\u8d77\u70b9\uff0c\u4f46\u8fdc\u975e\u7ec8\u70b9\u3002\u73b0\u4ee3RCA\u8fd8\u9700\u6574\u5408\u7ef4\u4fee\u8bb0\u5f55\u3001\u7a7a\u7ba1\u901a\u4fe1\u3001\u6c14\u8c61\u6570\u636e\u751a\u81f3\u793e\u4ea4\u5a92\u4f53\u7ebf\u7d22\u3002\u4f8b\u5982\uff0c2019\u5e74\u57c3\u585e\u4fc4\u6bd4\u4e9a\u822a\u7a7aET302\u7a7a\u96be\u4e2d\uff0c\u8c03\u67e5\u7ec4\u901a\u8fc7\u5bf9\u6bd4\u5168\u7403737 MAX\u673a\u578b\u7684\u7ef4\u4fee\u65e5\u5fd7\uff0c\u53d1\u73b0MCAS\u7cfb\u7edf\uff08\u673a\u52a8\u7279\u6027\u589e\u5f3a\u7cfb\u7edf\uff09\u7684\u4f20\u611f\u5668\u6821\u51c6\u7f3a\u9677\u5b58\u5728\u666e\u904d\u6027<\/strong>\uff0c\u6700\u7ec8\u63a8\u52a8\u5168\u7403\u505c\u98de\u6574\u6539\u3002<\/p>\n<\/li>\n

  2. \n

    \u56e0\u679c\u94fe\u5efa\u6a21\uff1a\u5bfb\u627e\u201c\u745e\u58eb\u5976\u916a\u6a21\u578b\u201d\u7684\u7a7f\u900f\u70b9<\/strong>
    \n\u822a\u7a7a\u5b89\u5168\u9886\u57df\u5e38\u7528\u201c\u745e\u58eb\u5976\u916a\u6a21\u578b\u201d\u89e3\u91ca\u4e8b\u6545\u6210\u56e0\uff1a\u6bcf\u4e00\u5c42\u9632\u62a4\u63aa\u65bd\u5982\u540c\u5976\u916a\u7247\uff0c\u5f53\u591a\u4e2a\u5b54\u6d1e\u6070\u597d\u5bf9\u9f50\u65f6\uff0c\u98ce\u9669\u4fbf\u7a7f\u900f\u6240\u6709\u5c4f\u969c\u3002RCA\u7684\u4efb\u52a1\u662f\u5b9a\u4f4d\u8fd9\u4e9b\u201c\u5bf9\u9f50\u7684\u5b54\u6d1e\u201d<\/strong>\u3002\u4ee52009\u5e74\u6cd5\u822a447\u7a7a\u96be\u4e3a\u4f8b\uff0c\u76ae\u6258\u7ba1\u7ed3\u51b0\u5bfc\u81f4\u7a7a\u901f\u6570\u636e\u9519\u8bef\u4ec5\u662f\u8868\u8c61\uff0c\u66f4\u6df1\u5c42\u7684\u6839\u56e0\u5305\u62ec\uff1a<\/p>\n<\/li>\n<\/ol>\n

      \n
    • \u98de\u884c\u5458\u672a\u63a5\u53d7\u9ad8\u6d77\u62d4\u5931\u901f\u6539\u51fa\u8bad\u7ec3\n<\/li>\n
    • \u81ea\u52a8\u9a7e\u9a76\u4eea\u65ad\u5f00\u65f6\u544a\u8b66\u4fe1\u606f\u4e0d\u660e\u786e\n<\/li>\n
    • \u7a7a\u5ba2A330\u7684\u4fa7\u6746\u8bbe\u8ba1\u7f3a\u4e4f\u64cd\u4f5c\u53cd\u9988\u540c\u6b65\n<\/li>\n<\/ul>\n
        \n
      1. \n

        \u6839\u56e0\u9a8c\u8bc1\uff1a\u4ece\u5047\u8bbe\u5230\u8bc1\u636e\u7684\u95ed\u73af<\/strong>
        \nRCA\u9700\u907f\u514d\u201c\u5148\u5165\u4e3a\u4e3b\u7684\u504f\u89c1\u201d\u30022014\u5e74\u9a6c\u6765\u897f\u4e9a\u822a\u7a7aMH370\u5931\u8e2a\u4e8b\u4ef6\u4e2d\uff0c\u521d\u671f\u63a8\u6d4b\u805a\u7126\u4e8e\u6050\u6016\u88ad\u51fb\uff0c\u4f46\u540e\u7eed\u536b\u661f\u6570\u636e\u5206\u6790\u8868\u660e\uff0c\u9a7e\u9a76\u8231\u7cfb\u7edf\u6027\u65ad\u7535\u66f4\u53ef\u80fd\u662f\u4eba\u4e3a\u84c4\u610f\u884c\u4e3a<\/strong>\u3002\u8fd9\u4e00\u7ed3\u8bba\u7684\u4fee\u6b63\uff0c\u51f8\u663e\u4e86\u6570\u636e\u4ea4\u53c9\u9a8c\u8bc1\u7684\u91cd\u8981\u6027\u3002<\/p>\n<\/li>\n

      2. \n

        \u6574\u6539\u63aa\u65bd\uff1a\u4ece\u5355\u4e2a\u4e8b\u4ef6\u5230\u7cfb\u7edf\u5347\u7ea7<\/strong>
        \n\u6709\u6548\u7684RCA\u6700\u7ec8\u9700\u8f6c\u5316\u4e3a\u53ef\u843d\u5730\u7684\u5b89\u5168\u7b56\u7565\u3002\u4f8b\u5982\uff0c\u6ce2\u97f3787\u66fe\u56e0\u9502\u7535\u6c60\u8d77\u706b\u4e8b\u6545\u5168\u9762\u4fee\u6539\u7535\u6c60\u8231\u8bbe\u8ba1\uff0c\u5e76\u63a8\u52a8\u56fd\u9645\u9002\u822a\u6807\u51c6\u66f4\u65b0\u3002\u56fd\u9645\u822a\u7a7a\u8fd0\u8f93\u534f\u4f1a\uff08IATA\uff09\u6570\u636e\u663e\u793a\uff0c\u57fa\u4e8eRCA\u7684\u4e3b\u52a8\u5b89\u5168\u6539\u8fdb\u65b9\u6848\uff0c\u5e73\u5747\u6bcf\u6295\u51651\u7f8e\u5143\u53ef\u907f\u514d27\u7f8e\u5143\u7684\u4e8b\u6545\u635f\u5931<\/strong>\u3002<\/p>\n<\/li>\n<\/ol>\n

        \n

        \u4e09\u3001\u6280\u672f\u8d4b\u80fd\uff1a\u6570\u5b57\u5316\u5de5\u5177\u5982\u4f55\u63d0\u5347RCA\u6548\u7387<\/strong><\/h3>\n

        \u4f20\u7edfRCA\u4f9d\u8d56\u4eba\u5de5\u7ecf\u9a8c\uff0c\u8017\u65f6\u957f\u8fbe\u6570\u6708\u3002\u800c\u4eba\u5de5\u667a\u80fd\u4e0e\u5927\u6570\u636e\u6b63\u5728\u91cd\u5851\u8fd9\u4e00\u9886\u57df\uff1a<\/p>\n

          \n
        • \u9884\u6d4b\u6027\u5206\u6790<\/strong>\uff1a\u901a\u8fc7\u673a\u8f7d\u4f20\u611f\u5668\u5b9e\u65f6\u76d1\u6d4b\u53d1\u52a8\u673a\u632f\u52a8\u9891\u8c31\uff0c\u63d0\u524d\u8bc6\u522b\u8f74\u627f\u78e8\u635f\u8d8b\u52bf\u3002\u901a\u7528\u7535\u6c14\uff08GE\uff09\u7684Predix\u5e73\u53f0\u5df2\u5b9e\u73b0\u6545\u969c\u9884\u6d4b\u51c6\u786e\u7387\u8d8592%<\/strong>\u3002\n<\/li>\n
        • \u77e5\u8bc6\u56fe\u8c31<\/strong>\uff1a\u5c06\u5386\u53f2\u4e8b\u6545\u62a5\u544a\u3001\u7ef4\u4fee\u8bb0\u5f55\u6784\u5efa\u4e3a\u5173\u8054\u6570\u636e\u5e93\u3002\u7a7a\u5ba2\u5f00\u53d1\u7684Skywise\u7cfb\u7edf\u80fd\u81ea\u52a8\u5339\u914d\u76f8\u4f3c\u4e8b\u4ef6\u6a21\u5f0f\uff0c\u7f29\u77ed\u6839\u56e0\u5b9a\u4f4d\u65f6\u95f440%\u4ee5\u4e0a\u3002\n<\/li>\n
        • \u865a\u62df\u4eff\u771f<\/strong>\uff1a\u901a\u8fc7\u6570\u5b57\u5b6a\u751f\u6280\u672f\u8fd8\u539f\u4e8b\u6545\u573a\u666f\u3002NASA\u5229\u7528\u98de\u884c\u6a21\u62df\u5668\u91cd\u73b02001\u5e74\u7f8e\u822a587\u822a\u73ed\u5c3e\u7ffc\u8131\u843d\u8fc7\u7a0b\uff0c\u8bc1\u660e\u98de\u884c\u5458\u8fc7\u91cf\u65b9\u5411\u8235\u64cd\u4f5c\u4e0e\u590d\u5408\u6750\u6599\u7ed3\u6784\u75b2\u52b3\u5b58\u5728\u8026\u5408\u6548\u5e94\u3002\n<\/li>\n<\/ul>\n
          \n

          \u56db\u3001\u6311\u6218\u4e0e\u7a81\u7834\uff1a\u4ece\u201c\u4e8b\u540e\u8bf8\u845b\u201d\u5230\u201c\u4e8b\u524d\u9884\u8b66\u201d<\/strong><\/h3>\n

          \u5c3d\u7ba1RCA\u4ef7\u503c\u663e\u8457\uff0c\u5176\u5c40\u9650\u6027\u4ecd\u9700\u6b63\u89c6\uff1a<\/p>\n

            \n
          1. \u6570\u636e\u5b64\u5c9b\u95ee\u9898<\/strong>\uff1a\u822a\u7a7a\u516c\u53f8\u3001\u5236\u9020\u5546\u3001\u76d1\u7ba1\u673a\u6784\u95f4\u7684\u6570\u636e\u58c1\u5792\uff0c\u53ef\u80fd\u63a9\u76d6\u7cfb\u7edf\u6027\u98ce\u9669\u3002\u6b27\u76df\u63a8\u52a8\u7684EASA\u6570\u636e\u5171\u4eab\u8ba1\u5212\uff0c\u6b63\u662f\u4e3a\u4e86\u6253\u7834\u8fd9\u4e00\u50f5\u5c40\u3002\n<\/li>\n
          2. \u4eba\u4e3a\u56e0\u7d20\u91cf\u5316\u96be\u9898<\/strong>\uff1a\u98de\u884c\u5458\u51b3\u7b56\u5fc3\u7406\u3001\u7ef4\u4fee\u4eba\u5458\u6ce8\u610f\u529b\u6ce2\u52a8\u7b49\u8f6f\u6027\u6307\u6807\u96be\u4ee5\u5efa\u6a21\u3002MIT\u5f00\u53d1\u7684CogPilot\u7cfb\u7edf\uff0c\u901a\u8fc7\u773c\u52a8\u8ffd\u8e2a\u4e0e\u751f\u7406\u4fe1\u53f7\u76d1\u6d4b\uff0c\u6b63\u5728\u5c1d\u8bd5\u5efa\u7acb\u4eba\u4e3a\u5931\u8bef\u6982\u7387\u9884\u6d4b\u6a21\u578b<\/strong>\u3002\n<\/li>\n
          3. \u65b0\u5174\u98ce\u9669\u8fed\u4ee3<\/strong>\uff1a\u7535\u52a8\u5782\u76f4\u8d77\u964d\u98de\u884c\u5668\uff08eVTOL\uff09\u7684\u666e\u53ca\uff0c\u5e26\u6765\u7535\u6c60\u70ed\u5931\u63a7\u3001\u5206\u5e03\u5f0f\u63a8\u8fdb\u7cfb\u7edf\u5931\u6548\u7b49\u5168\u65b0\u6311\u6218\u3002RCA\u65b9\u6cd5\u8bba\u9700\u6301\u7eed\u8fdb\u5316\u4ee5\u5e94\u5bf9\u6280\u672f\u9769\u547d\u3002\n<\/li>\n<\/ol>\n
            \n

            \u4e94\u3001\u672a\u6765\u56fe\u666f\uff1aRCA\u9a71\u52a8\u7684\u822a\u7a7a\u5b89\u5168\u751f\u6001<\/strong><\/h3>\n

            \u5728\u53ef\u9884\u89c1\u7684\u672a\u6765\uff0c\u6545\u969c\u6839\u56e0\u5206\u6790\u5c06\u5448\u73b0\u4e09\u5927\u8d8b\u52bf\uff1a<\/p>\n

              \n
            1. \u5b9e\u65f6\u5316<\/strong>\uff1a\u501f\u52a95G\u548c\u8fb9\u7f18\u8ba1\u7b97\uff0c\u5b9e\u73b0\u98de\u884c\u4e2d\u7684\u5f02\u5e38\u72b6\u6001\u5373\u65f6\u8bca\u65ad\u3002\u970d\u5c3c\u97e6\u5c14\u63a8\u51fa\u7684GoDirect Flight Sentinel\u5df2\u80fd\u5728\u98de\u884c\u9014\u4e2d\u751f\u6210\u521d\u6b65\u6839\u56e0\u62a5\u544a<\/strong>\u3002\n<\/li>\n
            2. \u534f\u540c\u5316<\/strong>\uff1a\u5168\u7403\u822a\u7a7a\u5b89\u5168\u7f51\u7edc\uff08Global Aviation Safety Network\uff09\u8ba1\u5212\u901a\u8fc7\u533a\u5757\u94fe\u6280\u672f\uff0c\u5b9e\u73b0\u8de8\u673a\u6784\u4e8b\u6545\u6570\u636e\u7684\u53ef\u4fe1\u5171\u4eab\u3002\n<\/li>\n
            3. \u667a\u80fd\u5316<\/strong>\uff1a\u6df1\u5ea6\u5b66\u4e60\u7b97\u6cd5\u5c06\u66ff\u4ee3\u90e8\u5206\u4eba\u5de5\u5206\u6790\u3002\u8fbe\u7f8e\u822a\u7a7a\u7684\u5b9e\u9a8c\u8868\u660e\uff0cAI\u8f85\u52a9RCA\u53ef\u4f7f\u590d\u6742\u4e8b\u6545\u8c03\u67e5\u5468\u671f\u4ece180\u5929\u7f29\u77ed\u81f345\u5929\u3002\n<\/li>\n<\/ol>\n

              \u6b63\u5982\u6ce2\u97f3\u9996\u5e2d\u5b89\u5168\u5b98John Hamilton\u6240\u8a00\uff1a\u201c\u5b89\u5168\u4e0d\u662f\u9759\u6001\u76ee\u6807\uff0c\u800c\u662f\u901a\u8fc7\u6bcf\u4e00\u6b21\u6839\u56e0\u5206\u6790\u6784\u5efa\u7684\u52a8\u6001\u62a4\u76fe<\/strong>\u3002\u201d\u5728\u822a\u7a7a\u4e1a\u8fc8\u5411\u96f6\u4e8b\u6545\u613f\u666f\u7684\u5f81\u7a0b\u4e2d\uff0c\u6545\u969c\u6839\u56e0\u5206\u6790\u59cb\u7ec8\u662f\u4e0d\u53ef\u66ff\u4ee3\u7684\u5bfc\u822a\u4eea\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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