我國飛安調查的過去現在與未來展望

飛安會為台灣飛航事故專責調查機關，自民國87年成立以來，以其核心價值「PI^4」，意即「專業」、「獨立」、「公正」、「國際化」及「追求卓越」之精神，行使法定調查職權，以避免類似飛航事故再發生，促進飛航安全。迄民國102年11月，主導及協助調查案例共97件，計提出飛安改善建議736項。本文回顧各重要調查案例之屬性、事故肇因及相關改善建議的成效，並由統計數據分析近年飛安趨勢，歸納出5類事故屬性，提供安全改善經驗；同時說明飛安會歷年調查技術及安全研究之發展，對區域合作、國際交流之努力；最後提出飛安會對未來飛安之願景。

關鍵字

飛航事故調查；飛安改善建議；衝偏出跑道

並列摘要

Aviation Safety Council (ASC) is an independent aviation occurrence investigation agency of Taiwan, R.O.C. In order to prevent similar occurrence from happening again, the ASC always keeps the spirit of its core value since established in 1998: ＂Professionalism＂, ＂Independence＂, ＂Integrity＂, ＂Internationalism＂ and ＂In search of excellence＂ (PI4) to perform investigation. Until now, the total number of investigation conducted by ASC and assisting foreign country's investigations are 97 cases. Totally, 736 flight safety recommendations were brought up after the end of those investigations. This paper briefly reviews some significant cases that the ASC has investigated and describes the attributes and causal factors and the fruitful effects of related flight safety recommendations of each case in accordance with its time sequence. According to the classification and analysis of cases investigated, five results were obtained. Based on the results, we would like to share our efforts with airlines operators and related authorities. Besides, the development of ASC's investigation techniques, regional technical cooperation and international information sharing are also reviewed in the paper. Finally, the future goal of the ASC is described.