first icao global symposium on tem and noss luxembourg 9 - 10 november 2005 1 tem & noss the...
Post on 27-Mar-2015
217 Views
Preview:
TRANSCRIPT
1 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
TEM & NOSS
The EUROCONTROL Perspective
Alexander Skoniezki
Head of Business DivisionHuman Factors Management
EUROCONTROL Directorate ATM Strategies
2 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
TEM & NOSS in the international & EUROCONTROL context
The safety thinking behind the EUROCONTROL approach
NOSS trials in Europe
This presentation will describe
3 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
TEM & NOSS - an ICAO initiative
ICAO Safety & HF Circular on ‘TEM - Threat and Error
Management‘ - end of 2005
ICAO – TEM/NOSS Symposium on 9/10 November
EUROCONTROL IANS, Luxembourg
ICAO NOSS Concept document - end of 2005
ICAO NOSS Implementation Manual - end of 2006
based on NOSS trials
4 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
TEM & NOSS – the EUROCONTROL contribution
EUROCONTROL - member of ICAO NOSS SG contributing to:
TEM Circular, √
NOSS Concept Document √
Definition of the Operating Characteristics √
NOSS Implementation Manual (in preparation)
EUROCONTROL internal:
NOSS R&D project of the EATM Human Factors Domain to
further develop & validate the tool and verify its added value
NOSS as a potential SMS tool for ESAAR 3
5 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
NOSS as a potential tool for safety surveys
6 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
TEM & NOSS – the EUROCONTROL context
EUROCONTROL’s Safety Objective:
Further improve safety whilst accommodating air traffic
growth
Further implement safety regulations and strengthen their
enforcement
Further develop safety management and monitor safety
indicators
7 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
1014 15 16
25 25
36 37 38 40
47 49 50 50 50 5153 55 55 56 57 58 59
60 62 63 63
71 71 72 74 74 7577
91 91 94
ANSPs SMS implementation maturity scores
Around 20 ANSPs slightly above or below 50%
TEM & NOSS – the EUROCONTROL context
8 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
NOSS is a tool for the collection of safety data during normal ATC operations.
What’s the safety thinking behind NOSS
Progress in safety will increasingly rely on an understanding of what we are doing well and how this can help us improve.
Why is it needed?
NOSS, the potential benefits:• NOSS as a potential proactive safety management tool providing contemporary data to inform safety management systems• NOSS application allows the ability to learn and build on what we are doing well
9 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
Safe systems cannot rely on traditional methods of analysis If you think your system is truly safe it almost certainly is not The absence of incidents & accidents does not mean you are
safe Even the safest systems will inevitably drift to a less safe
state Technology and innovation constantly change the
interactions among components of the ATM system Safety system audit for normal operations may likely be a
requirement in Europe NOSS as a potential method to comply with ESARR 3
Safety drivers for NOSS approach at EUROCONTROL
10 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
NOSS is about the everyday operation
Normal people
Normal work
Normal environments
NOSS potentially provides additional valuableinformation that we need to improve safe systems
11 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
NOSS trials:
- require an interdisciplinary approach- require a ‘champion’ in the organisation- use observers who best understand the nature of the
operation and its demands = ATCOs with ... an in depth understanding of the views of the observed
persons in the operational context technical knowledge of practice in that setting knowledge of SMS and human factors relevant to such
contexts trained in NOSS observation and recording methods
NOSS trials; the philosophy and approach
12 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
NOSS trials in Europe – tools and conditions
Draft NOSS Manual for European trials Refinement of data cleaning & analysis method NOSS training module for educating NOSS
observers (ATCOs) NOSS recording forms to conduct observations NOSS trials build on experience of preceding trials 2-4 ANSPs volunteer for NOSS trials in ACC/APP,
TWR environment Stakeholder consultation, Agency expert
involvement (e.g. safety, regulation, etc.)
Prototype material based on collective experience in the NOSS SG
13 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
Title Description Q3 2005
Q4 2005
Q1 2006
Q2 2006
Q3 2006
Q4 2006
Kick of meetingProject definition and scheduling agreed
ICAO TEM/NOSS Symposium
Draft NOSS Manual and supporting data collection documentation
NOSS trails (TWR, ACC)
NOSS (ICAO) liaison
Prototype NOSS manual and supporting documentation
EUROCONTROL NOSS R&D Project -Timeline
14 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
Publish briefing paper for all personnel explaining NOSS plus letter of support from senior management
Training for 4-6 observers, provided by EUROCONTROL
1 or 2 observers per observation session 1-2 days data cleaning Feedback of results to ANSPs - data de-identified
Estimated effort for ANSPs in trials
15 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
Benefits and added value of NOSS for SMS NOSS applications in different operational settings Information on cross cultural aspects of NOSS Identification of environmental/contextual conditions that
contribute to threats, errors and undesired state in the absence of reportable occurrences
Identification of technical and non technical system performances that contribute to the successful management of threats, errors and undesired states
Some issues the trials will examine
16 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
Relationship between NOSS data and errors and system generated technical data
Do NOSS observers agree on the threats, errors and undesired states identified, how similar are their data?
Do observed persons agree with observers on the threats, errors and undesired states identified?
How best to report on and integrate NOSS data into SMS?
Do NOSS observations provide additional valuable data that are not already collected otherwise?
Some issues the trials will examine
17 First ICAO Global Symposium on TEM and NOSS First ICAO Global Symposium on TEM and NOSS Luxembourg 9 - 10 November 2005 Luxembourg 9 - 10 November 2005
EUROCONTROL supports ICAO’s NOSS developments by contributing to NOSS SG
EUROCONTROL uses ICAO TEM/NOSS results and guidance material for European NOSS trials
EUROCONTROL NOSS activities are fully aligned with international developments and complementary to ICAO
EUROCONTROL takes a careful approach on NOSS, considering European SMS maturity levels, cultural diversities and cost-benefit ratios
Closing remarks
top related