ats safety management adrep/eccairs...application server-db server-client configuration choice of...
TRANSCRIPT
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International Civil Aviation Organization
ATS SAFETY MANAGEMENT
ADREP/ECCAIRS
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Outline
1. Introduction 2. Why ECCAIRS ? 3. ECCAIRS Usage 4. Occurrence Classification 5. Demonstration
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ICAO Requirements – Annex 13
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State of occurrence or conducting investigation. Accident and serious incident
Notification Preliminary report (ADREP)
Final Report Data Report
State of Registry All aircraft Accident > 2,250 All aircraft
State of the Operator All aircraft Accident > 2,250 All aircraft
State of Design All aircraft Accident > 2,250 All aircraft
State of Manufacture All aircraft Accident > 2,250 All aircraft
ICAO >2,250 or turbojet
Accident > 2,250 > 5,700 Acc > 2,250 Inc > 5,700
Others (interests, fatalities, information)
Accident > 2,250 All aircraft
ICAO Requirements – Annex 13
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1. State safety policy and objectives 1.1 State safety legislative framework 1.2 State safety responsibilities and accountabilities 1.3 Accident and incident investigation 1.4 Enforcement policy
2. State safety risk management 2.1 Safety requirements for service providers SMS 2.2 Agreement on service providers safety performance
3. State safety assurance 3.1 Safety oversight 3.2 Safety data collection, analysis and exchange 3.3 Safety data driven targeting of oversight on areas of greater concern or need
4. State safety promotion 4.1 Internal training, communication and dissemination of safety information 4.2 External training, communication and dissemination of safety information
ICAO State Safety Programme (SSP) Framework
ICAO Requirements - SSP
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3.2 – Safety data collection, analysis and exchange
• The State has established mechanisms to ensure the capture and storage of data on hazards and safety risks at both an individual and aggregate State’s level.
ICAO Requirements - SSP
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3.2 – Safety data collection, analysis and exchange
• The State has also established mechanisms to develop information from the stored data, and to actively exchange safety information with service providers and/or other States as appropriate.
ICAO Requirements - SSP
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Safety Pyramid
Fatal Accidents
Reportable Occurrences
Serious Incidents
ICAO ADREP System (Annex 13)
Accidents
Incidents Additional Prevention
without any harmful consequence
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Collect Data
Re-evaluate Situation
Implement Strategies
Assign Responsibilities
Approve Strategies
Collect Additional Data
Develop Strategies
Prioritize Unsafe Conditions
Analyze Data
Safety Management
Process
Safety Management Process
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Safety vs. Cost
Cos t s
Losses
Total Cost
Risk Reduction
Protection
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Why ECCAIRS ? Implements fully the ADREP taxonomy Contains full suite of tools to collect, analyze, and
exchange safety data Currently being used/evaluated by 53 States and 16
International Organizations representing all regions FREE for: - States - Int’l Organizations - Civil aviation related entities
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Fully scalable Could be run from a stand-alone PC or networked
Application Server-DB Server-Client configuration
Choice of back end databases eliminates need for new software investments, uses installed enterprise DBs Could run on Oracle, MS-SQL (any version) and/or
stand-alone products like MSDE, SQL Express
Why ECCAIRS ?
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Why ECCAIRS ?
ECCAIRS as an Enabler Supports culture
• Confidence to use the system • Trust in the information - Danger : loss of integrity • Respect the limitations - Danger : simplification
Measure a limited set of Safety Indicators HOWEVER, Does NOT set Safety Targets, does not
identify safety improvements
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Suite of products providing: Data entry and retrieval Analysis Utilities System tools Data integration Data dissemination
Why ECCAIRS ?
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ECCARIS Usage
Incident
Investigation
Analysis Data entry
Initial Notification
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As an investigation tool Can be used as a checklist. Contains most of the required topics of a final
report. Is able to support analysis and conclusions Includes safety recommendations
ECCARIS Usage
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Factual information example
Format • History of flight:
– Flight number – Type of operation – Last point of departure – Time of departure (local time or
UTC) – Point of intended landing. – Flight preparation – Description of the flight and
events leading to the accident, including reconstruction of the significant portion of the flight path, if appropriate.
– Location (latitude, longitude, elevation)
– Time of the accident (local time or UTC), whether day or night.
ECCAIRS
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Chain of Events
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Safety recommendations
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Occurrence classification
Class: According to severity
Category: Accident/incident types
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Occurrence Classes
Accident Serious incident Incident Major incident Significant incident
Occurrence without safety effect Not determined
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Need your assistance
• Identify the occurrence class – Controlled flight into terrain only marginally avoided. – Aborted take-offs on a closed or engaged runway, on a taxiway1
or unassigned runway. – Landings or attempted landings on a closed or engaged runway,
on a taxiway1 or unassigned runway. – Gross failures to achieve predicted performance during take-off
or initial climb. – Events requiring the emergency use of oxygen by the flight crew. – Multiple malfunctions of one or more aircraft systems seriously
affecting the operation of the aircraft. – Flight crew incapacitation in flight. – Fuel quantity requiring the declaration of an emergency by the
pilot.
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Occurrence Categories
36 categories Representative of the occurrence More than one can be selected
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List of categories
1. ADRM: Aerodrome 2. AMAN: Abrupt maneuvre 3. ARC: Abnormal runway contact 4. ATM: ATM/CNS 5. BIRD: Birdstrike 6. CABIN: Cabin safety events 7. CFIT: Controlled flight into terrain 8. CTOL: Collisions with obstacle (s) during take-off or landing 9. EXTL: External load occurrences 10. EVAC: Evacuation 11. F-NI: Fire/Smoke (non-impact) 12. F-POST: Fire/smoke (post-impact)
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13. FUEL: Fuel related 14. GCOL: Ground collision 15. GTOW: Glider towing related events 16. ICE: Icing 17. LALT: Low altitude operations 18. LOC-G: Loss of control – ground 19. LOC-I: Loss of control – inflight 20. LOLI: Loss of lifting conditions en-route 21. MAC: AIRPROX/near miss/midair collsion 22. RAMP: Ground handling 23. RE: Runway excursion 24. RI-A: Runway incursion – animal
List of categories
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25. RI-VAP: Runway incursion – vehicle, a/c or person 26. RI-O: Runway incursion – other 27. RI-VA: Runway incursion – vehicle or a/c 28. SCF-NP: System/component failure or malfunction (non-
powerplant) 29. SCF-PP: Powerplant failure or malfunction 30. SEC: Seurity related 31. TURB: Turbulence encounter 32. UIMC: Unintended flight in IMC 33. USOS: Undershoot/overshoot 34. WSTRW: Windshear or thunderstorm 35. OTHR: Other 36. UNK: Unknown or undetermined
List of categories
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Examples
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Examples
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Examples
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Examples
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