ATC INCIDENTAIRPROX REPORTING AIRLINECUSTOMER REQUIREMENTS

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ATC INCIDENT/AIRPROX REPORTING AIRLINE/CUSTOMER
REQUIREMENTS
Dragica Stankovic
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Main Organisations dealing directly or indirectly
with the incident/accident occurrence reporting
and investigation

• ICAO
• EUROCONTROL
• JAA
• National ANSPs
• Airlines
• IATA

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• SAFETY STATISTICS

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SAFETY STRATEGY 2000

• SAFETY STATISTICS

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Worldwide Airline Hull Loss AccidentsClassified
by Accident Type 1989 - 1998
Total Hull Losses 217
100
76
80
60
Number of Hull Losses
41
40
30
15 CA
20
12
8
8
8
6
12 CC
6
5
4
3
2
2
2
2
1
1
3Unk
0
Fuel exhaus- tion
CFIT
Loss of control in flight
In- flight fire
Sabo- tage
Mid- air collision
Hijack
Fuel tank explo- sion
Wind- shear (Micro- burst)
Landing
Runway Incursion
RTO
Ice/ snow
Takeoff config.
Struc- ture
Misc. fatality
Un- known
On- ground
238
9
7
259
274
91
60
45
506
112
5
134
280
600
Fatalities in hull loss accidents Total 7,660
175
2,687
2,170
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Loss of Control CA Control Available (15)
CC Control Compromised (12) Unk
Unknown/TBD (3)
NOTE some non-onboard fatalities are included
on this chart.
CFIT Controlled Flight Into Terrain RTO
Refused Takeoff
6/9/99 AT-073
1998 Preliminary Data
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Primary Cause Factors -Hull Loss Accidents
World-wide Commercial Jet Fleet
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IATA Strategies

• Coordinate and integrate IATA resources with
  industry.
• Concentrate on CFIT, Approach Landing and Loss
  of Control Accidents.
• Maintain awareness of other hazards.
• Concentrate on regions with highest accident
  rates.

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Strategies (cont.)

• Reinforce airline CEOs role for safety
  accountability.
• Promote IATA Standards on industry operational
  practices and aircraft equipment which improve
  safety.
• Monitor industry safety performance.
• Promote achievements through a sustained
  communications campaign.

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Incident Capture
Captains Report
Incident (any)
SITA
Crew Feedback HF request
CAA and Aviation Industry (SIE)
BASIS and BA Departments
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BASIS 2000
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IATA collection of the ATC Incident Reports for
European region - current situation

• ATC incident reports come from the airlines
• With or without ANSPs answers
• Time taken to complete airline ATC incident
  report with ANSPs answers
• From a few months to a few years, or even never
• Languages in which IATA gets the reports
• English,
• French
• Spanish
• Italian
• German

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Airlines Incident Reports - Main concerns
regarding time taken for ANSPs answers

• Continuation of the problem after a number of
  submitted incident reports
• Awareness by the ANSPs of the problem
• Each incident is a potential accident
• Mutual confidence in system
• Completeness of the safety audit

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Airlines activities when problem continues,
answers from the ANSPs are missing or received
very late

• Increased airlines operating minima may be
  required
• Change of the FMS data base
• Additional work in the planning phase
• Carriage of additional fuel
• Additional briefing of the crew
• Decision not to fly or possibly avoidance of
  airspace

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Why do the airlines need prompt answers on the
incident reports

• To have a clear picture of the problem
• To define adequate remedial measures
• To avoid similar occurrences
• To increase ATM service
• safety
• efficiency and
• capacity
• To avoid additional airlines activities and
  costs
• To develop regular incident reporting
  communication culture
• To increase mutual confidence

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What to do in the future?

• Relevance to ATM
• Dont forget that ANSPs problems are airlines
  problems and vice versa
• Be more efficient in answering airlines incident
  reports
• Improve the organisation and process of handling
  incidents
• Develop a culture of regular safety
  communications
• Work together on proposals and improvements
• Harmonise national safety standards and
  implementation.
• Harmonise national ATM occurrence reporting.
• Implement a no blame culture.
• Share, analyse and USE the safety data.
• Be PRO-ACTIVE rather than RE-ACTIVE

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What to do in the future?

• Relevance to EUROCONTROL Safety Regulatory
  Requirements (ESARRs)
• Safety Occurrence Reporting and Analysis - ESARR
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• Safety Management Systems - ESARR 3
• Risk Assessment and Mitigation - ESARR 4
• ATM Services Personnel - ESARR 5