TOKAI

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TOKAI Tool Kit For ATM Occurrence Investigation
TZVETOMIR BLAJEV EUROCONTROL DSA/SQS
SRC 12 - 17/18 October 2001
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Background
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Need for harmonised analysis of ATM Safety
Occurrences
Prerequisite for Safety Improvement - Lessons
learned
Safety Management - Harmonised approach
Safety Regulation - Coherent data
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Harmonised Analysis Implies
Common Method or Technique - SOFIA
Shared Vocabulary - HEIDI
Common process structure - guidelines document
Support Tool - TOKAI
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Tools Description
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Notification
ATS Occurrence Investigation Overall Process
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
7
TOKAI existing functions
8
Tool 1
Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
9
Tool 1
ATS Occurrence Reporting Form
APDSG form compliant with ICAO (and ICAO ACAS
monitoring)
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Notification
Proposal Include a check list that could be
customised
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
11
Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
No easy solution
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
12
Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Tool 2
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
13
Tool 2
Factual Information Gathering Tree

• HEIDI Based, fully compliant with ICAO ADREP2000,
  includes
• Help
• Find function
• Report printing

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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Covered by Data Gathering Tree printing function
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
15
Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Tool 3
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
16
Tool 3
Sequentially Outlining and Follow-up Integrated
Analysis
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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Tool 4
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
18
Tool 4
Human Error Reduction in ATM
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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Derives directly from SOFIA Identified key points
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
20
Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Tool 5
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
21
Tool 5
NATS evaluation sheet under evaluation (needs
refinements)
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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Tool 6
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
23
Tool 6

• Safety Recommendations functions
• at creation, verify existing (two way search)

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Tool 6

• Safety Recommendations functions
• at creation, verify existing (two way search)

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Tool 6

• Safety Recommendations functions
• at follow-up, monitor implementation

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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Covered by Data Gathering printing function
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
Covered by Safety Recommendations function
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Tool 7
Report and Exchange
Lesson Dissemination
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Tool 7

• Configuration files permit to define for each
  recipient
• type of occurrences to be reported/exchanged
• disable fields within selected occurrence files
  or
• disidentify fields within selected occurrence
  files

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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations

• Lesson dissemination
• publication of reports are made available
  (covered by Data gathering printing function)

Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
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Help functions
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(No Transcript)
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(No Transcript)
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System Management Functions
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Updating The HEIDI Taxonomy
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Customising the HEIDI Taxonomy
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Managing the Databases
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Current and Planned Developments
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Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
SOFIA Graphical Interface
Preliminary Report
IF prescribed
Analysis
HERA Technique Electronic version
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
40
Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
AST Annual Summary Template
Report and Exchange
Lesson Dissemination
41
Notification
No delay
Requirement for immediate action

• Link with ASMT
• Development of Technical Fault Report Form
• Feedback link

96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed
Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
42
Notification
No delay
Requirement for immediate action
96 hours maximum
Assessment of need for investigation
Factual Information
Preliminary Report
IF prescribed

• OTHER
• User access rights
• Security of Data
• Organisation system architecture

Analysis
Conclusions
As quickly as practically possible
IF prescribed
Severity Assessment
Recommendations
Final report
No delay
As prescribed
Follow-up
ASAP
Report and Exchange
Lesson Dissemination
43
Thank you for your attention