fsf mediterranean: 5 th international conference “aviation safety performance: can it be...
TRANSCRIPT
FSF Mediterranean: 5th International Conference“Aviation Safety Performance: Can it be Measured?” Session 1: Challenges Facing Aviation Safety
EUROCONTROL Network Manager (NM) ‘Top 5’ Safety Priorities
Richard “Sid” LawrenceEUROCONTROL NMD Safety
15 May 2014
Identifying the NM ‘Top 5’ - Scope
Strategic fit and challenge
The Process
The ‘Top 5’
Deliverables
Where are we now?
Questions
CAPACI
TY
CAPACI
TY
SAFETY
SAFETY
EFFICIENCY
EFFICIENCY
ENVIRONMENT
ENVIRONMENT
SES
ATM NETWORK PERFORMANCE
SES
ATM NETWORK PERFORMANCE
NETWORK MANAGERNETWORK MANAGER
Operational Safety Task
Regulatory Chain Service Provision Chain
EC, EASA, NSAs:
Safety Rulemaking, Certification Safety Oversight
EC, EASA, NSAs:
Safety Rulemaking, Certification Safety Oversight
NM, Aviation NM, Aviation Operators:Operators:
Safety ManagementSafety Management Operational SafetyOperational Safety Safety CultureSafety Culture
NM, Aviation NM, Aviation Operators:Operators:
Safety ManagementSafety Management Operational SafetyOperational Safety Safety CultureSafety Culture
NM safety work programme fully coordinated with EASA; non-regulatory.
Some deliverables contribute towards EASA European Aviation Safety Plan (EASp).
NM safety work programme fully coordinated with EASA; non-regulatory.
Some deliverables contribute towards EASA European Aviation Safety Plan (EASp).
NM Safety – ‘Top 5’ Strategic Fit
Network Strategy Plan
Network Strategy Plan NM Safety:
Identify Top 5 operational ATM Safety priorities
NM Safety:
Identify Top 5 operational ATM Safety priorities
Identify operational safety risks to mitigate safety risks at network level using relevant network safety data.
Identify operational safety risks to mitigate safety risks at network level using relevant network safety data.
NM Implementing Rule revision:
Safety Management
NM Implementing Rule revision:
Safety Management
Network Performance Plan
Network Performance Plan
Network Operations Plan
Network Operations Plan
The Challenge – find the ‘Top 5’ Operational ATM Safety Risk Priorities
How do we identify and prioritise the most important operational ATM risks facing the Network? Strategic fit - respond to the Network Manager mandate /
Network Strategy Plan - provide baseline for Network Top 5 Operational Safety Risk Priorities
More systematic review of risk areas More explicit portfolio of initiatives and deliverables Enhance the collaborative decision making
Another challenge, how to make sense of the available safety performance data/knowledge:
NM Safety Improvement Sub Group (SISG) in 2012:
Let’s see what we did…
Challenge Challenge
Where to put the SISG work priorities?
Mid-air Mid-air collisioncollision
Ground Ground Collision Collision
CFITCFIT
RERE
OUTCOMESOUTCOMESPRECURSORSPRECURSORS
Loss of Loss of SeparationSeparation
Airspace Airspace InfringementInfringement
Runway Runway Incursion Incursion
CFTTCFTT
Unstabilised Unstabilised ApproachApproach
OPS THREATSOPS THREATS
AG Comm. AG Comm. issuesissues
Severe WX Severe WX RisksRisks
Technical Technical failures failures
Laser Laser IlluminationIllumination
ATC Sector ATC Sector OverloadsOverloads
ORG ENABLERSORG ENABLERS
SMS MaturitySMS Maturity
Safety Safety CultureCulture
Competency Competency system system
The Process step-by-step: Potential Risk Areas
1. ANSPs’Safety Priorities
2. SuggestedPriorities
4. In-depth analysis
3. Collaborativedecision
5. Improvement Actions
•Loss of Separation•Runway Incursion•Airspace Infringements (inside CAS)•Weather•Unstabilised Approaches•Level Busts•Military activity•Oceanic Ops•Air Ground Communications•ANSP/ANSP Interface (internal and external coordination)•Ground operations•GA at small airports•Go-Arounds/Missed Approach
•Safety Nets•Systemic handling of Active Danger areas •Aircraft technical problems/unusual situations•Birdstrikes•Laser Illumination•Hot spots (route intersections)•Crossing traffic (airspace design)•Technical failures•Runway excursion•FOD•STCA•Simultaneous/Blocked Transmissions•HOTO
1. ANSPs’Safety Priorities
2. Suggested Priorities
4. In-depth analysis
3. Collaborativedecision
5. Improvement Actions
2.1Criticality of the Risk Areas -
how close events are to an accident
The Process step-by-step: Suggested Risk Priorities
Runway IncursionLoss of separationAirspace Infringement (of Controlled Airspace)Runway ExcursionIncident after Unstabilised ApproachLevel BustAdverse weather conditionsATC position/sector overloadsAir-Ground Communication IncidentsHOTO Incidents
1. ANSPs’Safety Priorities
2. Suggested Priorities
4. In-depth analysis
3. Collaborativedecision
5. Improvement Actions
2.2Suggested PrioritiesSuggested Priorities
The process step-by-step : Suggested Risk Priorities
• Airspace Infringement
• Runway Incursion
• Loss of Separation
• ATC sector overloads
• Level Bust
• Go Around Safety
• Severe Weather Risk
• Air Ground communications
1. ANSPs’Safety Priorities
2. Suggested Priorities
4. In-depth analysis
3. Collaborativedecision
5. Improvement Actions
33Safety Team - Risk ReviewSafety Team - Risk Review
• Runway Incursion
• Loss of Separation
The Process step-by-step: Agreed Risk Priorities
Simplified SAFMAP – Barriers
RUNWAY INCURSION
UNRESOLVED BY ATC RUNWAY CONFLICT
UNRESOLVED BY ATC AND PILOT/DRIVER RUNWAY CONFLICT
RUNWAY CONFLICT
Preventing Runway Incursion
Preventing Runway Incursion to turn into RWY conflict
ATC RWY Collision Avoidance
Pilot/Driver RWY Collision Avoidance
Providence
Findings - The efficiency of the barriers
10
8
7
26
PROVIDENCE
COLLISION AVOIDANCE BY PILOT OR VEHICLE DRIVER
COLLISION AVOIDANCE BY ATC
CONFLICT PREVENTION
36RWY INCURSION PREVENTION
WORKED FAILED
11 7
18
Findings – Runway Safety
Detecting RWY still occupied
44%
Detecting non-intended
runway use 28%
No landing without
clearance14%
other6%
sufficient spacing
8%
72%
Runway Incursion – ‘Top 5’Priorities:
Landing without ClearanceLanding without Clearance
Detecting occupied runway Detecting occupied runway
Loss of Separation En Route – ‘Top 5’ Priorities:
‘Blind spot’‘Blind spot’
Risk of operations without a transponder or with a dysfunctional one Risk of operations without a transponder or with a dysfunctional one
Conflict detection with adjacent sectorsConflict detection with adjacent sectors
19/04/23 21
‘Top 5’ ATM Operational Safety Priorities for 2013
1. ANSPs’Safety Priorities
2. Suggested Priorities
4. Top 5 Study
3. Collaborativedecision
5. Improvement Actions
4.1Collect information for the specific risk area
4.2Analyse the causes and their interdependence
4.3Consolidate Suggested Safety EnhancementsSuggested Safety Enhancements
The Process step-by-step: ‘Top 5’ Studies
Where are we today?
‘Top 5’ Safety Studies launched in 2013 – ongoing, nearing completion.
Prioritisation exercise repeated using 2012/3 data.
Results broadly similar – therefore, retain current ‘Top 5’ until completion of Studies.
However, runway incursion data revealed involvement of vehicles in RI incidents remains prevalent – intend to undertake survey of aerodromes/ANSPs:
‘Best’ practices for aerodrome driving etc Effectiveness of EAPPRI recommendations Possible Safety Study
Have we met the challenge?
We think so!
Structured, collaborative and robust process but without being over burdensome and time-consuming.
Uses existing safety data and contributes to our understanding of operational safety performance.
Enhances our collective safety knowledge and enables it to be widely spread to help others across the Network improve their safety performance.
2014 Safety Forum - Airborne Conflict
Date: 10 – 11 June
Venue: EUROCONTROL HQ Brussels
Registration closes soon! [email protected]
Date: 10 – 11 June
Venue: EUROCONTROL HQ Brussels
Registration closes soon! [email protected]
Top 5 Safety Priorities 27
Questions?