International Civil Aviation Organization

ATS SAFETY MANAGEMENT

ADREP/ECCAIRS

Outline

1. Introduction 2. Why ECCAIRS ? 3. ECCAIRS Usage 4. Occurrence Classification 5. Demonstration

ICAO Requirements – Annex 13

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

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

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

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

Safety Pyramid

Fatal Accidents

Reportable Occurrences

Serious Incidents

ICAO ADREP System (Annex 13)

Accidents

Incidents Additional Prevention

without any harmful consequence

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

Safety vs. Cost

Cos t s

Losses

Total Cost

Risk Reduction

Protection

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

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 ?

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

Suite of products providing: Data entry and retrieval Analysis Utilities System tools Data integration Data dissemination

Why ECCAIRS ?

ECCARIS Usage

Incident

Investigation

Analysis Data entry

Initial Notification

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

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

Chain of Events

Safety recommendations

Occurrence classification

Class: According to severity

Category: Accident/incident types

Occurrence Classes

Accident Serious incident Incident Major incident Significant incident

Occurrence without safety effect Not determined

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.

Occurrence Categories

36 categories Representative of the occurrence More than one can be selected

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)

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

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

Examples

Examples

Examples

Examples

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