1. ICAO European Regional Runway Safety Seminar Amsterdam, The Netherlands 8 March ir. Job Brüggen, LVNL
safety manager
The global voice of ATM

2. Quiz: where are you? CANSO Safety Standing Committee (SSC)
SSC Runway Safety Focus in 2012
CANSO Products

3. CANSO Safety Standing Committee (SSC)
Very important part of CANSO
The CANSO SSC:
Leads data collection, trending, and analysis efforts
Organises, facilitates and contributes to international and regional safety events
Develops and publishes a variety of products and documentation to support global harmonisation of safety metrics and reporting mechanisms
Encourages and provides tools to measure and improve the overall safety performance and culture of its members

4. CANSO Products
Risk assessment tools, including the industry adaptation of the Bow Tie Model
Second edition of the ‘Unstable Approach – ATC Considerations’ booklet
SMS Evolution Guide
Updated SMS Standard of Excellence to include fatigue management work
CANSO Safety Performance Benchmarking Report, which will serve as the first Annual CANSO Safety Report

5. Bow Tie Model BEFORE AFTER PREVENTION RECOVERY Threat Consequence
Hazardous Event
Top
Event
Threat
Top
Event
Consequence
Potential Causes
Potential Outcomes
Threat
Consequence
The Bow Tie Model creates diagrams that show the relationship between hazardous events, their causes and consequences and the way that the event is controlled.
The model has been in use since the late 1970s in the petro-chemical, mining and rail industries. It is a visual risk communication tool that helps develop a top-level model of risk situation. It supplements existing risk techniques, stimulates discussion amongst key stakeholders and provides clarity for complex risk situations.
Proactive Controls
Reactive Controls 5

6. Runway Excursion on Landing Bow Tie Model

7. Runway Surface Conditions
A Closer Look
Runway Surface Conditions
THREAT
ATC timely and accurate notification of runway conditions, including ATIS update
ATC selects active runway appropriate to runway conditions
ATC notify Flight Crew of runway condition

8. Unstable Approach Threat Line
ATC and Flight Crew apply ICAO-compliant phraseology and communication practices
Flight Crew monitors ATIS info
Flight Crew follows
published approach
procedures
Flight Crew applies
stabilised approach
procedures (SOPs)
Flight Crew rejects clearance
Flight Crew initiates go-
around
Flight Crew assessment and cross-check of info to ensure good decision-making (CRM)
ATC provides accurate and timely weather info, including ATIS updates
ATC provides accurate and timely track distance info from touchdown
ATC applies speed control instructions consistent with aircraft performance capability
ATC Considerations:
It is crucial to understand the complexity of operations, as well as how ATC actions may increase that complexity and the risk of an unstable approach.
The performance of ATC actions should be scrutinised using checks and in simulation.
Data collection/analysis are necessary to understand causal factors and identify systemic risks in order to target initiatives to mitigate the risk of unstable approaches.
Normal Operations Safety Survey:
NOSS is designed to complement existing safety data collection sources by providing data not driven by occurrence, as most of the existing mechanisms.
NOSS is a proactive safety management tool in that organisations can act on the outcome of a NOSS before safety issues manifest themselves through occurrences.
Those ANSPs that have a NOSS programme should ensure that ATC actions during approach and landing are explicitly covered, and then analyse the results.
ATC provides appropriate vectoring for final approach profile

9. 2012 SSC Runway Safety Focus
Support the development of common runway safety definitions and metrics (i.e., incursion, excursion).
Expand and mature the Bow Tie Model.
Expand and mature the runway incursion metric to collect data to support risk-based causal factor analysis.

10. Thank you for your attention
CANSO Safety Standing Committee
CANSO means Global Partnership
cross-industry collaboration, data-sharing and performance measurement
Runway Safety Focus