Presentation on theme: "Global Aviation Information Network (gainweb.org)"— Presentation transcript:
1 Global Aviation Information Network (gainweb.org) Christopher A. HartFederal Aviation AdministrationAssistant Administrator for System Safety
2 Worldwide Airline Fatality Rate* AN INTERNATIONAL COMPARISONTHE LAST 6 YEARSTHE WORLD'S 85 MAJOR AIRLINES BY REGIONFATALITIES PER MILLION PASSENGERS WORLDWIDEAUSTRALASIA0.018UNITED STATES1.10.3NORTH AMERICA0.90.916(INCLUDES U.S.)0.4EUROPE0.8414CENTRAL ANDSOUTH AMERICA1.712AFRICANo Jet Fatalities in U.S. in 19932.610Fatalities on U.S. Scheduled Airlines - 5 year highASIA3.08642* Per Million Passengers Carried Worldwide
3 The Hands-On“Front Line” Folks:“We All Knew AboutThat Problem”
4 Benefits of FDR Use Worldwide FDR Use <7Years Total U.S. Sources: Total U.S.- FAA NASDACOther - Skandia Insurance Co. Ltd.
5 Norwegian Rail Experience Total number ofreported andanalyzed eventsSynergi implementedNumber of reportedand analyzednear-missesLost Time: 37 % reductionAccidents:40 % reduction‘95‘96‘97‘98Source: Pride AS
6 Current System Data Flow Almost all Datais Lost ForeverCurrently Only a MinutePortion of Data isCollected and Analyzed
7 Heinrich PyramidACCIDENTSINCIDENTSUNREPORTEDOCCURRENCES
8 Common Characteristics InadvertentCould Be A LinkIn An Accident ChainHappens Repeatedly
9 Share Information to Fix the System? So Should We...Regulate More?Punish More?Increase Training?OR...Share Information to Fix the System?
10 Fix the Person or the System? Is the Person Clumsy?Or Is the Problem . . .
11 Fix the Person or the System? Is the Person Clumsy?Or Is the Problem . . .The Step???
14 Global Aviation Information Network: The Concept
15 Others Who Are Interested Transportation DepartmentCoast Guard (IMISS)Highway AdministrationRailroad AdministrationPipeline SafetyCritical Infrastructure Assurance Office (CIAO)
16 The Health Care Industry To Err Is Human:Building a Better Health Care System“The focus must shift from blaming individuals for past errors to a focus on preventing future errors by designing safety into the system.”Institute of Medicine, Committee on Quality of Health Care in America
17 Information:The Fuel for Our EngineZeroAccidentsInformation
18 Obstacles that Block the Flow of InformationConcerns AboutPublic DisclosureJob Sanctions/EnforcementCriminal SanctionsCivil Litigation
19 Removing U.S. Obstacles • FAA Reauthorization, 1996 - Prohibits public disclosure of voluntarily provided aviation safety informationPresident Clinton, January 2000- Announced Aviation Safety Action Programs (ASAP) for voluntary pilot reporting• FAA NPRM, June 2000- Proposes protections for airlines and their employees from enforcement actions for regulatory violations discovered from voluntary reporting programs
20 Removing Int’l Obstacles ICAO 32nd Assembly, Resolution to improve safety through enhanced collection, analysis and dissemination of safety informationICAO AIG, September ‘99 - Approved recommendation to Annex 13 that States should establish non-punitive incident reporting systems, promote establishment of safety information sharing networks, and facilitate free exchange of information on potential safety deficiencies
21 Challenges Legal Issues Improved Analytical ToolsLegal IssuesAs we begin to get over the first hurdle, we muststart working on the second.
22 Analytical Tools Must be able to help analysts: Identify Potential ProblemsPrioritize Potential ProblemsDevelop SolutionsEvaluate Success
26 Three Domains For GAINFlight DeckATCMaintenance
27 Steering Committee Airlines Manufacturers Flight Safety Foundation Northwest Airlines (Chair)Air France (Vice Chair)British AirwaysJapan AirlinesAir Transport AssociationManufacturersAirbus IndustrieThe Boeing CompanyFlight Safety FoundationLaborAir Line Pilots AssociationInt’l Association of Machinists & Aerospace WorkersNational Air Traffic Controllers AssociationGeneral AviationNational Business Aviation AssociationMilitaryUS Navy
28 Working Groups Working Group A Working Group B Working Group C Aviation Operator Safety PracticesWorking Group BAnalytical Methods and ToolsWorking Group CGlobal Information Sharing PrototypesWorking Group DReducing Impediments
29 Fourth GAIN World Conference Where: Paris, FranceWhen: June 13-15, 2000Hosted By:
30 FAA AdministratorJane Garvey:“GAIN is one of our best hopes for enhancing aviation safety in the next century.”GAIN III World ConferenceNovember 1998