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Christopher A. Hart Federal Aviation Administration Assistant Administrator for System Safety Global Aviation Information Network (gainweb.org)

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Presentation on theme: "Christopher A. Hart Federal Aviation Administration Assistant Administrator for System Safety Global Aviation Information Network (gainweb.org)"— Presentation transcript:

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2 Christopher A. Hart Federal Aviation Administration Assistant Administrator for System Safety Global Aviation Information Network (gainweb.org)

3 Worldwide Airline Fatality Rate* 0 2 4 6 8 10 12 14 16 18 1.1 0.9 No Jet Fatalities in U.S. in 1993 1994 - 264 Fatalities on U.S. Scheduled Airlines - 5 year high AN INTERNATIONAL COMPARISON THE WORLD'S 85 MAJOR AIRLINES BY REGION AUSTRALASIA UNITED STATES NORTH AMERICA (INCLUDES U.S.) EUROPE CENTRAL AND SOUTH AMERICA AFRICA ASIA 0.0 0.3 0.4 0.84 1.7 2.6 3.0 FATALITIES PER MILLION PASSENGERS WORLDWIDE THE LAST 6 YEARS 1950 1960 1970 1980 1990 1994 * Per Million Passengers Carried Worldwide

4 We All Knew About That Problem The Hands-On Front Line Folks:

5 Benefits of FDR Use Worldwide FDR Use <7Years Total U.S. FDR Use 7-14 Years FDR Use >14 Years Sources: Total U.S.- FAA NASDAC Other - Skandia Insurance Co. Ltd.

6 96979895 Lost Time: 37 % reduction Accidents:40 % reduction Total number of reported and analyzed events Synergi implemented Number of reported and analyzed near-misses Norwegian Rail Experience Source: Pride AS

7 Almost all Data is Lost Forever Currently Only a Minute Portion of Data is Collected and Analyzed Current System Data Flow

8 INCIDENTS ACCIDENTS UNREPORTED OCCURRENCES Heinrich Pyramid

9 Inadvertent Could Be A Link In An Accident Chain Happens Repeatedly Common Characteristics

10 So Should We... Regulate More? Punish More? Increase Training? OR... Share Information to Fix the System?

11 Fix the Person or the System? Is the Person Clumsy? Or Is the Problem...

12 Fix the Person or the System? Is the Person Clumsy? Or Is the Problem... The Step???

13 Is This Light Random?

14 Accidents Result From a Combination of Events

15 Global Aviation Information Network: The Concept

16 Transportation Department Coast Guard (IMISS) Highway Administration Railroad Administration Pipeline Safety Critical Infrastructure Assurance Office (CIAO) Others Who Are Interested

17 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 The Health Care Industry

18 Zero Accidents Information Information: The Fuel for Our Engine

19 Obstacles that Block the Flow of Information Public Disclosure Job Sanctions/Enforcement Criminal Sanctions Civil Litigation Concerns About

20 Removing U.S. Obstacles FAA Reauthorization, 1996 - Prohibits public disclosure of voluntarily provided aviation safety information President 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

21 Removing Intl Obstacles ICAO 32nd Assembly, 1998 - Resolution to improve safety through enhanced collection, analysis and dissemination of safety information ICAO 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

22 Challenges Legal Issues Improved Analytical Tools As we begin to get over the first hurdle, we must start working on the second.

23 Analytical Tools Identify Potential Problems Prioritize Potential Problems Develop Solutions Evaluate Success Must be able to help analysts:

24 Information Overload

25 Many Have Already Begun The Process

26 $ avings

27 Three Domains For GAIN Flight Deck ATC Maintenance

28 Steering Committee Airlines –Northwest Airlines (Chair) –Air France (Vice Chair) –British Airways –Japan Airlines –Air Transport Association Manufacturers –Airbus Industrie –The Boeing Company Flight Safety Foundation Labor –Air Line Pilots Association –Intl Association of Machinists & Aerospace Workers –National Air Traffic Controllers Association General Aviation –National Business Aviation Association Military –US Navy

29 Working Groups Working Group A – Aviation Operator Safety Practices Working Group B – Analytical Methods and Tools Working Group C – Global Information Sharing Prototypes Working Group D – Reducing Impediments

30 Where:Paris, France When:June 13-15, 2000 Hosted By: Fourth GAIN World Conference

31 GAIN is one of our best hopes for enhancing aviation safety in the next century. FAA Administrator Jane Garvey: GAIN III World Conference November 1998

32 Please Visit and Explore... www.gainweb.org


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