International Civil Aviation Organization Regional Cooperation for Aircraft Accident/Incident Investigations Dennis Jones US Accredited Representative National Transportation Safety Board

Objective of an Investigation Prevention of future accidents and incidents Emphasis on corrective actions Aviation community benefits from the lessons learned.

Cause/Factors Sequence of events Direct and Immediate causal factors Root causal factors – Indirect – Systemic – Latent

Deficiencies Legislation & regulations Organization & staffing Notification procedure Investigation procedure Final reports, safety recommendations, and ADREP Reporting systems, database, and accident prevention systems

Regional Accident Investigation Organization (RAIO) Benefits Eliminate duplication of efforts Pooling of resources Achieve economies of scale Improve regional solidarity Quicker gain of experience Facilitate recruitment and retention of personnel Independence

Interstate Aviation Committee (IAC) Organization – 17 years of experience – 12 States Benefits – Independent – Joint resources and experience of experts – Investigators maintain necessary skills – Submission of recommendations easier

RSOO Area of Concerns Performance of CAA facilities or functions was factor Airworthiness of CAA certificated was a factor Competency of CAA certificated airmen, air agencies, commercial air carriers was involved Civil aviation regulations were adequate Airport certification safety standards, safety standards or operations were involved Airman medical qualification There was a violation of CAA regulations