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gain

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Proposes protections for airlines and their employees from ... Airlines. Northwest Airlines (Chair) Air France (Vice Chair) British Airways. Japan Airlines ... – PowerPoint PPT presentation

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Title: gain


1
Global Aviation Information Network (gainweb.org)
Christopher A. Hart
Federal Aviation Administration
Assistant Administrator for System Safety
2
Worldwide Airline Fatality Rate
AN INTERNATIONAL COMPARISON
THE LAST 6 YEARS
THE WORLD'S 85 MAJOR AIRLINES BY REGION
FATALITIES PER MILLION PASSENGERS WORLDWIDE
AUSTRALASIA
0.0
18
1.1
UNITED STATES
0.3
0.9
0.9
NORTH AMERICA
0.4
16
(INCLUDES U.S.)
0.84
EUROPE
14
CENTRAL AND
SOUTH AMERICA
1.7
12
No Jet Fatalities in U.S. in 1993
AFRICA
2.6
1994 - 264 Fatalities on U.S.Scheduled Airlines
- 5 year high
10
ASIA
3.0
8
6
4
2
0
1950 1960
1970 1980
1990 1994
Per Million Passengers Carried Worldwide
3
The Hands-On Front Line Folks
We All Knew About That Problem
4
Benefits of FDR Use
Worldwide
FDR Use Total U.S.
FDR Use 7-14 Years
FDR Use 14 Years
Sources Total U.S.- FAA NASDAC
Other - Skandia Insurance Co. Ltd.
5
Norwegian Rail Experience
Total number of reported and analyzed events
Lost Time 37 reduction
Accidents40 reduction
96
97
98
95
Source Pride AS
6
Current System Data Flow
Almost all Data is Lost Forever
Currently Only a Minute Portion of Data
is Collected and Analyzed
7
Heinrich Pyramid
ACCIDENTS
INCIDENTS
UNREPORTED OCCURRENCES
8
Common Characteristics
  • Inadvertent
  • Could Be A Link
  • In An Accident Chain
  • Happens Repeatedly

9
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???
12
Is This Light Random?
13
Accidents Result From a Combination of Events
14
Global Aviation Information Network The
Concept
15
Others Who Are Interested
  • Transportation Department
  • Coast Guard (IMISS)
  • Highway Administration
  • Railroad Administration
  • Pipeline Safety
  • Critical 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 Engine
Zero Accidents
Information
18
Obstacles that Block the Flow of Information
Concerns About
  • Public Disclosure
  • Job Sanctions/Enforcement
  • Criminal Sanctions
  • Civil Litigation

19
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

20
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

21
Challenges
Improved Analytical Tools
Legal Issues
As we begin to get over the first hurdle, we must
start working on the second.
22
Analytical Tools
Must be able to help analysts
  • Identify Potential Problems
  • Prioritize Potential Problems
  • Develop Solutions
  • Evaluate Success

23
Information Overload
24
Many Have Already Begun The Process
25
avings
26
Three Domains For GAIN
27
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

28
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

29
Fourth GAIN World Conference
  • Where Paris, France
  • When June 13-15, 2000
  • Hosted By

30
FAA Administrator Jane Garvey
  • GAIN is one of our best hopes for enhancing
    aviation safety in the next century.

GAIN III World Conference November 1998
31
Please Visit and Explore...
www.gainweb.org
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