Presentation to OST 3 MARCH 2004 OST WP 01-04 on Loss of Control Action Plans O.S. Nordland, Operations Div.

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Presentation to OST 3 MARCH 2004OST WP 01-04
on Loss of Control Action PlansO.S. Nordland,
Operations Div.
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JSSI FRAMEWORK JAA AIM FOR SAFETY
Under JAA overall objectives The JAA aim at
continuous improvements of its effective safety
system leading to further reductions of the
annual number of accidents and the annual number
of fatalities irrespective of the growth of the
air traffic
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JSSI FRAMEWORK THE TWO APPROACHES

• Two complementary approaches are being used to
  develop the JSSI focused agenda
• The Historic Approach (Broadly based on CAST
  approach)
• The predictive approach (The Future Aviation
  Safety Team)

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HISTORIC APPROACH

• Controlled flight into terrain
• Approach and landing
• Loss of Control
• Design related
• Weather
• Occupant safety and Survivability
• Runways safety
• means common with CAST

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Commercial Aviation Safety Team.

• The Commercial Aviation Safety Team (CAST)
  chartered the Joint Safety Analysis Team (JSAT)
  to review and analyse data on loss of control
  accidents, then develop and recommend
  interventions that could reduce the rate of loss
  of control accidents and thereby support CASTs
  goal to reduce the fatal accident rate by 80 by
  2007.

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Commercial Aviation Safety Team.

• CAST then chartered the LoC Joint safety
  Implementation Team (JSIT) to identify the
  interventions recommended by the JSAT that were
  likely to be feasible and which offered high
  safety benefits.
• The interventions that were determined to have
  high priority were then consolidated into three
  broad project areas.

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Commercial Aviation Safety Team.

• The three project areas and the safety
  enhancements approved by CAST for implementation
  were
• Aircraft Design
• Policies and Procedures
• Training

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Commercial Aviation Safety Team.

• CAST has evaluated all Safety Enhancements (
  evaluation if a proposed safety enhancement could
  avoid or mitigate accidents that occurred to
  operators in a given region or worldwide) against
  category events, and have identified areas of
  unmitigated risks (remaining risk) not covered by
  the Safety Enhancements.

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JSSI Action Plan Team.

• The task of the Action Plans Team (APT) was to
  develop work programmes (action plans) that
  define how each of the intervention strategies
  determined by the JSSI Steering Group for
  CFIT/ALAR/LoC could best be implemented, and to
  allocate priorities.
• Note The APT was not tasked with implementing
  any of the intervention strategies its
  responsibilities was confined to developing work
  programmes that other bodies must apply in order
  to deliver the desired results.

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JSSI Action Plan Team.

• The Action Plans Team (APT)
• has developed the Loss of Control
• Action Plans based on
• CAST Safety Enhancements
• SE 26 34,
• SE 36,
• SE 39 41,
• SE 86 and
• SE 119.
• .

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JSSIAction Plan Team

• The JSSI/APT has monitored the CAST JIMDAT and RR
  JSAT progress and implementation of Safety
  Enhancements worldwide.
• Statistics on distribution of full Airplane
  Fatality Loss Equivalents by accident location
  (worldwide), operator domicile and proportion of
  turboprop/jet airplanes has been provided to JSSI
  by CAST/ICAO.
• JIMDAT Score Ratings has also been provided.

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The 5 highest Score Rankings (LoC)

• 18,3 (Flight Envelope Protection in New Aircraft
  Design), (CAST Study)
• 15,5 (Flight Envelope Protection in Existing and
  Future Derivative Airplane Design), (CAST Study)
• 11,4 (Advance Manoeuvre Training), AP 3.01
• 8,8 (Icing Detection, Annunciation and
  Mitigation) (EASA Research), and
• 6,4 (Dissemination of Essential Safety
  Information and Procedures) AP 3.04.

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State of Play CFIT/ ALA/ LOC

• CFIT and
• APPROACH AND LANDING
• Action Plans have been adopted by JAAC at their
• 04-1 Meeting.
• New envelope Completion Dates has been adopted
• (To be applied also to LoC Action Plans)

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State of Play CFIT/ ALA/ LOC

• Loss of Control
• Advance Maneuver Policies and Procedures - SOP
  Operational procedures
• Action Plans to be agreed with Operations
• Division before adoption by the JAAC
• Risk management Human Factors and Automation
• Action Plans put on hold pending
  discussions
• with FAA on CPS and the future of ATA
• Training Committee

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State of Play CFIT/ ALA/ LOC

• Loss of Control
• Flight envelope protection Auto-flight Icing
  Displays and Alerting systems Vertical situation
  displays
• Action Plans have been adopted by the
  JAAC/EASA.
• Auto-flight Icing Displays and Alerting systems
  
• rely on harmonization work
• JAA NPA on Icing is out
• JAA NPA on auto-flight should be out soon

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Review of Action Plans

• Loss of Control
• APT has proposed 33 Actions for implementation.
• OST is involved in 25 Actions.
• 2 Actions have been completed.
• 11 Action are ON PLAN.
• 8 Actions are put on hold pending co-ordination
  with other involved stake holders. (FAA and ATA)
• 4 Actions have been withdrawn or deleted

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Review of Action Plans

• Loss of Control
• The 11 Actions which are ON PLAN have been
  aggregated into
• 7 Activities requiring OST agreement
• (at present time)
• AP 3.01.02, AP 3.01.03-05, AP 3.03.01-02,
• AP 3.03.03-05, AP 3.05.1, AP 3.05.05 and
  OPST follow up on Interventions Implementation.

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Review of LoC Action Plans

• Action Plan 3.01.02
• JAA should publish the FAA Airplane Upset
  Recovery Training Aid on JAA website.
• NAAs should copy The FAA Airplane Upset Recovery
  Training Aid for hard copy distribution as
  required.

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Review of LoC Action Plans

• Action Plan 3.01.03-05
• The JAA should request operators, through their
  NAAs, that they review and by amendment ensure
  that their flight crew training syllabuses are
  reflecting advance manoeuvre training as supplied
  by manufacturers.

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Review of LoC Action Plans

• Action Plan 3.03.01-02
• As a practical implementation (of the above
  topic), OST should request the OPSG/HFSC to
  review FAA AC 120-71A, the JSAT LoC Report, ICAO
  DOC 8186-OPS/611, and report to OST on the basis
  of the review if changes/additions are required
  to JAR-OPS or other associated material to
  provide information on circumstances, where there
  is a risk that confusion or misunderstanding
  could lead to loss of control.
• Based upon the review carried out, revise JAR-OPS
  as necessary and publish in hard copy and on the
  JAA website guidance and best practice that may
  be the result of the review.

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Review of LoC Action Plans

• Action Plan 3.03.03-05
• The JAA should request operators, through their
  NAAs, that they review and by amendment ensure
  that their procedures, flight crew training
  syllabuses and inspecting requirements reflects
  best practice guidance on SOPs designed to
  minimise risk of loss of control.

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Review of LoC Action Plans

• Action Plan 3.05.01
• Add a requirement into JAR-OPS and JAR-145 that
  operators and maintenance organisations describe
  their process to update manuals and ensure that
  these are available to the relevant operation and
  maintenance personnel.
• Request NAAs to put a review of such processes in
  their regular audits of operators and maintenance
  organisations.

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Review of LoC Action Plans

• Action Plan 3.05.05
• Amend the Standard List of Reportable Occurrences
  in ACJ 20.x8 to include equipment failures that
  affect yaw/roll control.

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Review of LoC Action Plans

• Follow-up on Interventions Implementation
• OST should charge the Operations
• Standardisation Teams, as specified in
• appropriate JAR-FCL/OPS Regulations,
• with the responsibility to include in their
• inspection items a follow-up on
• implementation of
• requirements
• produced by
• NAAs.

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Update Operation Sectorial Team

• The Operations Sectorial Team is invited to
• Provide comments to OST WP 01-04,
• Agree to the Action Strategies as stated in the
  Loss of Control Action Plans 3.01, 3.03 and 3.05,
• Note the need for OST to re-address Action Plans
  3.02 and 3.04, for agreement to proposed
  recommendations and return to the JSSI Steering
  Group, when these LoC Action Plans have been
  completed by APT,