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Amsterdam ERRSS – 8 March 2012 Safety recommendations

Amsterdam ERRSS – 8 March 2012 Safety recommendations. 1. Summary. Case Study Safety Issue Operational Consequences BEA recommendations over past 10 years Conclusion. 2. Case Study. 3. N132AA case study. Night flight Arrival during a thunderstorm on the 24 th of December

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Amsterdam ERRSS – 8 March 2012 Safety recommendations

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  1. Amsterdam ERRSS – 8 March 2012 Safety recommendations 1

  2. Summary Case Study Safety Issue Operational Consequences BEA recommendations over past 10 years Conclusion 2

  3. Case Study 3

  4. N132AA case study • Night flight • Arrival during a thunderstorm on the 24th of December • Nearest diversion, 650 Nm • No modification of landing strategy (consider holding pattern) • TDZ half of runway lenght • Channelized attention of PF during landing roll • Late ground spoilers deployment • No distance marking on runway centerline • No braking coefficient available • Incorrect landing distance in crew documentation Report link http://www.bea.aero/docspa/2000/n-aa001224a/htm/n-aa001224a.html 4

  5. Safety Issue 5

  6. How to prevent such an accident from happening again ? Airlines Monitor pilots chart validity Improve pilot training regarding briefing when the situation leads to a change in landing strategy Improve airline policy to match aircraft manufacturer procedures 6

  7. How to prevent such an accident from happening again ? Airport Improve airport aids to allow pilots to get relevant information on remaining distance 7

  8. How to prevent such an accident from happening again ? Authorities Improve pilots’ information regarding adherence characteristics of RWY Encourage flight data monitoring Implement new regulation regarding centerline lighting 8

  9. Operational Consequences 9

  10. Consequences on operations of such an event • Passenger handling • Heavy workload to recover the aircraft • Airport capability affected • During recovery, only commuters could land, • ILS was unserviceable until repair and recalibration • No fatalities, only minor injuries • Event severity depends essentially on airport environment 10

  11. BEA Recommendations related to runway excursion over past 10 years 11

  12. 36 SR runway excursion 2000-2011 ICAO / Authorities Aircraft manufacturer • regulation • best practices • Design • Training Airport operator • Infrastructure • Procedures Airlines • Normal Procedures • Training 12

  13. Conclusion 13

  14. To sum up Recovery is always a technical challenge implying high cost Pilots decision making is always an issue, let’s give them the right information Every stakeholder has a role to play to improve safety Thank you for your attention 14

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