AVIATION SAFETY QUALITY ASSURANCE P ROGRAMME

1. AVIATION SAFETY QUALITY ASSURANCE PROGRAMME International Civil Aviation Organization Capt. Jan Jurek Regional Officer, Safety Oversight

2. WHAT IS ASQAP ? • It is a program with objective to prevent incidents and accidents trough corrective action provided by voluntary reports from Operators (Air Carrier) employees. • ASQAP is non- punitive, non-disciplinary approach to accident prevention. • It is a confidential agreement between the Individual, Operator and aviation regulating authority of the State, the CAA. • Encourages preventive, rather than reactive, response. • It is a Programme which maximizes the experience of pilots, mechanics, dispatchers and other key employees as the airline’s most valuable safety resources and offers a corrective-action approach for prevention of incidents and accidents.

3. Potential value of ASQAP to the Aviation Industry • ASQAP- Provides significant accident/incidents prevention strategies to be employed and shared industry-wide. • ASQAP- Can assist the CAA enforcement policy by ensuring compliance through corrective action. • ASQAP- Can assist the NTSB with proactive recommendations before accident occur. • ASQAP- Can lead to improvement in Air traffic control service. • ASQAP- Data and analysis can be protected and shared with the industry as informative/aducational data base.

4. KEY ELEMENTS OF ASQAP • Proactive partnership approach • Strong reporting incentives • Closer association with ICAO, IATA,IAPA and the proper CAA. • Scope of ASQAP • Operator’s commitment, response, and accountability • Flight safety benefits to airlines, pilots, Air traffic controllers and the CAA

5. PROACTIVE PARTNERSHIP APPROACH • Equal participation from airline flight and maintenance departments, • The pilot association, the CAA is crucial to pilot confidence and to the overall success of ASQAP

6. STRONG REPORTING INCENTIVES • Sole – Source protection – Use immunity • Corrective action, non punitive approach: • Operator: Skill enhancement = additional training-to-proficiency(no check rides or line checks) • CAA: Corrective action in lieu of legal certificate action • Confidentiality-ASQAP report handled in confidential manner by Event Reporting Team (ERT) – no record kept in a pilot’s personnel file. • Anonymity provided after event review and corrective action is completed.

7. ASSOCIATION WITH ORGANIZATIONS AND THE CAA • Each report is automatically forwarded to the participating organizations. • Pilots have confidence in CAA which contributes to ASQAP. • Safety net if pilot does not agree with ERT recommendations and elect to withdraw from ASQAP

8. SCOPE OF ASQAP • Any report which describes a flight safety concern or possible Regulation deviation should be considered. At minimum, ASQAP should seek to address: • All phases of ground and flight operations and procedures • Air Traffic Control • Dispatch, load and aircraft performance • Maintenance and MEL • Human Factors • Technology and aircraft equipment

9. AIRLINE COMMITMENT, RESPONSE, AND ACCOUNTABILITY • Airline management must commit to provide personnel and staff support, including a objective fourth party neutral to coordinate ASQAP and administer accounting system • Airline’s response to ERT recommendations must cross departmental boundaries: system operational control, dispatch, maintenance, flight etc. ASQAP must have full support of senior airline operations management. • ASQAP system accountability must allow documented response to ERT recommendations both with the airline and from the CAA

10. FLIGHT SAFETY BENEFITS TO AIRLINES, PILOTS, AND THE CAA • Overall Safety Awareness. Each debrief is de-identified and than made available for review to all pilots of the airline. Periodic updates, safety analysis, posters, and E-Mail messages should be provided. • ASQAP provides a clearer, more accute view of flight safety as provided by line pilots(less than 4% of all events have been reported by ATC so far with established programme. • Corrective-action approach allows preventive action to be taken by those given flight safety responsibilities. ASQAP allows real solution to potential flight safety hazards identified by line pilots with natural applications to training,CRM,and line flying procedures. • ASQAP is cost-effective. Previously required legal,representational and investigative expenses can now be applied to corrective and preventive actions.

11. ERT DECISION GUIDELINE FLOWCHART NO YES OR YES YES NO OTHER DEPT. ASQAP NO OR YES SELF DISCLOSURE NO IS IT A SOLE SOURCE ? MITIGATING FACTORS? YES NO DID INVESTIGATION REVEAL INDEPENDENT EVIDENCE OF VIOLATION ? NO YES YES MITIGATING FACTORS? NO YES SPECIAL CIRCUMSTANCES ? NO YES NO ERT RESPONSE CAA LETTER OF NO ACTION CAA LETTER OF CORRECTION CORRECTIVE ACTION DOES THE DEBRIEF MEET ASQAP REPORTING REQUIREMENTS ? REJECTED FROM ASQAP WITH OR WITHOUT RECOMMENDATIONS OTHER DEPT ASQAP DO WE BELIEVE THAT REGULATION WAS VIOLATED ? WAS ANOTHER OPERATOR’S DEPT. OR INDIVIDUAL OUTSIDE OF DEPT. SOLELY RESPONSIBLE ? SELF DISCLOSURE WAS RESPONSIBILITY SHARED WITH ANOTHER OPERATORS DEPT OR INDIVIDUAL OUTSIDE THE DEPARTMENT ? IS THERE A SIGNIFICANT FLIGHT SAFETY CONCERN BEST ADDRESSED BY THE ERT ? RETURN TO TRADITIONAL REPORTING SYSTEM WITH OR WITHOUT RECOMMENDATIONS Appendix -1

12. The END

13. THANK YOU