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ICAO ADREP 2007

ICAO ADREP 2007. Focus on Incident reporting Jarmo Korhonen AIG Section Air Navigation Bureau. Overview. Vision ADREP SMS ICAO Annex 13 Reporting ECCAIRS Benefits of using an ADREP compatible system Road Map. Related Performance Indicators. ICAO – Performance Review Accident Rate

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ICAO ADREP 2007

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  1. ICAO ADREP2007 Focus on Incident reporting Jarmo Korhonen AIG Section Air Navigation Bureau

  2. Overview • Vision • ADREP • SMS • ICAO Annex 13 Reporting • ECCAIRS • Benefits of using an ADREP compatible system • Road Map

  3. Related Performance Indicators • ICAO – Performance Review • Accident Rate • Level of mandatory reporting of the States • Official Annex 13 reporting of contracting States vs. Media and other sources

  4. Data Analysis • AIG Divisional Meeting (1999) • Recommendation 2/1 – ADREP Data Analysis • That ICAO develop a data analysis programme that will allow the effective analysis of ADREP data. The programme should enable the categorization of accidents, the development of appropriate safety indicators and the systematic and rapid identification and dissemination of safety issues. . . . .

  5. Vision • To provide access to safety data and information required to meet and monitor levels of safety

  6. How to Achieve This • Integrated Systems • Compatible Taxonomies ADREP ECCAIRS safety management tool

  7. ADREP A System for Providing Feedback of Safety Lessons Learned: From States to ICAO and From ICAO back to States

  8. ADREP Taxonomy • Effective analysis of ADREP data • Definitions, Taxonomies, etc. • ECCAIRS common frame work • Safety indicators • Categorisation of accidents • Identification and dissemination of safety issues

  9. ICAO – ADREP • ADREP – Accident Incident Data Reporting System • A database of accidents and serious incidents reported to ICAO by States • Maintained in the AIG Section • Contains occurrences from 1970 to today • 35 892 Occurrences (07 NOV 07)

  10. Safety Programme (States) - An integrated set of regulations and activities aimed at improving safety Safety Management System - A systematic approach to managing safety, including the necessary organizational structures, accountabilities, policies and procedures SMM

  11. ICAO Annexesas of 23 November 2006 • States shall require, as part of their safety programme, that an [operator, maintenance organization, ATS provider, certified aerodrome operator] implements a safety management system accepted by the State that, as a minimum: • Identifies safety hazards • Ensures that remedial action necessary to maintain an acceptable level of safety is implemented • Provides for continuous monitoring and regular assessment of the safety level achieved • Aims to make continuous improvement to the overall level of safety

  12. New Approach & Future Focus • Must be guided by hazards identified through Safety Information shared and problems addressed by cooperative approach (Includes routine collection) • Effectiveness metrics • System monitoring for emerging risks • Combined Data sources (beyond current scope) and sharing (Safety issues) • Analysis

  13. Aviation Safety Pyramid ACCIDENTS 1 Investigation 15 SERIOUS INCIDENTS INCIDENTS Prevention 300 OTHER SAFETY RELATED OCCURRENCES / HAZARDS 3000

  14. A N N E X 13

  15. ADREP Reporting RequirementsAnnex 13 – Chapter 7 • States investigate and report to ICAO: • Accidents to aircraft over 2 250 kg (para.7.1, 7.5) • Investigated incidents to aircraft over 5 700 kg (para. 7.7) • Means of reporting: • Reporting forms, • Electronic reporting • Guidance: Accident Incident Reporting Manual

  16. ICAO Reporting standard for StatesAnnex 13 - Chapter 7, Attachment B • Initial Notification • Preliminary Report • Data Report • Final Report ADREP REPORTING

  17. Prelim report Data report Final report Occurrence Data entry Accident/Incident Reporting to ICAO Initial Notification Investigation Data Analysis

  18. Global Reporting CulturePercentage of Open Files ~30% 10%

  19. Global Reporting Culture 58 States notify ICAO between 25 and 75% of the time 58 States notify ICAO less than 25% of the time 51 States notify ICAO more than 75% of the time

  20. Accident Prevention Measures Annex 13 - Chapter 8 Incident reporting system • A State shall establish an accident and incident reporting systems (8.1 & 8.2)

  21. Accident Prevention MeasuresAnnex 13 - Chapter 8 Database systems • Recommendation - A State should establish a database to facilitate effective analysis of information obtained from incident reporting systems (8.4) • Recommendation – The database systems should use standardized formats (8.5)

  22. Reporting flow AIB ICAO ADREP using ECCAIRS database software State Data Base CAA Regional Body State

  23. Accident Prevention Measures Annex 13 - Chapter 8 Analysis of data – Preventive actions • A State shall analyse the information contained in its databaseto determine any preventive actions required (8.6) • Recommendation. – If a State identifies safety matters considered to be of interest to other States, that State should forward such safety information to them as soon as possible (8.7)

  24. Example AVIATION SAFETY OFFICER ECCAIRS DATABASE Queries and Reports DATAFORMAT FILE EDF BROWSER

  25. Accident Prevention MeasuresAnnex 13 - Chapter 8 Exchange of safety information • Recommendation. – States should promote the establishment of safety information sharing networks and should facilitate the free exchange of information on potential safety deficiencies (8.9)

  26. Service Providers ATNS, Aerodromes, Air Operators Contracting States RO ICAO Reporting to ICAO as per Annex 13 provisions

  27. ECCAIRS view Not reported to ICAO = Media Source

  28. Level of practical usage Hazard NEW

  29. Occurrence = sequence of events

  30. Example of Output

  31. Distribution of Type of Occurrence

  32. Distribution of Type of Occurrence

  33. Regional Distribution (% to total Fatal Accidents) by major Occurrence Categories for 2002-2006

  34. Reactive versus Proactive Safety

  35. Benefits using ADREP ECCAIRS • Implements comprehensive SMS principles • ICAO ADREP taxonomy compatible • Designed for data sharing • Family of tools and common framework (multi modal) • Free for all ICAO Contracting States • Very stable system • Available in English and French

  36. Why not to choose ADREP ECCAIRS ? • Not a solution to solve all problems of aviation, only a data storage (should be seen as part of safety management systems) • No reasoning because ICAO needs or recommendation for ADREP compatible systems • No reasoning because of ICAO Audits • No reasoning because of somebody’s request, but rather because of commitment to safety and professionalism

  37. Options • States with well established safety data systems: • No need to convert to ICAO taxonomies • Needs to map native system to ICAO taxonomies to send data • States with a low level of aviation activity • Evaluate the possibility of participating in a sub-regional system

  38. Options (cont.) • All other States • ADREP ECCAIRS Note – even if you do not implement ADREP ECCAIRS through-out your Civil Aviation system, you may still consider putting it on one work station so that you can share data with other who do use ADREP ECCAIRS

  39. Next Steps • 1) Define Focal Point of the State for the safety information and reporting systems (as part of the Safety Program of the State) • 2) Define safety data and safety information system requirements • 3) Select appropriate solution

  40. For those who choose to implement ADREP ECCAIRS • Software will be provided by the EU through ICAO at no charge • Training is available on demand to ICAO HQ (not EU/JRC; participants and/or hosts to cover expenses)

  41. Biggest Risk and Safety Culture • Biggest risk lay in the absence of reporting and standards • Safety culture must exist • Evaluation by safety performance (indicators & factors)

  42. Aviation Safety System • Safety Policy • Safety Information and Reporting • mandatory & voluntary reporting • ADREP • Accident Prevention Programme • Investigation of incidents and accidents • Education and training

  43. SAFETY CULTURE KNOWLEDGE LEARNING ORGANIZATIONS

  44. Questions?

  45. THANK YOU

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