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Accidents investigation
Mandatory safety reporting system
other
Confidential reporting system
1. Safety Information
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Event Occurrences
Safety Information
Normal Operations
Incidents
Injury
Accidents
Fatal Accidents
Precursors
A project supported by AIRBUS and the CAAC
June 2007
Why don’t we find out more safety information or
errors ?
Human characteristics
Why?
How can we be aware of more safety information
especially tiny unsafe occurrences, errors or
hidden information ?
answer : confidential reporting!!
What is confidential reporting system?
Safety Information
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Confidential aviation safety reporting system
is a safety information system that collects,
analyzes, issues safety information,
especially human errors information.
2. Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
June 2007
The Role of Confidential Aviation Safety Reporting
Systems
• Supplement other reporting systems by facilitating
the reporting of safety related information from
individuals directly involved with the operating
system
• Provide access to unfiltered information
• Permit errors/deficiencies/discrepancies to be
reported without attachment of blame
• Provide a supplementary database for analysis of
human factors safety incidents
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Features of the System
Voluntary
Confidential
Non-punitive
Neutral
Professional
Not anonymous
Disseminating and sharing information
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
June 2007
Features of the System
Voluntary
For un-filter, true information
Confidential
Ensure the anonymity of the reporter and of all parties
involved in a reported occurrence or incident
Why?
Face, reward, punishment, honor
Non-punitive
The manager operating the system is not enforcing
entity.
The information received by the system can’t be used
for punishment and enforcement.
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Features of the System
Neutral
Independent from - Regulators
- Management
- Employment Groups
Professional
the system should give professional feedback to aviation industry
Not anonymous
is confidential ,not anonymous
Disseminating information
booklet, magazine, and other information issues
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
June 2007
Why Confidential and not Anonymous?
• Confidentiality permits a closed-loop process. This has several benefits:
- More information can be obtained on the issue
- The reporter’s motivation can be independently assessed
- The action to be taken can be discussed and agreed
- The reporter can be advised of the outcome
- The reporter can assess the effectiveness of any action
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Great success
Broad information sources
pilots, mechanics, flight attendants, air traffic controllers,
ground personnel
air transport, general aviation, cargo, military
manufacturers, airport operators
Regular feedback to aviation community
Led to significant regulatory changes (fatigue, sterile
cockpit The Sterile Cockpit.htm)
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
June 2007
Confidential Aviation Safety Reporting System
Great success
ICAO: Aircraft Accident and Incident Investigation(2001)
Annex 13 to the Convention on International Civil Aviation
中国航空网 www.aero.cn
航空翻译 www.aviation.cn
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AIRWORTHINESS AND FLIGHT STANDARDS(22)
