EUROCONTROL Voluntary ATM Incident Reporting (EVAIR) Ms Dragica - - PowerPoint PPT Presentation

EUROCONTROL Voluntary ATM Incident Reporting (EVAIR)

Ms Dragica Stankovic EVAIR Function Manager

Li Lina nate, 8 8 Oct Octob

• ber

2001 2001 Über Überlinge gen, 1

, 1 July 2002 02

Need for the Reporting

EUROCONTROL Voluntary ATM Incident Reporting (EVAIR)

EVAIR Mission

• Support and

promotion of voluntary ATM incident reporting

• Develop partnership

between main stakeholders

• Prevention of

accidents and serious incidents by better understanding and availability of the underlined causal factors EVAIR Vision

• To be recognized as pan-

European medium for the collection, analysis and transmission of voluntary ATM safety occurrence data in support of the quick fix of identified problems and sharing of lessons learned

ATM Incident data collection Monitoring & Customized analysis Preventive & proactive approach to safety Facilitation

• f the

feedback channel Quick fix of problems

EVAIR facilitation of missing links BENEFITS

• Pro-active approach to the

safety – Early identification

• f safety concerns
• Feedback and closure of

the loop with the quick fix

• f problems
• Motivation for reporters
• Trust btw ANSPs and

Airlines

• Confidentiality
• Best use of resources
• Sharing of lessons learned
• Facilitation of the contact

Airlines/ANSPs ATM Incident Reports

Incident data Collection Analysis

EVAIR

Airlines/ANSPs SMS

If directed to If directed to EVAIR

Copy

Feedback preparation

ANSP/Airline EVAIR

Copy to

Feedback

Copy

Monitoring Results

Forwarding Corrective measures Airlines corrective measures Monitoring process Data collection Analysis

EVAIR Tools

PRX - Proximity Event RA - ACAS Resolution Advisory STCA - Short Term Conflict Alert AP - Airspace Proximity ALT - Altitude Deviation APW – Airspace Penetration Warning ROCD – Rate Of Closure Detection ASMT Detection modules

335 472 707 1364 200 400 600 800 1000 1200 1400 2006 2007 2008 2009

Growth of the Number of Incident Reports for the Periond 2006 - 2009

200 400 600 800 1000 1200

• Oper. Comm. Issue

Spoken comm. ATC clearance/Instructions Coordinations Issuies Lapses Resolution advisory Traffic information Mistakes Traffic and Airspace problems

High level ATM Incidents contributors 2006-2009

50 100 150 200 Call sign confusion High R/T workload Language/accent Misunderstanding/interpretation Noise interference Pilots breach of R/T Poor /no coordination Situation not conveyed by pilots

Drill down through Spoken Communication 2006-2009

20 40 60 80 100 120 Handling of Radio communication failure/unusual situations Hearback ommited Message construction Other R/T monitoring sector Readback Pilot Speech technique Standard phraseology Transfer of communications

Driall down through Operational Communication 2006-2009

Spoken communication (HEIDI)

Human/human communication encompassing air-ground and ground-ground communications but also call sign confusion, noise interference and other spoken information provided in plain language. Air-ground communication refers to language/accent, situation not conveyed by pilots, pilot’s breach of radio telephony (R/T), workload, misunderstanding/misinterpretation, and other pilot problems. Ground-ground communication refers to misunderstanding/misinterpretation, poor/no coordination.

OPERATIONAL COMMUNICATION Air-Ground, GND-GND and use of equipment verification

• testing. Air-GND communication encompasses hear back
• mitted, pilots’ read back, standard phraseology, message

construction, R/T monitoring including sector frequency monitoring and emergency monitoring, handling of radio communication failure, unlawful radio communications

• transmission. GND-GND comm refers to the standard

phraseology, speech techniques, message construction, standard use of equipment like, radio frequency, telephones, intercoms etc.

10 20 30 40 50 60

RA Call sign confusion High R/T workload Language/accent Misunderstanding/interpretation Noise interference Pilots breach of R/T Poor /no coordination Situation not conveyed by pilots Approach Assigned Flight Level Assigned route/track/heading Assigned Speed Climb/descent conditional clearance Runway incursion Decision making Failure to monitor Information wrongly associated Judgement Mental/Emotional/Personnality issues Mis stored or insufficiently learned Planning Recall of information Workload issues Approach En-route Standing Take-off Taxiing

Spoken communication ATC clearance Instructions Mistakes

Phraseology associated with other causals and events 2006-2009 absolute figures

Phases of flights ACAS

10 20 30 40 50 60

ACAS Call sign confusion High R/T workload Language/accent Misunderstanding/interpretation Noise interference Poor /no coordination Situation not conveyed by pilots Decision making Failure to monitor Information wrongly associated Judgement Planning Violations Workload issues Approach Assigned Flight Level Assigned route/track/heading En-route clearance Runway incursion Taxiway incursion Approach En-route Standing Take-off Taxiing

ATC Clearance Instructions Mistakes Spoken Communication

Hearback Ommited associated with other causals and events 2006-2009 absolute figures

Phases of flight ACAS

UN81 130NM When on airway UN871 and flying from the west to the east, Swiss ACC often provides clearance direct to VEBEG (Swiss/Vienna boundary). Some 130NM further away, waypoint MEBEK (FIR Munich) is on the same airway. EVAIR received reports from flight crews that due to phonetic similarity of these two waypoints there is a possibility of confusion when receiving clearance from ATC. Such confusion may pose a threat to safe operations and therefore we would like to bring this issue into your attention (2 NOV 2009).

Annex 11, Appendix 2 3.3. The name-code designator shall be easily recognizable in voice communications and shall be free of ambiguity with those used for other significant points in the same general area.

Like sounding 5LNCs ambiguity

BGR

Like sounding 5LNCs

RUMEN SUMEN

141NM SUMEN will be withdrawn on 6 MAY 2010

HRV / BIH

Like sounding 5LNCs

SIRMI SIRMA

66NM SIRMA to be withdrawn by HRV

HRV / SVN / ITA

Like sounding 5LNCs

BUSET BUSER

88NM BUSER to be withdrawn by ITA

Access to the data by nominated persons from CAAs, ANSPs, Airlines and their associations

EVAIR Volcanic Ash Safety Data Repository

• Mandate from FABEC states
• UK CAA
• Volunteering ANSPs, CAAs, AOs

Multidisciplinary team Involved in the work

• Period 16 Apr 31 May 10
• Type of Reports
• In-Flight
• Post-flight observations
• Maintenance observations
• More than 1000 reports
• 200 reports with the Volcanic

Ash information

• No serious incidents reported

10 20 30 40 50 60 70 16- 04- 2010 18- 04- 2010 20- 04- 2010 22- 04- 2010 24- 04- 2010 26- 04- 2010 28- 04- 2010 30- 04- 2010 02- 05- 2010 04- 05- 2010 06- 05- 2010 08- 05- 2010 10- 05- 2010 12- 05- 2010 14- 05- 2010 16- 05- 2010 18- 05- 2010 Observed period

FL340

Valid at 1800UTC 20/04/2010

FL260-270 FL110 000-095 FL270 FL220-240 FL260 FL260-280 FL220 FL150 FL70 FL250-290 FL250 FL150 FL150 FL260-280 FL70 FL210-250 FL310 FL310 2000ft FL120-160 6000ft 3000ft FL260-280 FL350 FL160

Support us & Join us

Contact point: Ms Dragica Stankovic Email: dragica.stankovic@eurocontrol.int Phone: +32 2 729 5034 Fax: +32 2 729 9082