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ASAP: A PROACTIVE APPROACH TO SAFETY RISK MANAGEMENT BY RUSS LAWTON AIR CHARTER SAFETY FOUNDATION

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Page 1: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

ASAP: A PROACTIVE APPROACH TO SAFETY RISK

MANAGEMENT

BY RUSS LAWTON

AIR CHARTER SAFETY FOUNDATION

Page 2: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Air Charter Safety Foundation (ACSF)

The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation of risk management programs.

Page 3: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation
Page 4: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

We are Risk Managers

Page 5: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation
Page 6: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

The Solution

SMS = Some More Systems

Page 7: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Aviation Safety Action Program (ASAP)

A confidential, voluntary safety event reporting system that provides a near consequence-free environment.

ASAP is part of robust SMS and fosters a positive safety culture.

Designed to identify critical incidents before they become potential accidents.

Page 8: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

ASAP Philosophy

Fix the problem

Don’t shoot the messenger

Page 9: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Why ASAP?

Enhancing and improving overall safety performance depends on:

• Data collection and analysis

• Collaboration of data to identify system failures and human errors that are precursors to accidents

• Identify & implement corrective actions in order to reduce the potential of a recurrence

Page 10: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Why ASAP?

Review patterns and trends

FOQA: What happened?

ASAP: Why did it happen?

Page 11: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Why ASAP?

• We can learn from the mistakes of others through publication of de-identified ASAP events

• Enhances and improves safety within our industry

• Has a proven track record

• Builds trust: Company, employees and FAA

Page 12: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

ASAP History

1997: FAA launches demonstration ASAP program with Part 121 air carriers.

2000: FAA makes ASAP a continuing program and encourages all Part 121 air carriers to participate.

2005: Part 135 operators and 91K management companies allowed to participate in ASAP.

Page 13: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

ASAP History

2005: Medallion Foundation approved by FAA as third-party ASAP program manager for Alaska operators.

2012: ACSF approved by FAA as third-party ASAP program manager.

2013: Part 91 operations join ASAP.

Page 14: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

ACSF ASAP Partnership

Cooperative effort between:

Company

Participating employees (pilots, mechanics, flight attendants, dispatchers, schedulers, etc.)

FAA

Air Charter Safety Foundation (ACSF)

Agreement between Company, ACSF and FAA is through a Memorandum of Understanding (MOU)

Page 15: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Current ACSF ASAP Participants

FAA Great Lakes, Western-Pacific, and Eastern Regions

10 Part 135 Operators

2 Part 91 Flight Departments

Page 16: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Partnership: Industry Perspective

An uneasy feeling

True partner

-ship

FAA: Here to

help

Page 17: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Partnership: Regulator Perspective

Page 18: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Reporting Process

Employee completes electronic ASAP form to report:

An observed safety problem

Violation or potential violation of CFRs or company SOPs

Any incident related to safety of flight

Report form is accessed on secure web portal

Page 19: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Review Process

An Event Review Committee meets and is composed of:

• Company Management

• Employee Representative (pilots, mechanics, dispatchers, etc.)

• FAA Inspector assigned as ASAP Representative

• ACSF ASAP Manager acts as facilitator

Page 20: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

ERC Process

ERC consensus is required for all recommended corrective actions and report close-outs

The focus of the ERC is to determine root-cause and improve safety, NOT to punish individuals

Page 21: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Reports

Sole Source: The only information about the event comes from the pilot’s report(s). (Majority of ASAP reports.)

Non-Sole Source: Information obtained from a source, other than the ASAP report, that indicates a violation of the FARs has occurred, i.e., ATC.

Page 22: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Top Five Reported Categories/Events

Pilot:

1. Altitude deviation

2. Course deviation

3. Company procedure deviations

4. Maintenance operations

5. Manuals/logbook paperwork

Page 23: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Top Five Reported Categories/Events

Scheduler & Dispatcher:

1. Company procedure deviation

2. Dispatch operations

3. Load planning/ MX operations

4. Manuals/logbook paperwork

5. Weather

Page 24: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Top Five Reported Categories/Events

Maintenance:

1. Company procedure deviations

2. Manuals/logbook paperwork

3. Maintenance operations

4. FAR deviations

5. Ramp Safety

Page 25: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Top Causes

Communication: Pilots & ATC

Communication: Between Pilots

ATC Complications/Errors

Policies/Procedures Issues

Human Factors Issues

Page 26: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Corrective Actions

Checklist made or changed: 15%

Educational products developed: 21%

Recognition of existing or potential program/safety threats: 31%

Manual created or changed: 33%

Page 27: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

ASAP Mitigates Risk

Identifies hazards & analyzes risks

Seeks corrective actions

Educates and increases employee awareness

Measures overall system performance

Ensures accountability

Page 28: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

ASAP Final Thoughts

Fixes safety problems

Protection from FAA action

Proven history of improving & enhancing safety

Everybody wins: company, employees, passengers and regulatory authority

Page 29: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation

Safety Assurance

“However beautiful the strategy, you should occasionally look at the results."

-Winston Churchill

Page 30: Air Charter Safety FoundationAir Charter Safety Foundation (ACSF) The Vision: To promote and enable the highest levels of safety in personal and business aviation through the facilitation