occurrence reporting – the alitalia experience · integrate with etihad and associated alliance...
TRANSCRIPT
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Occurrence Reporting – The Alitalia experience 24th March, 2015
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�2 COA (Alitalia and Alitalia CityLiner)
�119 Aircraft: 10 B777, 13 A330, 76 A32F, 20 EMB
�103 Destinations, 26 Dom, 63 Int, 14 Inc
�about 200,000 Flights per year
An Intensive and demanding Program aimed to:
� Improve passenger network
� Integrate with Etihad and associated alliance carriers
� Improve quality of service offered to our guest
�Enhance safety outcomes
The Alitalia Group today
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SECURITY
PLANNING & CREW ROSTERING
FLIGHT OPERATIONSCREW TRAINING
CENTERGROUND OPERATIONS
ENGINEERING & MAINTENANCE
OPERATIONS CONTROL CENTRE
CHIEF OPERATIONS OFFICER
FUEL MANAGEMENT
COMPLIANCE MONITORING
SAFETY
ALITALIACITYLINER
Operations Organization
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Safety Organization
SAFETY MANAGER
FDM
& RISK ANALYSIS
CRISIS
MANAGEMENT
REPORTING
SYSTEMS
GROUND SAFETY
FLEET SAFETY
MANAGERS
INVESTIGATION
CHIEF OPERATIONS
OFFICER
MAINTENANCE
INVESTIGATION
CABIN SAFETY
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Safety Vision & Policy
Safety VisionTo develop a working environment in which every individual is trained and
motivated to manage risks in day to day activities, thus enabling successful
completion of all operations maintaining risks at or below an acceptable
level
Safety PolicyTo develop, implement, maintain and constantly improve an effective SMS
to ensure the smooth running of all our activities providing analysis
products to guide decisions on correct allocation of resources, and
conducting communication activities to effect positive behavioural change.
Reporting is strongly and effectively encouraged.
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Occurrence Reporting
� Reporting: the primary tool for Hazard Identification
� The role of No-Penalty Policy
No mutual Trust = No Reporting
No Reporting = No SMS
� Reporting Culture, hard to build , easy to destroy
� Internal (Voluntary) Reporting: a success story
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Occurrence Reporting
COCKPIT CREW AIR SAFETY REPORT
GROUND STAFF(Handling/Ramp)
GROUND SAFETY REPORT
MAINTENANCE STAFF(Line/Hangar)
TECHNICAL OCCURRENCE REPORT
CABIN CREW CABIN SAFETY REPORT
� Customized Reports for different professionals areas
� eReporting as a primary option
� Centralized Database managed by Safety
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Occurrence Reporting in numbers
0
1000
2000
3000
4000
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
2014
2.051 Reports
331 MOR
600 Birdstrike
Extension to Ground & Maint Ops
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9
0
2
4
6
8
10
12
14
16
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
2010 2011 2012 2013 2014
RE
PO
RT
ED
EV
EN
T R
AT
E
X 1,000 flights
Reporting Trends – Voluntary Event Rate 2010-14
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0,00
0,50
1,00
1,50
2,00
2,50
3,00
3,50
4,00
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
2010 2011 2012 2013 2014
EV
EN
T R
AT
E X 1,000 flights
Reporting Trends – MOR Event Rate 2010-14
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11
0
1
2
3
4
5
6
7
8
9
10
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3
2010 2011 2012 2013 2014
TO
TA
L/ M
OR
R
AT
E
Reporting Trends – Tot vs MOR 2010-14
12
0
1
2
3
4
5
6
7
8
9
ASR GSR MSR
RA
TE 2013 Q4
2014 Q1
2014 Q2
2014 Q3
2014 Q4
Reporting Trends – Voluntary per Area 2014
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0,00
0,25
0,50
0,75
1,00
1,25
1,50
1,75
2,00
2,25
2,50
2,75
3,00
ASR GSR MSR
RA
TE
2013 Q4
2014 Q1
2014 Q2
2014 Q3
2014 Q4
Reporting Trends – MOR per Area 2014
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Reporting System – 2015 Challenges
� EU Regulation 376/2014: Huge workload increase
� A more efficient reporting process: single notification to
Authority
� Less bureaucracy……more data analysis
� Data intelligence sharing (if any): what about thousands of
MORs sent?
� Authority and Just Culture: room for improvement
� Voluntary vs Mandatory Reporting: need for clarification