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

EUROCONTROL Voluntary ATM Incident Reporting (EVAIR) Ms Dragica Stankovic EVAIR Function Manager

Need for the Reporting Li Lina nate, 8 8 Oct Octob ober 2001 2001 Über Überlinge gen , 1 , 1 July 2002 02

EUROCONTROL Voluntary ATM Incident Reporting (EVAIR) EVAIR Mission EVAIR Vision  Support and  To be recognized as pan- promotion of voluntary European medium for the ATM incident reporting collection, analysis and  Develop partnership transmission of voluntary between main ATM safety occurrence stakeholders data in support of the quick  Prevention of fix of identified problems accidents and serious and sharing of lessons incidents by better learned understanding and availability of the underlined causal factors

ATM Incident data collection Facilitation Preventive & of the proactive feedback approach to channel safety Monitoring & Quick fix of Customized problems analysis

EVAIR facilitation of missing links BENEFITS  Pro-active approach to the safety – Early identification of safety concerns  Feedback and closure of the loop with the quick fix of 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 If directed If directed EVAIR to Analysis to Copy EVAIR Forwarding Copy Data collection Analysis Airlines/ANSPs SMS Corrective measures Feedback preparation Feedback Monitoring Airlines corrective EVAIR Results Copy to measures Monitoring process ANSP/Airline

EVAIR Tools

ASMT Detection modules 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

Growth of the Number of Incident Reports for the Periond 2006 - 2009 1364 1400 1200 1000 707 800 472 335 600 400 200 0 2006 2007 2008 2009

High level ATM Incidents contributors 2006-2009 Traffic and Airspace problems Mistakes Traffic information Resolution advisory Lapses Coordinations Issuies ATC clearance/Instructions Spoken comm. Oper. Comm. Issue 0 200 400 600 800 1000 1200

Driall down through Operational Communication Drill down through Spoken Communication 2006-2009 2006-2009 Spoken communication (HEIDI) Transfer of communications Situation not conveyed by pilots Human/human communication encompassing air-ground and ground-ground Standard phraseology communications but also call sign confusion, noise interference and other spoken Poor /no coordination information provided in plain language. Speech technique Pilots breach of R/T Air-ground communication refers to language/accent, situation not conveyed by pilots, OPERATIONAL COMMUNICATION Readback Pilot pilot’s breach of radio telephony (R/T), workload, misunderstanding/misinterpretation, Noise interference Air-Ground, GND-GND and use of equipment verification R/T monitoring sector and other pilot problems. Ground-ground communication refers to testing. Air-GND communication encompasses hear back Misunderstanding/interpretation Other misunderstanding/misinterpretation, poor/no coordination. omitted, pilots’ read back, standard phraseology, message Language/accent construction, R/T monitoring including sector frequency Message construction monitoring and emergency monitoring, handling of radio Hearback ommited High R/T workload communication failure, unlawful radio communications Handling of Radio communication transmission. GND-GND comm refers to the standard Call sign confusion failure/unusual situations phraseology, speech techniques, message construction, 0 20 40 60 80 100 120 standard use of equipment like, radio frequency, 0 50 100 150 200 telephones, intercoms etc.

Phraseology associated with other causals and events 2006-2009 absolute figures Phases of flights Taxiing Take-off Standing En-route Approach Mistakes Workload issues Recall of information Planning Mis stored or insufficiently learned Mental/Emotional/Personnality issues Judgement Information wrongly associated Failure to monitor Decision making ATC clearance Instructions Runway incursion Climb/descent conditional clearance Assigned Speed Assigned route/track/heading Assigned Flight Level Approach Spoken communication Situation not conveyed by pilots Poor /no coordination Pilots breach of R/T Noise interference Misunderstanding/interpretation Language/accent High R/T workload Call sign confusion ACAS RA 0 10 20 30 40 50 60

Hearback Ommited associated with other causals and events 2006-2009 absolute figures Phases of flight Taxiing Take-off Standing En-route Approach ATC Clearance Instructions Taxiway incursion Runway incursion En-route clearance Assigned route/track/heading Assigned Flight Level Approach Mistakes Workload issues Violations Planning Judgement Information wrongly associated Failure to monitor Decision making Spoken Communication Situation not conveyed by pilots Poor /no coordination Noise interference Misunderstanding/interpretation Language/accent High R/T workload Call sign confusion ACAS ACAS 0 10 20 30 40 50 60

Like sounding 5LNCs ambiguity 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 . 130NM UN81 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).

BGR Like sounding 5LNCs SUMEN will be withdrawn on 6 MAY 2010 SUMEN 141NM RUMEN

HRV / BIH Like sounding 5LNCs SIRMA to be withdrawn by HRV SIRMA 66NM SIRMI

HRV / SVN / ITA Like sounding 5LNCs BUSER to be withdrawn by ITA BUSET 88NM BUSER

• Mandate from FABEC states • UK CAA • Volunteering ANSPs, CAAs, AOs EVAIR Access to the data by Volcanic Ash Safety nominated persons from CAAs, ANSPs, Airlines and Data Repository their associations • Period 16 Apr 31 May 10 Multidisciplinary team • Type of Reports Involved in the work - In-Flight - Post-flight observations - Maintenance observations • More than 1000 reports • 200 reports with the Volcanic Ash information • No serious incidents reported

Observed period 70 60 50 40 30 20 10 0 16- 18- 20- 22- 24- 26- 28- 30- 02- 04- 06- 08- 10- 12- 14- 16- 18- 04- 04- 04- 04- 04- 04- 04- 04- 05- 05- 05- 05- 05- 05- 05- 05- 05- 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010

Valid at 1800UTC 20/04/2010 000-095 FL70 FL310 FL270 FL350 FL120-160 FL150 2000ft FL70 6000ft FL150 FL150 FL160 FL260-270 FL260-280 3000ft FL260-280 FL250-290 FL260 FL260-280 FL220 FL250 FL210-250 FL110 FL310 FL220-240 FL340

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