Progress of CFIT Task Force RETRE Conference 17 November 2009 - PowerPoint PPT Presentation

Progress of CFIT Task Force RETRE Conference – 17 November 2009

Content  Review of CFIT Data  Literature Survey of Previous CAA Work  Progress with Recommendations from Previous CAA Work  Industry Work  Next Steps RETRE Conference – 17 November 2009

Review of CFIT Data  57 fatal CFIT accidents (1998 to 2007)  1,635 fatalities (88% of occupants killed) Fatal CFIT Accidents by Phase of Flight 2% 7% 14% 33% Climb Enroute Descent 9% Approach Final Approach Go-around 35% RETRE Conference – 17 November 2009

Review of CFIT Data  Over half occurred in daylight Fatal CFIT Accidents by Day/Night 5% Light 37% Dark Unknown 58% RETRE Conference – 17 November 2009

Review of CFIT Data  Over half occurred during non-precision or visual/circling approaches Fatal CFIT Accidents by Type of Approach Flown 21% 21% Precision 5% Non-precision Visual/Circling User-defined Unknown 15% 38% RETRE Conference – 17 November 2009

Review of CFIT Data  TAWS warnings by cause Visual flight Valid 4.7% 2.5% Hardware failure 0.4% Altitude error 13.8% FMS error Database error 16.4% 62.3% RETRE Conference – 17 November 2009

Review of CFIT Data  TAWS database errors by cause Runway Error 3% New Runway 8% Terrain Error 42% Missing Runway 47% RETRE Conference – 17 November 2009

Review of CFIT Data  TAWS altitude errors by cause GPS Error 1% Setting error 15% QFE 44% ADC Error 40% RETRE Conference – 17 November 2009

Literature Survey of Previous CAA Work  CFIT Fishbone Group 2005  18 recommendations  6 included in 2006 CAA Safety Plan  CAA Safety Plan Updates (2007 & 2008)  3 new recommendations included  CFIT Fishbone Group 2008  Further recommendations made but not endorsed RETRE Conference – 17 November 2009

Progress with Recommendations from Previous CAA Work  Original 6 recommendations:  Undertake cost benefit analysis of SSR and/or other approach monitoring improvements  Complete design and assessment work for Gatwick APV BaroVNAV trial and six GNSS trial approaches  Prepare strategy for APV implementation based on results of trial  Complete development of GNSS approach validation tool and make available for use  Encourage operators to review training procedures on how to deal with GPWS alerts  Review CAP 516 RETRE Conference – 17 November 2009

Progress with Recommendations from Previous CAA Work  Additional 3 recommendations:  Publish results of GNSS trial in CAA Paper  Seek changes to specification of displayed information to reduce potential CFIT risk during RNAV (GNSS) operations  Raise awareness of meaning and correct use of information displayed on certain GPS receivers RETRE Conference – 17 November 2009

Industry Work  Airline Flight Operations  CFIT training  SOPs  Crew debrief of CFIT-related incidents  Helicopter Operations  Air Navigation Service Provider  Download of mode S Data  Introduction of MSAW (Minimum Safe Altitude Warning) RETRE Conference – 17 November 2009

Next Steps  Review of 2008 CFIT Fishbone Group Recommendations  Formulate Future Recommendations RETRE Conference – 17 November 2009