Aviation Accident.pdf

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DEFINITION & CAUSE

CASE EXAMPLE

HUMAN FACTOR

SAFETY CULTURE

DEFINITION & CAUSE

DEFINITION OF AVIATION ACCIDENT

According to the Annex 13 to the Convention on International Civil Aviation, aviation accident have the following meaning: a) a person is fatally or seriously injured b) the aircraft sustains significant damage or structural failure, or c) the aircraft goes missing or becomes completely inaccessible

ANALYSIS OF THE CAUSE OF RECENT AVIATION ACCIDENTS The are total of 74 aviation accidents happened between 18/10 to 17/11.

89%

4%

7%

Technical Issue

Human Factor

Other Issue

CASE EXAMPLE

CASE EXAMPLE 1

▪ ▪ ▪ ▪ ▪ ▪ ▪

Date: 18-OCT-2018 Time: 07:22 UTC Aircraft types: A320-200 Owner/operator: Air Astana Registration: P4-KBB 97 passengers and 9 crew Departure airport: Shymkent International Airport (CIT/UAII) ▪ Destination airport: Astana International Airport (TSE/UACC)

CASE EXAMPLE 2

▪ Date: 01-AUG-2018 ▪ Time: 16:12 UTC ▪ Aircraft types: Boeing 737-86J (WL) ▪ Owner/operator: Smartwings ▪ Registration: N624XA ▪ Departure airport: Heraklion Airport (HER/LGIR) ▪ Destination airport: Pardubice Airport (PED/LKPD)

HUMAN FACTOR

HUMAN FACTOR EXPLANATION

▪ Human performance which interact with their (aviation) environment to influence the outcome ▪ Physiological or psychological ▪ Directly affect the way in which the human operator performs ▪ A causal factor in the majority of aircraft accidents and serious incidents

Air Astana Flight-352 UACC METAR: 220730Z 32017G25MPS 9999 -SHRA VCTS SCT013CB BKN070 15/12 Q1010

➢ 320 @ 17 gusting 25 meter per second (33 gusting 48 knots)

67 ft

67 ft

TDZ

TDZ

Touch Down Touch Down

Full Reverse applied

Smartwing Flight-1903 ➢ ➢ ➢ ➢

Too high at Threshold Missing the TDZ (long flare) Inadequate AUTOBRAKE setting Delay in deploying the thrust reversers

SAFETY CULTURE

SAFETY CULTURE DEFINITION

Safety Culture is the way safety is perceived, valued and prioritised in an organisation. It can be described as "how an organisation behaves when no one is watching".

WHY DO WE NEED SAFETY CULTURE ? ➢ Safety Management System may not always be followed ➢ Superiors usually took risks rather than their peers ➢ Organisations will assume that they are already safe because serious accident rarely occur It is even harder to see are contributing situations which affect an organisation's ‘forward vision’ in safety, because: ➢ Real aircraft accidents are usually complex and multiple causes can be identified ➢ Under-reporting of incidents due to fears of recrimination or prosecution ➢ different sub-groups not sharing information due to a lack of mutual trust

HOW TO MEASURE SAFETY CULTURE? Safety Culture is hard to see from the inside. Therefore, measuring Safety Culture, in most industries, are usually a combination of internal and external perspectives: the ‘outsider’s view is used to help make objective the insider’s viewpoint.

Safety Manager or Safety Director of the organisation

Safety Culture Survey which is: ▪ Anonymous ▪ Confidential ▪ Independent

WHAT IS GIVEN BY SAFETY CULTURE? Safety Culture is a business target so that the front staff have high intension to maintaining safety with the support from the management. This enhance the mutual trust which is invariably accompanied by a positive impact on productivity.

ACHIEVING AN ADEQUATE LEVEL OF SAFETY CULTURE CAN BRING A BETTER FOCUS ON: ✓ Incident recording ✓ Incident analysis ✓ Staff training and the integration of maintenance ✓ Safety and operational safety priorities

THANK YOU

Q &A