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􀂃 Accidents investigation
􀂃 Mandatory safety reporting system
􀂃 other
􀂃 Confidential reporting system
1. Safety Information
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Event Occurrences
Safety Information
Normal Operations
Incidents
Injury
Accidents
Fatal Accidents
Precursors
A project supported by AIRBUS and the CAAC
June 2007
􀀴 Why don’t we find out more safety information or
errors ?
􀀴 Human characteristics
􀂃 Why?
􀀴 How can we be aware of more safety information
especially tiny unsafe occurrences, errors or
hidden information ?
􀀴 answer : confidential reporting!!
􀀴 What is confidential reporting system?
Safety Information
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
􀀴Confidential aviation safety reporting system
is a safety information system that collects,
analyzes, issues safety information,
especially human errors information.
2. Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
June 2007
The Role of Confidential Aviation Safety Reporting
Systems
• Supplement other reporting systems by facilitating
the reporting of safety related information from
individuals directly involved with the operating
system
• Provide access to unfiltered information
• Permit errors/deficiencies/discrepancies to be
reported without attachment of blame
• Provide a supplementary database for analysis of
human factors safety incidents
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Features of the System
􀀴 Voluntary
􀀴 Confidential
􀀴 Non-punitive
􀀴 Neutral
􀀴 Professional
􀀴 Not anonymous
􀀴 Disseminating and sharing information
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
June 2007
Features of the System
􀀴 Voluntary
􀂃 For un-filter, true information
􀀴 Confidential
􀂃 Ensure the anonymity of the reporter and of all parties
involved in a reported occurrence or incident
􀂃 Why?
􀂃 Face, reward, punishment, honor
􀀴 Non-punitive
􀂃 The manager operating the system is not enforcing
entity.
􀂃 The information received by the system can’t be used
for punishment and enforcement.
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
Features of the System
􀀴 Neutral
Independent from - Regulators
- Management
- Employment Groups
􀀴 Professional
the system should give professional feedback to aviation industry
􀀴 Not anonymous
is confidential ,not anonymous
􀀴 Disseminating information
booklet, magazine, and other information issues
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
June 2007
Why Confidential and not Anonymous?
• Confidentiality permits a closed-loop process. This has several benefits:
- More information can be obtained on the issue
- The reporter’s motivation can be independently assessed
- The action to be taken can be discussed and agreed
- The reporter can be advised of the outcome
- The reporter can assess the effectiveness of any action
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
A project supported by AIRBUS and the CAAC
June 2007
􀀴 Great success
􀂃 Broad information sources
􀂾 pilots, mechanics, flight attendants, air traffic controllers,
ground personnel
􀂾 air transport, general aviation, cargo, military
􀂾 manufacturers, airport operators
􀂃 Regular feedback to aviation community
􀀴 Led to significant regulatory changes (fatigue, sterile
cockpit The Sterile Cockpit.htm)
Confidential Aviation Safety Reporting System
A project supported by AIRBUS and the CAAC
June 2007
Confidential Aviation Safety Reporting System
􀀴Great success
ICAO: Aircraft Accident and Incident Investigation(2001)
Annex 13 to the Convention on International Civil Aviation
　
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