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Copyright © 2003 by Stuart Matthews. Published by the American Institute of Aeronautics and Astronautics, Inc., with permission.
general public, as well as to most politicians and the mass of media attention and political pressure, there had
media. The only thing that counts for them is the actual frequently been a tendency to concentrate on the causes
number of accidents. Despite their rarity, public concerns of the most recent accident.
and perceptions are heightened every time there is an
aviation accident, particularly if it is seen as being 3. Continued improvement of aviation safety should be
particularly severe. This was all brought dramatically to a a joint and coordinated effort between industry and
head in the summer of 1996 with the occurrence of two government. It had been observed that government and
particularly harrowing accidents that befell the US different sectors of industry were frequently duplicating
industry. efforts.
2
the JAA’s Joint Safety Strategy Initiative (JSSI) was also Fig. 21. Consequently the current CAST projects are
working on similar priorities and with similar goals. aimed at CFIT prevention; approach and landing
Consequently, in accordance with its overall objectives accident reduction; runway incursions; loss of control
and the safety commissions’ recommendations, JSSI and and turbulence.
other foreign organizations were invited to join the CAST
forum to make it an international effort.
Fig 22. Using the CAST process it has
been possible to sort through literally hundreds of
Fig 18. To pursue its objectives in an orderly recommendations and to develop a strategic safety plan
manner, CAST developed a relatively simple data driven that details 46 priority safety improvement actions, of
process to determine which of many hundreds of possible which 20 have already been completed. The plan is a
safety improvement recommendations should be selected combination of short term actions, such as training or
for priority action. standard operating procedures, and longer range design
based solutions.
Past accidents are analyzed to identify the causes and
interventions (procedural or technical improvements) that In addition there are several prioritized research and
might have been used to prevent them; implement the development projects, including work on Synthetic
most promising improvements, measure the results and, if Vision Systems, Runway Occupancy Signal, ASAP and
necessary, repeat the process. FOQA programs, Datalink, Precision-Like Approach,
Ice Detection and Human Factors.
Fig. 19. This is done through a series of Now let’s take a look at some of the things that have
teams. Joint Safety Analysis Teams, known as “JSATs”, already been done. Time does not permit a fully
study accidents and incidents in a selected flight category comprehensive review of all the recommendations that
such as CFIT. They identify the causes and other have been committed or completed. Consequently I will
contributory factors as well as the most effective just summarize those relating to the most important
interventions that might have eliminated them. areas that, I hope, will give a good impression of the
significant work that is being done and the anticipated
Joint Safety Implementation Teams (JSITs) make outcomes.
feasibility studies of these interventions and develop
specific safety improvement solutions together with plans
for how they should be implemented. These studies take Fig 23. Because it is one of the major
into account a number of factors such as technical killers there has been heavy emphasis on CFIT.
feasibility, financial, operational, schedule, regulatory and Intervention strategies have revolved around technical,
sociological considerations. procedural and educational enhancements.
3
Long term, it is anticipated that research into synthetic produced contain all the relevant information as well as
vision will significantly further reduce the risks of CFIT, providing significantly improved situational awareness
as well as many other risks. for the flight crew.
Fig. 24 There is no doubt that CFIT could be Fig. 28. In the area of Loss of Control,
virtually eliminated if all aircraft were fitted with TAWS operators are providing advanced maneuvers (unusual
– onboard equipment that gives visual and aural warnings attitude recovery) training for their flight crews. Pilots
of terrain that might be a threat to the aircraft’s flight are taught to recover from hazardous flight conditions
path. TAWS is now a mandatory requirement on all new using simulators, the emphasis being on recognition and
large commercial aircraft. Although, regrettably, we have prevention.
seen a resurgence of CFIT accidents in the past year, it
has not happened to any aircraft fitted with improved FOQA programs monitor operational performance of
technical equipment such as this. the crews and provide feedback that can be
incorporated in recurrent training programs. They can
also identify the possible need for supplementary
Fig 25. Precision Approaches (constant angle training for individual crew members to ensure
descents) entail some five to seven times less risk than maintenance of highest operational standards.
step down approaches. Wherever possible runway
approach procedures are being redesigned and vertical Flight envelope protection, already incorporated in
angles are being added to approach charts to give better some of the more advanced aircraft in operation today,
guidance to flight crews. will be incorporated in future designs.
4
bring benefits in other areas. Consequently, this is
definitely a case where one plus one can equal three, or
maybe even four!
5
Air Transport Is Already
Safe
Worldwide Commercial Jet Fleet Accident Rate
The Potential for
Improving Aviation Safety
and
Reducing the Accident Rate
by
by
Stuart Matthews
President
President and
and CEO
CEO
Flight
Flight Safety
Safety Foundation
Foundation
98
98 00
00
AIAA/ICAS
AIAA/ICAS International
International Air
Air and
and Space
Space Symposium
Symposium
Dayton, 1 2
Dayton, Ohio
Ohio 16 th July,
16th July, 2003
2003
15 30
Traffic Growth2
10 20
Flaps retracted
5 Accident Rate3 10
1960 65 70 75 1Basedon current accident rate 2000 05 10 1% 1% 13% 60% 10% 11% 3% 1%
2
Based on industry estimate
3Basedon current accident rate
3 Exposure, percentage of flight time 4
2000
Note: Some non-onboard fatalities are included in this chart. Other
Fatalities
1500
Airplane
1000
760
607
506
Human error
500 306
162
128 119 113 111
45 3
0
CFIT Loss of In-flight Sabo- Midair Hijack Ice/ Landing Wind Fuel Other Runway RTO
control
in flight
fire tage collision snow shear exhaus-
tion
incursion
0 20 40 60 80 100
5 Percentage of current accident rate 6
Accident Rates Vary
Major Focus of FSF Activities
Public Perceptions
TW 800 reconstruction
11 12
National Civil Aviation Review Commissions’ Recommendations
Commission
• There should be a national goal to reduce the fatal
accident rate by 80 per cent in 10 years from 1997
13 14
CABIN SAFETY
Pilot Decision making
30 60
Loss of Control
20 Accidents 40
Runway Incursion
Controlled Flight Carry-on Baggage
15 30 Into Terrain
The goal
10 20 Child Restraint
Turbulence
0 0
1960 65 70 75 1Based on current accident rate 2000 05 10 HUMAN FACTORS
2
Based on industry estimate IMPROVED DATA
3Based on current accident rate
& ANALYSIS IN OPERATIONS &
15 MAINTENANCE 16
Data Analysis
Fatality Risk %
80
•• Identify:
Identify: •• Feasibility
Feasibility studies
studies of
of •• Assess
Assess safety
safety solutions
solutions 40
interventions:
interventions: -- relative
relative effectiveness
effectiveness 30
•• Accident
Accident causes
causes
-- Technical
Technical •• Prioritize
Prioritize actions
actions
•• Possible
Possible interventions
interventions 20
-- Financial
Financial •• Master
Master safety
safety plan
plan
10
-- Operational
Operational •• Measure
Measure effectiveness
effectiveness
-- Regulatory
Regulatory •• Future
Future areas
areas ofof study
study 0
EF
Inc
-- Schedule
ce
p
ac
on
Schedule
n
F lt
l
nd
ta
om
ir
sio
UC
IT
en
Ev
isi
da
C
ew
-- Sociological
To
CG
Sociological
CF
LO
plo
s-C
g-
ul
oll
Mi
Cr
•• Develop
Develop best
best solutions
LO
En
rb
solutions
yC
x
Sy
e/E
Tu
•• Prepare
Prepare implementation
a
implementation
nw
Fir
plans
plans
Ru
19 20
Risk
Risk Remaining
Remaining
80
80
of Risk
operators
-- Pilots
Pilots CAST 1987-2000 Fatal/Hull Loss
Portion
operators
FFlltt
EFF
iioonn
ttaal
nncce
l
IITT
dd
acc
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e
IInnc
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c
E
iddaa
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ssiioo
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CG
lllliiss
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-- Tow
Tow tug
tug operators
C
Mi
gg--U
operators
ullee
ss--C
M
w
plloo
LLO
ew
OC
rrbbu
CCoo
CCrre
Exxp
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-- Pilots
SSyy
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Pilots
TTuu
ee//E
ayy
wa
-- ATC
ATC 29 30
nnw
FFiirr
RRuu
The Costs of Risk Reduction CAST Safety Plan Benefits
NATIONAL
NATIONAL GOAL CAST
CAST approved
approved plan
plan
%
GOAL
Enhancements %
80
80 10000
10000
• Current accident cost per flight $90
Safety Enhancements
70
70 9000
9000
Risk
Risk Reduction
Reduction
8000
60 Total
Total Cost
Cost 8000
• Estimated accident cost per flight $32
Millions)
60
($ Millions)
7000
50
50
7000
- after
after implementation
implementation of
of 46
46 safety
safety
6000
6000
by Safety
enhancements
enhancements
Cost ($
40
40 5000
5000
Resource Cost
2007 2020
Eliminated by
4000
4000
30
30 • Savings per flight $58
Risk Eliminated
Resource
3000
3000
20
20
2000
2000
10
10 1000
1000 Estimated annual savings to industry
Risk
00
Completed Completed + Completed + All JSIT
00
in 2007 will exceed $500 million
Plan (2007 Plan (2020 Proposed
Implementation Implementation Enhancements