Safety Management at Zurich Airport Events/Safety Seminar 2008/Speak… · Safety Management at...

© Unique (Flughafen Zürich AG)27.11.2008lZürich-Flughafen

Safety Management at Zurich Airport

Safety Office Unique(Zurich Airport Ltd.)

27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19 2 © Unique (Flughafen Zürich AG)l l

Airport layout

Crossing of 2 active RWY’s

Several dependencies between all 3 RWY’s

Several TWY’s crossing RWY’s

Complex TWY system; single TWY ahead dock B

2 remote deicing pads (C and F)

Responsibilities TWR/Apron

TOWERAPRON (north)APRON (south


Airport Organisation


ICAO Annex 14 Requirements

• Acceptable level of safety to be established by the state• Certified aerodrome operator shall implement an SMS, incl.

• Identify Safety Hazards• Remedial action to maintain an acceptable level of safety

is implemented• Continuous monitoring and regular assessment of

achieved safety level• Continuous improvement to the overall level of safety

• SMS shall define lines of safety accountability at AD, including a direct accountability for safety on the part of senior management


Safety Management System Zurich Airport

Objectives and Policy

- Safety Policy- Safety Organisation- Safety Cultur

Safety Promotion

- Training- Information/Communication- Continuous Improvement

Safety Management

- Safety Procedures- Corrective Actions- Hazard Identification- Occurrence Reporting- Safety Investigations

Safety Monitoring

- Audits / Inspections- Performance Measurement- Compliance Management


Aerodrome Manual I

Content

1. Introduction2. Information about the aerodrome3. Airport Information for the aeronautical

information services4. Operational and safety procedures5. Safety Management System (SMS)


Aerodrome Manual IIChapter

Short description

ResponsibleOrganisation

Relevant Documents

Applicability

Aerodrome Manual II


Airport Safety Policy

Key Issues:

Comply with rules and regulationsAvoid Accidents and reduce incidentsSafety Culture (Just culture)Continuous ImprovementEmployee empowerment and

capabilitiesSafety as indicator for airport qualityApplicability of policy


Safety Culture I


Safety Culture II


Safety Culture IIIThe first recommendation of the „European action plan for the prevention of runway incursion“ was that a RUNWAY SAFETY TEAM should be formed!

Participants in Zurich from: Airport, Air Traffic Control and Homecarriers


Safety Organisation ZRH Airport

Operations Flughafen Zürich

Airport Procedure Management

Produktionsplanung

Fachkreis Passagier

Security Committee

Runway Safety Team ZürichAirport Safety Committee

Fachkreis Gepäck (ex PAUS)

Pünktlichkeitsausschuss

7 -Days

Snow -Ops

APT -Meeting CUTE User Board (CUT)

Koordinationsgruppe Zutritt

Notfallplanung

Airside Systems

Ramp Safety Culture ZürichWorks Committee

Bird Strike Committee


Hazard Identification


Safety Assessments

Evaluate Measures

Scenarios

Probability Damage

Determine Risk

Risk Appraisal Criteria

Hazard identification

Risk anaylsis

Risk Appraisal

Risk Mitigation

System Definition


Zurich Airport Safety Risk Matrix


Top Risk Cluster Ground

RESA

X-ingRWY RWY

X-ing

TWY

Turbulences

GND traffic


Top Risk Cluster Go around / SID

SID 16

SID 32

G/A 14

G/A 34

SID 10

Top Risk Cluster Go around / SID


Risks Operations Zurich Airport (2006/7)

• Introduction• Risk Overview• Risk Sheets

- Description- Assessment (P, A) and appraisal- Acceptability- Mitigation measures- Milestone- Material, Studies

• Development/Update

Update SEP – DEZ 2008

Risk Flight Operations

V 1, März 2007


Occurrence Reporting


Accidents happen daily…

© Unique (Flughafen Zürich AG)l l

…even to companies with an excellent safety record…


…also at Zurich Airport


Occurrences and Accidents: 1:600 Rule

1

10

30

600

Fatal Accidents

Accidents

Occurrences

Incidents


Goal of the Occurrence Reporting System

1. Raising Flight Safety thanks to Reporting, Documentation and Distribution of safety relevant informations

2. Priorisation of measures to prevent similar accidents / incidents3. Complete Reporting to the Regulator4. Creation of Safety Key Indicators and Safety Targets to measure

Safety Performance

http://www.airliners.net/open.file?id=0090233&WxsIERv=Obrvat%20747-4...&Wm=0&WdsYXMg=Pngunl%20Cnpvsvp%20Nvejnlf&QtODMg=Ubat%20Xbat%20-%20Xnv%20Gnx%20Vagreangvbany%20%28UXT%20%2F%20IUUU%29%20%28pybfrq%29&ERDLTkt=Puvan%20-%20Ubat%20Xbat&ktODMp=1998&BP=0&WNEb25u=Ynjerapr%20Puvh&xsIERvdWdsY=&MgTUQtODMgKE=PK%20747-400%20ubyqvat%20ba%20gur%20fgnegvat%20cbvag.&YXMgTUQtODMgKERD=234268&NEb25uZWxs=2000-06-20%2000%3A00%3A00&ODJ9dvCE=&O89Dcjdg=&static=yes&width=1024&height=683&sok=%20beqre%20ol%20ivrjf%20qrfp&photo_nr=143&prev_id=0856005&next_id=0892370


Occurrence Reporting categories

I. Aircraft Accidents / Serious Incidents (according ICAO Annex 13)

II. Other Accidents and Incidents (according Swiss Law)

- Incidents linked to fueling and deicing procedures- System / infrastructure failures- Wrong informations- Turnaround incidents- Injured personell, dangerous goods, FOD…

III. Safety Enhancement Informations: nothing happened… (Lessons learned for other employees, occurrences which almosthappened, failure of a specific airport system)

http://www.airliners.net/open.file?id=0892370&WxsIERv=Nveohf%20N340-313K&Wm=0&WdsYXMg=Nve%20Senapr&QtODMg=Gbebagb%20-%20Yrfgre%20O.%20Crnefba%20Vagreangvbany%20%28Znygba%29%20%28LLM%20%2F%20PLLM%29&ERDLTkt=Pnanqn%20-%20Bagnevb&ktODMp=Nhthfg%202%2C%202005&BP=0&WNEb25u=Yrr%20Gubznf&xsIERvdWdsY=S-TYMD&MgTUQtODMgKE=Bireena%20gur%20ehajnl%20ba%2002.08.2005.%20Rirelbar%20fheivirq.%20Gnxra%20sebz%20gur%20401%20Pbyyrpgbef.&YXMgTUQtODMgKERD=234256&NEb25uZWxs=2005-08-03%2009%3A07%3A02&ODJ9dvCE=&O89Dcjdg=289&static=yes&width=1200&height=808&sok=%20beqre%20ol%20ivrjf%20qrfp&photo_nr=144&prev_id=0090233&next_id=0952823

http://www.airliners.net/open.file?id=0231683&WxsIERv=Nveohf%20N340-312&Wm=0&WdsYXMg=GNC%20Nve%20Cbeghtny&QtODMg=Evb%20qr%20Wnarveb%20-%20Tnyrnb%20Vagreangvbany%20%28Nagbavb%20Pneybf%20Wbovz%29%20%28TVT%20%2F%20FOTY%29&ERDLTkt=Oenmvy&ktODMp=2000&BP=0&WNEb25u=Ebt%E9evb%20Pneinyub&xsIERvdWdsY=PF-GBN&MgTUQtODMgKE=Gung%B4f%20tbggn%20uheg%21%21%21%20Abgr%20gung%20gur%20pngrevat%20gehpx%20arire%20ybjrerq%20gur%20fgnovyvmref%20cevbe%20gb%20yvsgvat.&YXMgTUQtODMgKERD=241659&NEb25uZWxs=2002-04-26%2000%3A00%3A00&ODJ9dvCE=&O89Dcjdg=041&static=yes&width=800&height=612&sok=%20beqre%20ol%20ivrjf%20qrfp&photo_nr=140&prev_id=0237206&next_id=1000100


ZRH Airport Occurrences 2007

39 (47/46.8) damaged airplanes byvehicles or occurrences involvingairplanes (Part A- B)

68 (85/79) damaged vehicles by othervehicules (Part C- D)

56 (43/45.2) damaged infrastructure byvehicles or other type of occurrences (Part E)

Legend:Red: Number of occurrences in 2007Blue: Number of occurrences in 2006Green: Average number of occurrences 2001-2006


Bird Strikes Zürich Airport, 2004-2006

Quelle: Swiss, Unique


RWY Incursions und Incursion-Ratio

0

2

4

6

8

10

12

2000 2001 2002 2003 2004 2005 2006 2007 2008

Num

ber

of In

curs

ions

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

Incu

rsio

n R

ate

per

100'

000

Mov

emen

ts

Inc/Y Rate ZRH Rate ECAC


How it works in practise (I)Vorfallmeldung (Occurrence Report)

„Pushback of an MD-83. When the aircraft was still in connection with cable of the truck, theaircraft started to taxi because they got the taxiclearance; the cockpit crew never got the all clear signal sign, Apron instructed to stopimmediately.“

Investigation phases1. Reporting from the Handling Agent2. Documentation on the database with categorisation3. Letter Zurich Airport to the Airline Operator (No Answer)4. Letter from the Regulator to the foreign Regulator5. Answer of the Airline Operator to the incident and the findings


How it works in practise (II)

Letter Airline Operator to Unique and FOCA, 23.8.07

In reference to the incident occurred on the 17th of February 2007, in Zurich airport, allow us firstly to apologize for the delay in giving an answer, due to an administrative error.

As soon as we received the notification of the incident, we took actions in order to avoid repeating such incident. We included a company NOTAM, which we describe below:

“Do not request Taxi Clearance until Push-back manoeuvre has been completed and clear signal has been granted.”


Safety Monitoring


Safety Oversight Regulator

Airport Operator

Fueling Companies Handling Agents

Airline OperatorsANSP

MRO

Annex 6JAR OPS

Annex 11 ESARR

VFD

JAR OPS JIG

JAR OPS, ISAGO

Annex 11 JAR Maint

Annex 14 Doc 9774

VIL

FOCA Oversight

Unique Oversight

Airlines Oversight

Legalbasis

http://www.icao.int/index.html

http://www.easa.eu.int/home/index.html

http://de.wikipedia.org/wiki/Bild:IATA.png

http://www.lufthansa.com/online/portal/lh/de/homepage?l=de&nodeid=1649106

http://www.tarubag.ch/index.cfm

http://www.gategourmet.com/index.html

http://www.cirrus-world.de/opencms/opencms/Cirrus-Group/Cirrus-Airlines/index.html


Audit planning


SafetyPerformanceIndicators


Incident indicators (an example)Near miss on the apron (Cat. H10)•Cat I: a collision was near and did not happen just by coincidence or ended with the abrupt stopping of either the aircraft or the vehicle•Cat II: near miss on apron without abrupt stopping maneuver (the minimum safety distance was not maintained [200m in front, 100m behind an aircraft])•Cat III: a near miss on apron between two aircrafts•Cat IV: Push-Back incidents


Safety Promotion


In a Nutshell

• Comply with ICAO Standards and Recommended Practises (SARPs) and actively manage non-compliances

• Document and manage safety relevant procedures• Collect, analyse accidents, incidents and any other safety relevant

information (provided by employees)• Encourage a just reporting culture (Just Culture)• Define and communicate the meaning of „Safety First“ • Analyse operational hazards on a regular basis• Provide safety oversight of contracting companies by audits and

inspektionen• Establish a suitable safety organisation• Communicate Safety Informationen• Engage in (international) working groups (FOCA, ICAO, ACI, FSF)

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