Bourdon - PowerPoint by liwenting

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									1 - EASA in few words
1 - Present situation

   Investigation organization
       European Aviation Safety Agency

       Investigation process at the
       State level

                                                                Updates,
                                                                briefing,            Certification
                                                              involvement
                                                                                     rulemaking
      IIC                               Acc. Rep.

                     Participation
                     Consultation                                                    Continued
                      Comments                                                     Airworthiness


   Technical                             Technical
    Group                                advisors                                 Manufacturer

State of Occurence                      State of Design,
                                      (same for Registry,
                                                                       Sharing of data at
                                     Manufacture, Operator)
                                                                       the National level

                          Bernard Bourdon, Berlin 15-16 October 2007                        Slide 3
           European Aviation Safety Agency

           Investigation relationship at
           the State level

Updates, briefing,
involvement




                                            Regulator




                                    Technical advisor


                                        Data access
        AIB(s)                                                      Manufacturer
                       Bernard Bourdon, Berlin 15-16 October 2007                  Slide 4
       European Aviation Safety Agency

       Investigation process at the
       European level

                                                                Updates,
                                                                briefing,            Certification
                                                              involvement
                                                                                     rulemaking
      IIC                               Acc. Rep.

                     Participation
                     Consultation                                                    Continued
                      Comments                                                     Airworthiness


   Technical                            Technical
    Group                               advisors                                  Manufacturer

State of Occurence                      State of Design,
                                      (same for Registry,
                                                                       Sharing of data at
                                     Manufacture, Operator)
                                                                       the National level

                          Bernard Bourdon, Berlin 15-16 October 2007                        Slide 5
2 – How to learn from
       investigations
  European Aviation Safety Agency


  Relation EASA/NAA(s) - WHY?

EASA main responsibilities in Safety
deficiencies
 Certification (AD, PAD, EAD, SIB, TC, STC)
 Rulemaking (CS 25, 23, BR, implementing
 rules, AMC)
 Ops
 FCL
 Oversight of NAAs



              Bernard Bourdon, Berlin 15-16 October 2007   Slide 7
   European Aviation Safety Agency


   Investigation in EASA

Directive 94/42/EC binds each member
State but free choice of forms and methods
  Be involved in accident investigations and make
  reports and factual data available
  Support the understanding of Safety issues
Responses to Safety Recommendations
  Act to correct safety deficiencies
  Advances in rulemaking
  Questions answered through research




               Bernard Bourdon, Berlin 15-16 October 2007   Slide 8
  European Aviation Safety Agency

   Occurrences reporting
   in EASA
Directive 2003/42/EC = mandatory
reporting of dangerous occurrences and
collection at the NAAs level
  ECCAIRS software
    Wide use in Europe
    also currently being evaluated by numerous state members + used
     in several organizations (ICAO, Eurocontrol…).
  ICAO + AIBs reported occurrences




                Bernard Bourdon, Berlin 15-16 October 2007     Slide 9
                 European Aviation Safety Agency

                   IS



                                                                                                    ECCAIRS operating or evaluating in
                                                                                                             AIB+NAA
                                                                                FIN                          NAA
ECCAIRS                                                NO        S
                                                                                                             AIB
Countries                                                                            EE

                                                                                         LV
                                                       DK
                                                                                     LT                                                  KZ
                        IRL                                                    RU
                                                                                               BY              RU
                               UK
                                             NL                           PL
                                         B                                                               UA
                                                       D
                                                                     CZ
                                             L
                                                                           SK
                                                                                                    MD
                                                                     A
                                    F             CH                       HU
                                                                                              RO                               GE
                                                                                                                                          AZ
                                                                 SI                                                                 AM

                                                                          BA        SB
                                                                  CR                           BG                                              IR
                                             MC
                                                            IT
            P        E                                                               MK                             TR
                                                                                AL
                                                                                     EL

                                                                                                                                         IQ
                                                                                                                          SY


                                       DZ                      MT                                                CY            Slide 10
                                              Bernard Bourdon, Berlin 15-16 October 2007
               MA
NAA Standardisation meeting 02.12.2004 - Koeln      TN
  European Aviation Safety Agency

  Safety oversight
  in EASA

Provides measurable feed-backs and
information on the safety level
 Safety analysis
   Internal Safety Committee
   Annual Safety Review

 Statistics on internal performance
 answering to SR
 Identify safety deficiencies and
 disseminate related information



              Bernard Bourdon, Berlin 15-16 October 2007   Slide 11
  European Aviation Safety Agency


   Current challenges

Improvement in coordination process
  Establishment of a « Council of European Aviation
  Safety Investigation Authorities »
  Assist the European Commission regarding some
  legal clarifications
Development of the European reporting
scheme
  Safety Recommendations database and taxonomy
  Training on the ADREP coding (harmonization)
  Central European database for occurrences
  reporting
    Agreement on the confidentiality of information
    Agreement on the dissemination of data to a central entity



                 Bernard Bourdon, Berlin 15-16 October 2007       Slide 12
3 - Examples
European Aviation Safety Agency




            Bernard Bourdon, Berlin 15-16 October 2007   Slide 14
European Aviation Safety Agency




            Bernard Bourdon, Berlin 15-16 October 2007   Slide 15
   European Aviation Safety Agency


   Safety loop

Investigation
  Collect finding
  Analyze
  Recommend
Manufacturer
  Technical advisor to the investigation authority
  Continued Airworthiness actor
  Strong involvement in test and research
EASA, Certification authority
  Structure certification specification
  Responsible as State of Design (Annex 8)
    Continued Airworthiness
    TC


                 Bernard Bourdon, Berlin 15-16 October 2007   Slide 16
European Aviation Safety Agency

A330 C-GITS, Lajes
24/08/2001




            Bernard Bourdon, Berlin 15-16 October 2007   Slide 17
  European Aviation Safety Agency

  A330 C-GITS, Lajes
  24/08/2001

IIC, Portugal as State of occurrence
Accredited Representative
 TSBC Canada as State of registration and
 operator
   Technical advisor : Air Transat
   Observer : Transport Canada

  BEA France as State of design
   Technical advisor : Airbus
   Briefing with DGAC




               Bernard Bourdon, Berlin 15-16 October 2007   Slide 18
   European Aviation Safety Agency

    A330 C-GITS, Lajes
    24/08/2001
Safety recommendation addressed
It is recommended that the CAAs of other transport aircraft
   categories manufacturing states, such as Canada, USA, and UK,
   as well as the EASA:
   Review the adequacy of aircraft indications and warning
   systems and procedures to detect fuel-used/fuel-loss
   discrepancy situations;
   Review the capability of these systems to provide clear
   indications as to the causes of these situations; and
   Review the capability of these systems to provide alerts at a
   level commensurate with the criticality of a fuel-loss situation.
EASA Reply
  Task 25.055 – “fuel system low level indication/fuel
  exhaustion” added to the Agency's rulemaking programme.
  Working group created, goal is to publish a Notice of Proposed
  Amendment (NPA) by the 4th Quarter 2007. This is to be done
  with the aim of amending the certification specification CS-25
  by 1st quarter 2009.




                 Bernard Bourdon, Berlin 15-16 October 2007   Slide 19
     European Aviation Safety Agency

      ATR 42 EI-CBK near Dublin
      08/08/2003

  Summary
The aircraft was in cruise , routing from Luton
  Airport (EGGW) in the UK, to Galway
  (EICM), when the RH engine spooled down and
  stopped. The crew decided to divert to Shannon
  because Dublin or Belfast were closed due to fog.
  They landed safely on one engine. The Investigation
  subsequently found that the RH engine stopped
  because the fuel tank feeding this engine was empty.
  IIC, Ireland as State of occurrence


                 Bernard Bourdon, Berlin 15-16 October 2007   Slide 20
     European Aviation Safety Agency

     ATR 42 EI-CBK near Dublin
     08/08/2003
The absence of fuel in the RH tank
was the result of the Captain
inadvertently diverting all the
uplifted fuel into the LH tank
during the refuelling at Luton.
The inoperative LH tank fuel gauge
resulted in the Captain not
detecting diversion of fuel to the
incorrect tank.
Due to the persistent problem with
the LH fuel gauge, the Captain
assumed that the low fuel reading
on the RH gauge was the result of        Safety Recommendation
a gauging error, rather than the
fact that the fuel had been              The European Air Safety Agency (EASA)
inadvertently loaded into the other      should review the certification criteria for
tank and that the low contents
indications from the RH gauge            public transport aircraft low fuel contents
were actually accurate. His
assumption was reinforced                warning systems, with a view to requiring
because the faulty LH gauge failed       such systems to be independent of the
to reveal the excess fuel loaded
into the LH tank.                        main contents gauging systems.


                    Bernard Bourdon, Berlin 15-16 October 2007              Slide 21
   European Aviation Safety Agency

    ATR 72 TS-LBB near Palermo
    06/08/2005
IIC, Italy as State of occurrence
ANSV recommendation
  The EASA should consider the possibility to change the
  fuel system certification regulation for public transport
  aircraft, in order to require that the fuel low level
  warnings be independent from the fuel gauging
  systems.
EASA reply
  The Agency agrees with the safety recommendation.
  Consequently a task has been added to the advance
  planning of the Agency's rulemaking programme. This is
  to be called "25.055 - fuel system low level
  indication/fuel exhaustion". The plan is to set-up a
  working group and to publish a Notice of Proposed
  Amendment (NPA) by the 4th Quarter 2007. This is to
  be done with the aim of amending the certification
  specification CS-25 by 1st quarter 2009.


               Bernard Bourdon, Berlin 15-16 October 2007   Slide 22
   European Aviation Safety Agency


   New opportunities

European view of Safety deficiencies
  Cost efficient process
  Possible cross check of Safety issues based on
  several scenario
Dissemination of information about known
Safety deficiencies
  Prioritise safety deficiencies
Quality of given response
  Good Safety response based on:
    appropriate Design
    & appropriate training
    & appropriate procedures
    & compliance to procedures



                Bernard Bourdon, Berlin 15-16 October 2007   Slide 23
European Aviation Safety Agency




            Bernard Bourdon, Berlin 15-16 October 2007   Slide 24

								
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