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MARCH 2019 Journal of the International Society of Air Safety Investigators

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MARCH 2019 Journal of the International Society of Air Safety Investigators Air Safety Through Investigation JANUARY-MARCH 2019 Journal of the International Society of Air Safety Investigators ISASI Holds 2018 Seminar in Dubai, UAE page 4 ISASI Kapustin Scholar- ship Essay—Big Data: Thinking Big for Aircraft Accident Prevention page 11 ISASI Presents Capt. Mohammed Aziz with 2018 Jerome Lederer Award page 14 EASA Involvement in Safety Investigations page 17 Investigating Our Future page 22 ISASI International Council Conducts Semiannual Meeting page 26 CONTENTS Air Safety Through Investigation Journal of the International Society of Air Safety Investigators FEATURES Volume 52, Number 1 Publisher Frank Del Gandio 4 ISASI Holds 2018 Seminar in Dubai, UAE Editorial Advisor Richard B. Stone By J. Gary DiNunno, Editor, ISASI Forum—Society members from all over the world Editor J. Gary DiNunno gathered in Dubai, the United Arab Emirates, from Oct. 30 to Nov. 1, 2018, for ISASI’s 49th Design Editor Jesica Ferry international accident investigation and prevention conference to listen to technical pres- Associate Editor Susan Fager entations, conduct ISASI business, and network with colleagues. ISASI Forum (ISSN 1088-8128) is published quar- 11 ISASI Kapustin Scholarship Essay—Big Data: Thinking Big for terly by the International Society of Air Safety Investigators. Opinions expressed by authors do Aircraft Accident Prevention not necessarily represent official ISASI position By Ian Low, University of New South Wales, 2018 ISASI Rudolf Kapustin Memorial Schol- or policy. arship Recipient—The author examines how analyzing “big data” can be useful in accident prevention and can assist in the decision-making process for flight crews thereby incorpo- Editorial Offices: Park Center, 107 East Holly Ave- rating previously unknown or seemingly unrelated factors that contribute to accidents. nue, Suite 11, Sterling, VA 20164-5405. Telephone 703-430-9668. Fax 703-430-4970. E-mail address, 14 ISASI Presents Capt. Mohammed Aziz with 2018 Jerome [email protected]; for editor, jgdassociates@ starpower.net. Internet website: www.isasi.org. Lederer Award ISASI Forum is not responsible for unsolicited By J. Gary DiNunno, Editor, ISASI Forum—ISASI conveys its highest recognition for air manuscripts, photographs, or other materials. safety investigation and prevention, the Jerome F. Lederer Award, to Capt. Mohammed Aziz Unsolicited materials will be returned only if for a lifetime of promoting air safety through investigation. submitted with a self-addressed, stamped enve- lope. ISASI Forum reserves the right to reject, 17 EASA Involvement in Safety Investigations delete, summarize, or edit for space con- siderations any submitted article. To facilitate By Mario Colavita, Safety Investigation and Reporting Section Manager, European Aviation editorial production processes, American Eng- Safety Agency—The author reviews EASA’s 2018 efforts to regulate, certify, and standardize lish spelling of words is used. air accident investigations that involve state investigative authorities within the agency’s jurisdiction. Copyright © 2019—International Society of Air Safety Investigators, all rights reserved. Publica- 22 Investigating Our Future tion in any form is prohibited without permis- By Nat Nagy, Executive Director of Transport Safety, Australian Transport Safety Bureau— sion. ISASI Forum registered U.S. Patent and The author outlines the ATSB’s efforts to be “future ready” by theorizing what kind of exper- T.M. Office. Opinions expressed by authors do tise might be needed, what new forms of data might be required, and how the bureau might not necessarily represent official ISASI position or policy. Permission to reprint is available upon communicate in the future to interested parties. application to the editorial offices. 26 ISASI International Council Conducts Semiannual Meeting Publisher’s Editorial Profile: ISASI Forum is print- By J. Gary DiNunno, Editor, ISASI Forum—The Society’s top officers, councilors, and commit- ed in the United States and published for profes- tee chairs gather prior to ISASI 2018 for their semiannual business meeting. sional air safety investigators who are members of the International Society of Air Safety Inves- tigators. Editorial content emphasizes accident investigation findings, investigative techniques and experiences, regulatory issues, industry ac- DEPARTMENTS cident prevention developments, and ISASI and 2 Contents member involvement and information. 3 President’s View Subscriptions: A subscription to members is pro- 28 News Roundup vided as a portion of dues. Rate for nonmem- 30 ISASI Information bers (domestic and Canada) is US$28; Rate for 32 ERAU Student Selected for Robertson/ISASI Fellowship nonmember international is US$30. Rate for all libraries and schools is US$24. For subscription information, call 703-430-9668. Additional or replacement ISASI Forum issues: Domestic and Canada US$4; international member US$4; do- mestic and Canada nonmember US$6; interna- ABOUT THE COVER tional nonmember US$8. ISASI President Frank Del Gandio, right, presents the 2018 Jerome F. Lederer Award to Capt. Mohammed Aziz during the Society’s Awards Banquet. INCORPORATED AUGUST 31, 1964 2 • January-March 2019 ISASI Forum PRESIDENT’S VIEW TWO THINGS AN INVESTIGATOR MUST HAVE: INDEPENDENCE AND INTEGRITY. INDEPENDENCE TO DO THE WORK WITHOUT OUTSIDE INFLUENCE OR PRESSURE…. INTEGRITY, WITHOUT IT, TRUE PROGRESS IN ACCIDENT INVESTIGATION AND PREVENTION IS NOT POSSIBLE. WHAT AN ISASI TREASURE! go-team tance when I had questions or ter of ceremonies for a memo- doing sought guidance. rial dedication at the National major Prior to 2000, ISASI rented Museum of the United States cata- office space in Sterling, Virgin- Air Force at Wright-Patterson strophic ia. The landlord was raising Air Force Base in Dayton, Ohio, acci- the rent, and the new lease to honor of the 61st Fighter dents would have massive increases Interceptor Squadron and around for the next few years. Tom has served for many years as the and I discussed the possibility a volunteer senior docent for world. of ISASI buying a condomini- visitors to the National Air and In his um to establish a new Society Space Museum in Chantilly, career, headquarters. Tom found a vi- Virginia, and trained other vol- Tom was able unit, and ISASI purchased unteers to become docents. involved the condo. Over the years, this During Tom’s tenure as in more purchase has been a major ISASI treasurer, he spent much than 100 cost savings for ISASI and has time and effort to obtain ISASI accident even generated revenue from tax-exempt status from the om McCarthy, an ISASI investigations and was the IIC renting office space to other U.S. federal government and Life Member, started on most. He’s responsible for occupants. The condo is now then subsequently from the his aviation career many safety recommendations worth more than twice what state of Virginia government. Twhen he joined the U.S. that have improved aviation ISASI paid for it. Tom became Tom’s contributions to ISASI Air Force on Feb. 15, 1951. He safety worldwide. the plumber, electrician, win- and aviation safety are truly was a fighter pilot flying the Tom joined ISASI in 1981 dow washer, and performed monumental, and the mem- F-106 Delta Dart with the 61st and was a member of the ISASI other work to help maintain bership is eternally grateful. Fighter Interceptor Squadron Membership Committee before the new unit. We wish Tom the best of stationed in Minot, North Da- becoming committee chair In 2007, ISASI presented health and much happiness in kota, USA. In the early 1960s, in 1994—a position he held Tom with its highest recog- his retirement. He is now living his commander appointed until recently. In 1994, Tom nition for lifetime efforts to the good life in Florida. him the squadron flight safety also accepted the position of improve air safety through officer, and he’s been involved Nominating Committee chair. investigation—the Jerome F. in aviation safety ever since. In 1995, he agreed to assume Lederer Award. In accepting In March 1973, Tom retired the remainder of a term for this award, Tom noted that he from the Air Force as a lieuten- ISASI treasurer, was elected to believes there are “two things ant colonel. Shortly after re- the position in 1996, and con- an investigator must have: tiring, Tom accepted employ- tinued to hold that office until independence and integrity. ment with the U.S. National October 2012. In 1996, Tom Independence to do the work Transportation Safety Board as convinced me to become ISASI without outside influence or an investigator in the New York secretary—a position I held for pressure…. Integrity, without field office and subsequently one two-year term—and then it, true progress in accident transferred to the Washington, to become ISASI president in investigation and prevention is Frank Del Gandio D.C., office to be an investi- 1998. He was always ready to not possible.” ISASI President gator-in-charge (IIC) of the offer sound advice and assis- Tom recently served as mas- January-March 2019 ISASI Forum • 3 ISASI HOLDS 2018 SEMINAR IN DUBAI, UAE ore than 300 delegates, guests,M and com- panions from 46 countries—a new record for states represented—gathered at the Intercontinental Hotel in Dubai, United Arab Emirates (UAE), Oct. 30–Nov. 1, 2018, for ISASI’s 49th annual internation- al accident investigation and prevention ISASI 2018 participants attend the President’s Reception on the hotel patio. conference. The theme for ISASI 2018 was “The Future of Aircraft Accident Investi- and techniques unique to military gation.” air operations. Civilian air safety personnel had two options: a Tutorials and the President’s morning session on recognizing Welcome Reception metal fatigue issues at an accident On Monday, October 29, more than site or an all-day multipresenta- 100 safety and accident investigation tion session on future develop- representatives participated in three ments and challenges to air safety preseminar tutorial programs cover- investigation. ing military and civilian aviation safety That evening, tutorial and issues.
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