Safety WORLD SAVING LIVES, SAVING MONEY SAFETY ROI

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Safety WORLD SAVING LIVES, SAVING MONEY SAFETY ROI AeroSafety WORLD SAVING LIVES, SAVING MONEY SAFETY ROI MASTERING COMPLEXITY Keeping pace with automation UNHAPPY ENDING Overrun at Jackson Hole TRAINING FOR SURPRISES Lessons from Air France 447 RETURN TO SENDER Radar for weather awareness THE JOURNAL OF FLIGHT SAFETY FOUNDATION SEPTEMBER 2012 PRESIDENT’SMESSAGE THE FOURTH Estate was winding down from engagement in an- Another reason we engage with journalists other flurry of news media stories, and think- is to advance views that are critical to the crimi- ing that many of our members probably don’t nalization issue and data protection. We focused understand Flight Safety Foundation’s relation- world attention on those subjects following the Iship with reporters, or are not even aware of all Gol mid-air in Brazil, the Concorde trial and the the things we do with the media. 15-year Air Inter prosecution. We also have been One big reason the Foundation engages ag- very vocal about rulings in Italy that have directly gressively with the media is to give safety profes- interfered with accident investigations. sionals the room they need to do their jobs. Today, Finally, we often engage with the media be- there is no shortage of people who understand cause we need to help them get the story right, or safety, but these people endure a lot of interfer- correct it when it is wrong. Following the tragic ence from politicians, judges and policymakers. crash that killed high-ranking members of the Pol- When an aviation safety event finds its way into the ish government in 2010, we had endless conversa- public spotlight, these politicians are compelled to tions with the Russian and Polish media, helping respond. That means the Foundation has to reach them understand that this horrible tragedy was an out quickly to global media outlets to provide a ordinary CFIT, not a conspiracy. More recently, we balanced viewpoint. We put the situation into a had the unpleasant job of pointing out to the world reasonable context and may suggest reasonable that the Washington Post had gotten a story wrong. actions. If people insist on being unreasonable, They took an embarrassing ATC blunder on a clear we are in a position to clearly point that out. day at Washington Reagan National Airport and Last year, a controller in Washington fell turned it into a sensational tale of a near-death asleep on duty, which resulted in public outrage. experience that made headlines around the world. The immediate political reaction was to fire a lot The result of all this is that you will see Flight of people and put in place a bunch of draconian Safety Foundation experts quoted in publications all rules. We worked with dozens of media outlets to around the world. We use our position and reputa- explain why this wouldn’t be the best decision, as tion as an international, unbiased safety organization it wouldn’t solve the problem. Our effort helped to help reporters understand the latest safety news. moderate the situation. It made room for more It is a big job influencing the way aviation safety is reasonable solutions to be heard. covered in the world. We can’t engage on every issue, There was a similar political reaction this year but if we miss an important one, please let us know. following two fatal crashes in Nigeria. Nigeria has We are not doing this for fun. We are doing it for you. been moving in a very positive direction since the tragic years of 2005 and 2006. But when the recent accidents occurred, local media and politicians threatened to undo the hard-won reforms that had already been put in place. The Foundation worked behind the scenes to shape the global coverage William R. Voss and send a strong message encouraging Nigeria President and CEO to stay the course. Flight Safety Foundation FLIGHTSAFETY.ORG | AEROSAFETYWORLD | SEPTEMBER 2012 | 1 AeroSafetyWORLD contentsSeptember 2012 Vol 7 Issue 8 features 16 CoverStory | Real Return on Investment 20 SafetyRegulation | BEA Training Recommendations 16 24 AvWeather | Ground Radar Dependence 24 30 FlightTraining | Simulating In-Flight Ice 34 CausalFactors | Analysis of a 757 Overrun 40 HumanFactors | Safety Culture ‘Pathogens’ 43 Flight Deck | More Resilient Automation departments 1 President’sMessage | The Fourth Estate 5 EditorialPage | USA Sequestration and Safety 7 Executive’sMessage | IASS 2012 — Santiago 8 AirMail | Letters From Our Readers 9 SafetyCalendar | Industry Events 30 10 FoundationFocus | Non-Punitive Is Not Easy 2 | FLIGHT SAFETY FOUNDATION | AEROSAFETYWORLD | SEPTEMBER 2012 40 34 43 AeroSafetyWORLD telephone: +1 703.739.6700 12 InBrief | Safety News William R. Voss, publisher, FSF president and CEO [email protected] 49 DataLink | EASA Member States Frank Jackman, editor-in-chief, FSF director of publications 52 Info Scan | Weather in Context [email protected], ext. 116 Wayne Rosenkrans, senior editor 56 OnRecord | Air Data Spikes Trigger Upset [email protected], ext. 115 Linda Werfelman, senior editor 64 SmokeFireFumes | Selected U.S. Events [email protected], ext. 122 Rick Darby, associate editor [email protected], ext. 113 Jennifer Moore, art director [email protected] Susan D. Reed, production specialist [email protected], ext. 123 About the Cover Ramp operations at Editorial Advisory Board Reagan National Airport (DCA) © 2011 Ulf E. Wallin David North, EAB chairman, consultant William R. Voss, president and CEO Flight Safety Foundation Frank Jackman, EAB executive secretary We Encourage Reprints (For permissions, go to <flightsafety.org/aerosafety-world-magazine>) Flight Safety Foundation Share Your Knowledge Steven J. Brown, senior vice president–operations If you have an article proposal, manuscript or technical paper that you believe would make a useful contribution to the ongoing dialogue about aviation safety, we will be National Business Aviation Association glad to consider it. Send it to Director of Publications Frank Jackman, 801 N. Fairfax St., Suite 400, Alexandria, VA 22314-1774 USA or [email protected]. The publications staff reserves the right to edit all submissions for publication. Copyright must be transferred to the Foundation for a contribution to be published, and Barry Eccleston, president and CEO payment is made to the author upon publication. Airbus North America Sales Contact Emerald Media Don Phillips, freelance transportation Cheryl Goldsby, [email protected] +1 703.737.6753 reporter Kelly Murphy, [email protected] +1 703.716.0503 Russell B. Rayman, M.D., executive director Subscriptions: All members of Flight Safety Foundation automatically get a subscription to AeroSafety World magazine. For more information, please contact the Aerospace Medical Association, retired membership department, Flight Safety Foundation, 801 N. Fairfax St., Suite 400, Alexandria, VA 22314-1774 USA, +1 703.739.6700 or [email protected]. AeroSafety World © Copyright 2012 by Flight Safety Foundation Inc. All rights reserved. ISSN 1934-4015 (print)/ ISSN 1937-0830 (digital). Published 11 times a year. Suggestions and opinions expressed in AeroSafety World are not necessarily endorsed by Flight Safety Foundation. Nothing in these pages is intended to supersede operators’ or manufacturers’ policies, practices or requirements, or to supersede government regulations. FLIGHTSAFETY.ORG | AEROSAFETYWORLD | SEPTEMBER 2012 | 3 Select the Integrated Air Safety Management Software Solution... SMS IAMS FAA Airline Quality JSA IOSA Flight Control Safety Audits Risk Matrix Safety Integrated JSA Aviation Security IAMS SMS IOSA Environmental JSA FAA Risk Management IAMS SMS SMS IATA Operational Safety Audit Flight Control Job Safety Analysis IATA Risk Matrix Safety Management System Job Safety Analysis FAA IOSA Risk Assessment JSA Integrated Airline Management System IATA JSA Environmental Federal Aviation Administration IOSA IOSA Reporting Airline Industry IAMS Aviation Risk Assessment FAA Airline Safety JSA SMS Safety Audits Aerosafety Risk Management Flight Control Flight Control Safety Audits Safety Audits Reporting JSA Risk Matrix SMS Airline IOSA FAA SMS Airline IAMS IAMS Air Safety IATA Quality Integrated Airline Safety IOSA Reporting Flight Control Job Safety Analysis Aerosafety Safety Audits Risk Management IATA Airline Industry FAA SMS SMS JSA Aviation FAA Best Practices: Integrated modules for Aviation Safety Management: ...with the most VALUE Document Control • Reporting • Audits • Training • Job Safety Analysis CAPA • Safety Incident Reporting • Risk Assessment ...and more! Safety Assurance: Handles daily events, hazard analysis, and controls related to Aviation Safety Management System Assessment & Corrective Action: Uses intelligent Decision trees to determine whether event conform to requirements, and take Corrective Action to known events Safety Risk Management: Intuitive process for determining potential hazards using Job Safety Analysis, FMEA and similar tools Risk Assessment: Identifies, mitigates, and prevents high-risk events in the Aviation Safety Management System Change Control: Implement Controls to mitigate risks and Change Management to change processes related to known hazards Integration: Integrates with 3rd party business systems Scalable: Readily adapts to enterprise environments, and multi-site Deployments Business Intelligence: Enterprise reporting tracks KPIs, aids in decision-making with hundreds of configurable charts and reports 800-354-4476 • [email protected] www.etq.com/airsafety EDITORIALPAGE USA SEQUESTRATION and Safety larm bells are
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