PAGE LEFT BLANK Guide to METHODS & TOOLS FOR AIRLINE FLIGHT SAFETY ANALYSIS Prepared by: GAIN Working Group B, Analytical Methods and Tools Second Edition – June 2003 THIS PAGE LEFT BLANK GAIN Guide to Methods & Tools for Airline Flight Safety Analysis Table of Contents Page Foreword...................................................................................................................................v Acknowledgements .................................................................................................................vi 1.0 Introduction.......................................................................................................................1 1.1 Purpose of Guide .........................................................................................................1 1.2 GAIN Overview ..........................................................................................................1 1.3 Working Group B: Analytical Methods and Tools .....................................................1 1.4 Scope ...........................................................................................................................2 1.5 Definitions ...................................................................................................................2 1.6 Review of Methods and Tools.....................................................................................2 1.7 Organization of this Guide ..........................................................................................3 1.8 Changes Made to this Edition of the Guide.................................................................4 1.9 Guide Update and Feedback........................................................................................5 2.0 Application of Analytical Tools to Airline Flight Safety...............................................6 2.1 Types of Airline Flight Safety Data.........................................................................6 2.1.1 Occurrence Reports..........................................................................................7 2.1.2 Digital Flight Data............................................................................................8 2.1.3 Safety Audits and Assessments........................................................................8 2.2 Types of Tools for Airline Flight Safety Analysis ..................................................8 2.2.1 Flight Safety Event Reporting and Analysis Systems......................................8 2.2.2 Flight Data Monitoring Analysis and Visualization Tools...............................9 2.2.3 Human Factors Analysis Tools ......................................................................10 2.2.4 Special Purpose Analytical Tools...................................................................10 2.3 Summary..................................................................................................................12 3.0 Flight Safety Event Reporting and Analysis Systems .................................................13 3.1 Safety Report Management and Analysis Systems..............................................14 · Aeronautical Events Reports Organizer (AERO)................................................14 · Aviation Quality Database (AQD).......................................................................15 · AVSiS ..................................................................................................................16 · British Airways Safety Information System (BASIS).........................................17 · First Launch Safety Report System (SRS)...........................................................18 · INDICATE Safety Program.................................................................................19 3.2 Descriptive Statistics and Trend Analysis ............................................................20 · HeliStat ................................................................................................................20 · Microsoft Excel....................................................................................................21 · Statgraphics Plus ..................................................................................................22 i GAIN Guide to Methods & Tools for Airline Flight Safety Analysis Table of Contents (continued) Page 4.0 Flight Data Monitoring Analysis and Visualization Tools........................................24 · Aircraft Flight Analysis & Safety Explore (AirFASE)........................................25 · Analysis Ground Station (AGS) ..........................................................................26 · Aviation Performance Measuring System (APMS).............................................26 · AVSCAN.flight ...................................................................................................27 · BASIS Flight Data Tools.....................................................................................28 · Cockpit Emulator for Flight Analysis (CEFA)....................................................29 · Event Measurement System (EMS).....................................................................29 · FlightAnalyst........................................................................................................30 · FlightTracer..........................................................................................................31 · FlightViz ..............................................................................................................31 · FltMaster..............................................................................................................32 · GRAF Vision – Flight Data Animator.................................................................32 · Ground Recovery & Analysis Facility (GRAF) for Windows and PERMIT......33 · Line Operations Monitoring System (LOMS).....................................................34 · Recovery, Analysis, & Presentation System (RAPS) & Insight..........................35 · Software Analysis for Flight Exceedance (SAFE) ..............................................35 5.0 Human Factors Analysis Tools ....................................................................................37 · Aircrew Incident Reporting System (AIRS)........................................................37 · Cabin Procedural Investigation Tool (CPIT).......................................................38 · Human Factors Analysis and Classification System (HFACS)...........................39 · Integrated Process for Investigating Human Factors ..........................................40 · Procedural Event Analysis Tool (PEAT).............................................................41 · Ramp Error Decision Aid (REDA)......................................................................42 · ReVision..............................................................................................................43 6.0 Special Purpose Analytical Tools ..................................................................................45 6.1 Occurrence Investigation and Analysis ................................................................46 · Investigation Organizer........................................................................................46 · REASON 5...........................................................................................................47 · TapRooT..............................................................................................................48 6.2 Text/Data Mining and Data Visualization............................................................50 · Aviation Safety Data Mining Workbench...........................................................50 · Brio Intelligence 6................................................................................................51 · FERRET Q...........................................................................................................52 · NetOwl.................................................................................................................53 · PolyAnalyst..........................................................................................................54 · QUORUM Perilog...............................................................................................55 · Spotfire.................................................................................................................56 ii GAIN Guide to Methods & Tools for Airline Flight Safety Analysis Table of Contents (continued) Page 6.3 Risk Analysis ...........................................................................................................58 · @RISK.................................................................................................................58 · Fault Tree+ (Event Tree Module).........................................................................59 · Fault Tree+ (Fault Tree Module)..........................................................................61 · FaultrEASE..........................................................................................................62 · Markov Latent Effects Tool for Organizational and Operational Safety Assessment ..........................................................................................63 · Quantitative Risk Assessment System.................................................................65 · RISKMAN ...........................................................................................................66