4/11/2013c-foqa centerline1 steve charbonneau c-foqa centerline steering committee

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C-FOQA UPDATE 4/11/2013 C-FOQA CENTERLINE 1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

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Page 1: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

C-FOQA UPDATE

4/11/2013 C-FOQA CENTERLINE 1

Steve CharbonneauC-FOQA CENTERLINESteering Committee

Page 2: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

Bienvenue à MontréalWelcome to Montréal!

4/11/2013 C-FOQA CENTERLINE 2

Page 3: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

Where we were Where we are Where we are going

4/11/2013 C-FOQA CENTERLINE 3

Celebrating 10 Yearsthis year!

1999 – FSF Corporate Advisory Committee considers a FOQA Program and begins work to develop

2003 – Program Formally Announced 2005 – Program launched with 2 operators

Page 4: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

2005-2010

• 5 Years of steady growth• 2010 – 46 aircraft and >18K flights monitored• 2010 - FSF elects to transition out of program

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Where we were Where we are Where we are going

Page 5: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

• Growth and interest begins to accelerate• 2011 – 73 aircraft and >30K flights monitored• Users group elects first Steering Committee

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Where we were Where we are Where we are going

2011

Page 6: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

2011

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Where we were Where we are Where we are going

• Steering Committee comprised of:– 3 Members of the Users Group– 1 Austin Digital Rep (non-voting)– 1 Flight Safety Foundation Rep (non-voting)

Jim Kelly - pFizer Steve Charbonneau - ALCS Dan Von Bargen – Jet Aviation

Page 7: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

2011

• Steering Committee begins to organize:– Develops charter– Implements event and report development– Commences gatekeeper interaction– Actively promotes program values

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Where we were Where we are Where we are going

Page 8: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

• C-FOQA is an ORGANIZATIONAL risk prediction toolIndividual risks are managed with standards and

training programsFocus on TRENDS and UNCORRELATED high risk

events

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2012

Where we were Where we are Where we are going

Page 9: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

2012

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Where we were Where we are Where we are going

• Annual Report• Approach and Landing Stability• Key areas of interest

Page 10: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

4/11/2013 C-FOQA CENTERLINE 10

Page 11: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

Approach Stability

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• All operators are evaluated against same criteria for the annual report – 12 items

Alignment Speed Control Attitude Control, and Configuration

• Based largely on FSF ALAR Recommended Elements of A Stabilized Approach

Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

VMC

IMC

Page 16: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

Landing Stability

• 2012 was first year of monitoring

Threshold Crossing Touchdown Roll Out

• Based largely on FSF Safe Landing Guidelines

4/11/2013 C-FOQA CENTERLINE 16

Where we were Where we are Where we are going

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2012

4/11/2013 C-FOQA CENTERLINE 17

Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

Page 20: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

Key Areas of Interest

• High Energy Approaches• The Common Culprit! Long Landings• Where are the Go-Arounds?

4/11/2013 C-FOQA CENTERLINE 20

Where we were Where we are Where we are going

Page 21: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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2012

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Where we were Where we are Where we are going

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Runway Excursions2005-2012

4/11/2013 C-FOQA CENTERLINE 32

2005 2006 2007 2008 2009 2010 2011 20120%

10%

20%

30%

40%

50%

60%

48%

57%

48% 48% 46%

35%

46%

57%

Landing Accidents/Incidents

Landing Accidents/Incidents

Breiling, 2012

Considering allBusiness Jet Accidents

Worldwide

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4/11/2013 C-FOQA CENTERLINE 33

Page 34: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

Why don’t we choose to Go-Around?

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Where we were Where we are Where we are going

• According to ALAR Briefing Note 7.1Excessive confidence in a quick recoveryExcessive confidence – long and dry runwaysInadequate preparation or lack of commitmentAbsence of decision making because of fatigue or

workload

Page 35: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

2013 Next Steps

• Continue to develop strategies to monitor and predict riskCorrelate approach and landing stability risk

factorsInvestigate fatigue related risk factors and

determine their suitability for monitoringConsider the impact of skills erosion and

automation dependence

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Where we were Where we are Where we are going

Page 36: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

• Establish a Next Generation Safety Program for Business AviationAviation Safety Information Analysis and Sharing

ASIAS and InfoShare – Data FusionRisk Based, Data Driven Training (SOQA)Fully integrated into operational risk assessments

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Where we were Where we are Where we are going

2013 Next Steps

Page 37: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

• Incorporate C-FOQA into your SMS Safety AssuranceCost EffectiveTeam BuildingBuilding block to next generation safety program

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Where we were Where we are Where we are going

2013 Final Words

Page 38: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

2012

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Where we were Where we are Where we are going

Page 39: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

Merci MontréalThank you Montréal!

4/11/2013 C-FOQA CENTERLINE 39

Page 40: 4/11/2013C-FOQA CENTERLINE1 Steve Charbonneau C-FOQA CENTERLINE Steering Committee

Questions?

4/11/2013 C-FOQA CENTERLINE 40

Steve CharbonneauC-FOQA CENTERLINESteering Committee