- A Systemic Model of ATM Safety: The
Integrated Risk Picture (IRP)
7th USA – EUROPE ATM R&D Seminar July 02-05, 2007 Barcelona, SPAIN
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A Systemic Model of ATM Safety: The Integrated Risk Picture (IRP) - - PowerPoint PPT Presentation
A Systemic Model of ATM Safety: The Integrated Risk Picture (IRP) 7th USA EUROPE ATM R&D Seminar July 02-05, 2007 Barcelona, SPAIN
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ATC/FMP AOC - Military CFMU - AOC - ATSP Military - Airport
20 minutes Take-off 1 year
ATC Sector Pilot
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Visual warning RIMCAS warning Runway separation Runway configuration
Intermediate runway entry ATCO failure to recognise conflict RIMCAS not installed Operation in low visibility
Causal factors
Strategic conflict
Runway incursion
Precursors
Imminent runway collision Potentially conflicting runway approach
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RF1 Fatal runway collision involvement 3.3E-08 per flight RF2 Fatal runway collision 2.8E-08 per flight RF3 Runway collision 3.8E-08 per flight RP1 Imminent runway collision 4.3E-07 per flight RP2 Runway conflict 4.5E-07 per flight RP3A Aircraft runway incursion 2.0E-05 per flight RP4 Potentially conflicting runway approach 0.33 per flight RP5 Runway approach 1.10 per flight RB1 Ineffective collision avoidance 0.22 per imminent collision RB2 Ineffective conflict warning 0.95 per conflict RB4 Ineffective runway entry procedures 5.9E-05 per potentially conflicting approach RB5 Potentially conflicting runway configurati 0.30 per approach
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error in runway ent ry; 29.2% RB6.1 Operat ional error in t ake-of f ; 3.4% RB4.2 Pilot deviat ion in runway ent ry; 61.0% RB6.2 Pilot failure t o f ollow t ake-of f inst ructions; 6.4%
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Taxiway collision Mid-air collision Runway collision Wake turbulence CFIT
Accident categories Causal factors (technical failures, human errors) Influences (safety management,
environment, etc.) Risks (frequencies
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Task performance
Base event in fault tree
Quality of task inputs Performance of
Performance of safety management Performance
Performance
Policy Planning Achievement Assurance Promotion Resources Competence HMI Reliability Procedures Teamwork Functionality Independence Transparency Redundancy Maintainability Integrity
Operating environment
Traffic Weather Terrain etc
Quality of airport/airspace design
0.2 0.4 0.6 0.8 Di r ect AT C causes RB4.1.1.1.2.2 Inadequate ai r por t AT CO coor di nati on RB4.1.1.2.2 AT CO mi sj udgement of r unway separ ati on AT C pr eventi on f ai l ur es RB4.1.1.1.1 Inef f ecti ve gr ound r adar sur vei l l ance RB4.1.2 Inadequate communi cati on wi th pi l ot RB2.3 Contr ol l er f ai l ur e to r espond to RIM CAS war ni ng RB1.1.3 Restr i cted vi ew f r om tower pr events conf l i ct detecti on RB1.1.5 AT CO f ai l ur e to r esol ve conf l i ct i n ti me AT M pr eventi on oppor tuni ti es RB5.2 Runway entr y at i nter medi ate l ocati on RB2.1 RIM CAS not pr esent RB1.1.2 Dar kness pr events conf l i ct detecti on
CONTRIBUTION (maximum potential reduct ion as fraction of f atal runway collision frequency)
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0.05 0.10 0.15 0.20 0.25 0.30 Airspace organisation & management Air traffic flow & capacity management ATC - traffic synchronisation ATC - traffic separation ATC - conflict resolution ATC systems Communications Surveillance ATM avionics - ACAS Airport operations Information management ATM CONTRIBUTION (maximum potential reduction / total fatal accident frequency) CFIT Mid-air collision Runway collision Taxiway collision Wake turbulence accident
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0.0 0.2 0.4 0.6 0.8 1.0 1.2 AO&M ATFCM Traffic synchronisation Traffic separation Conflict resolution ATC systems Communications Surveillance ATM avionics Airport operations Flight planning Information management CONTRIBUTION (maximum potential reduction as fraction of fatal runway collision frequency) Direct cause Prevention failure Prevention opportunity Indirect influence
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WP 2.2.2 / 2.2.4: Operational Concept WP 2.3.1 / 2.3.2: Models & Validation Needs D1 & D2: Bottlenecks & Performance Targets
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1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 FATAL ACCIDENT FREQUENCY (per flight)
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