Universal Safety Oversight Audit Programme Protocol Questions, Continuous Monitoring Approach (CMA)

Transcription

1 International Civil Aviation Organization Universal Safety Oversight Audit Programme Protocol Questions, Continuous Monitoring Approach (CMA) Dr Anthony Evans Chief, Aviation Medicine Section International Civil Aviation Organization Montreal, Canada Plan Conclusions from CAPSCA Paris meeting, September 2011 Review of audit questions that are addressed to the national Civil Aviation Authority concerning: Organization Aircraft Operators Air Navigation Service Provider Management of an on board case Aerodrome Operator 1

2 Paris Conclusions (1) 1. States are encouraged to prepare and update aviation public health emergency preparedness plans in collaboration with the civil aviation and public health authorities, and perform exercises to test such plans, in compliance with related ICAO Standards and Recommended Practices (SARPs) and WHO IHR (2005). 2. States attending the Meeting agreed for ICAO to establish the CAPSCA project in the ICAO North Atlantic and European Regions. 3. ICAO will send a letter to the designated aviation authorities of States, to be forwarded by WHO to States Public Health Authorities (PHA), inviting States to join CAPSCA Europe. Paris conclusions (2) 4.States to confirm participation in CAPSCA Europe by the designated aviation authority and/or PHA sending a letter to the ICAO and/or WHO Regional Office, respectively. WHO will forward to ICAO the letters received from States. [BELGIUM, GERMANY, ISRAEL, POLAND, SPAIN and SWITZERLAND have so far confirmed their participation in CAPSCA] 2

3 Paris conclusions (3) 5. Frankfurt Airport/Airports Council International offered to host the next CAPSCA meeting in Europe in the summer of States authorities, airport operators, aircraft operators and air navigation service providers are encouraged to provide their Public Health Emergency Preparedness Plans to ICAO for posting on the CAPSCA website ( [Documents from THE NETHERLANDS and UK are currently posted on the CAPSCA website] Paris conclusions (4) 7. States Civil Aviation and Public Health authorities and other stakeholders should have a plan, exercise the plan, train, seek professional advice and be prepared for media enquiries during a public health event of international significance, based on information, statements, recommendations and support provided by WHO and ICAO when applicable. 8. States and the aviation sector should undertake table top (partial) or full scale Public Health Emergency (PHE) exercises, as required by ICAO Annex 14 Aerodromes. When a full scale Public Health Emergency exercise cannot be conducted in the short term, States should consider incorporating PHE elements into a full scale exercise for other types of emergency, when possible. 9. States are encouraged to invite other States and Organizations to observe aviation public health emergency exercises, in order to share experiences and lessons learned. 3

4 Paris conclusions (5) 10. States are urged to consider business continuity management/whole of society principles in preparing and updating aviation public health emergency preparedness plans. 11. In relation to risk and crisis communication needs before and during a public health emergency, States should encourage: a) a timely and engaging information policy; b) a risk communication strategy based upon the needs of the public and the scientific evidence; c) an appropriate message and format; and d) prioritisation of staff and travellers 12. To promote international collaboration for IHR implementation, States and International Organizations should: a) harmonize regulations, standards, guidelines and tools and their global application; b) develop awareness of, and mobilize resources for, IHR implementation; c) foster human resources development and continuing education; and d) promote intersectorial collaboration, including travel, tourism, environmental, agricultural, veterinary and transport sectors Paris conclusions (6) 13. The CAPSCA focus, in line with ICAO SARPs and WHO IHR (2005) also addresses chemical, biological and radio nuclear risks, i.e. encompasses all potential public health emergencies that involve the aviation sector, and a possible change in the CAPSCA project title should be considered at the CAPSCA global coordination meeting to be held in Abuja, Nigeria, from 10 to 13 October Air Navigation Service Providers are encouraged to participate in CAPSCA Europe and Eurocontrol should consider, in collaboration with the appropriate European public health authorities/agencies, how current European crisis management procedures for aviation can be improved and implemented to facilitate the management of public health emergencies. 4

5 Audit questions undergoing final review To be implemented during 2013 Proposals to include references to WHO documents Audit Organization ICAO ref. Protocol question Reply Guidance for review of protocol question Status of implementation Evidence/Notes/ Comments CC Art 14 A & 8.16 A37 13 ORG: prevention of communicable disease Has the State identified a clear contact point at national aviation level, with identified individual(s), for policy formulation, operational organization of preparedness and coordination of a national plan in order to respond to a communicable disease or other public health emergency with the potential to pose a serious public health risk? No Yes If yes, provide name and contact details New question The World Health Organization s International Health Regulations (IHR) (2005) contain many Articles of relevance to aircraft and airport operators. The contact point addressed by this question (or equivalent individual in the regulatory authority) should be aware of the existence of the IHR (2005) and should have a contact point in the State s ministry of health to facilitate intersectoral collaboration 5

6 Organization protocols Has the State identified a clear contact point, with identified individual(s), at national aviation level for policy formulation, operational organization of preparedness and coordination of a national plan in order to respond to a communicable disease with the potential to pose a serious public health risk? CC Art 14; Annex 9, 8.12 & 8.16; A37 13 Aircraft Operations Protocols (1) Does the aircraft operations organization ensure that the air operator has established a procedure for the crew to evaluate a traveller with a suspected communicable disease, based on the presence of a fever and certain other signs or symptoms? Annex 9, 8.15, Note 1; Annex 6, 6.2 and Attachment B 6

7 Guidance for review of question Review operations inspectors procedures to ensure they check air operators related procedures Sample an air operator procedure to confirm implementation, check if the universal precaution kit is used (not mandatory, recommendation) Check the procedure contains communication between the cabin crew and the flight crew and the transmission, for States where it is required, of a General Declaration form. Aircraft Operations Protocols (2) Does the aircraft operations organization ensure that the air operator has established procedures for the pilot in command to report promptly to ATC a suspected communicable disease, in order to facilitate the presence of any special medical personnel and equipment necessary for the management of public health on arrival? Annex 9, 8.15; PANS ATM Doc 4444,

8 Air Navigation Service Protocols (1) Does the State ensure that procedures have been established for providing service to aircraft in the event of emergency? Annex 11, 2.23, 2.30, Attachment C; PANS ATM Doc 4444, 15.1; A11 Guidance for review of question Review mechanism established to ensure effective implementation Review documented evidence of the procedures followed to render assistance to an aircraft in the event of the following emergencies: 1. Unlawful interference 2. Aircraft bomb threat 3. Emergency descent Review mechanism established to ensure effective implementation Review documented evidence of the existence of contingency plans and how they are applied Review documented evidence for inclusion of contingency plans in respect of public health emergencies 8

9 Air Navigation Service Protocols (2) Does the State ensure that the ATS has established a procedure, upon receipt of information from a pilot regarding a suspected case of communicable disease, to forward a message as soon as possible to: the ATS unit serving the destination/departure if applicable the public health authority (PHA) or the appropriate authority designated by the State the aircraft operator or its designated representative the aerodrome authority? PANS ATM Doc 4444, & Guidance for review of question Review procedure and mechanism established to ensure the message is forwarded to the appropriate entities, especially that relating to transfer of information from the destination ATS unit to the public health authority Review the mechanism to ensure the contact details of each entity is up to date and available During industry visit ensure the procedure is known by the staff and contact details of the entities are available 9

10 MANAGING AN ON BOARD CASE A/C ID Dep. Dest. ETA POB No. cases Nature of risk Aircraft gen. declaration Health Part IHR Annex 9 AIRLINE OPERATING AGENCY PHA AIRPORT OPERATOR OTHER AGENCY Departure aerodrome Air Traffic Unit Air traffic controller Destination aerodrome Air Traffic Unit Aerodrome Protocols Has the State promulgated regulations for aerodrome operators to develop emergency plans, including appropriate cooperation and coordination with other entities involved in the provision of emergency services and the development of the plans? Annex 14, Vol. I, to 9.1.3, Rec Annex 14, Vol. I, & 9.1.5, GM Doc 9734 Part A GM Doc 9774 App

11 Guidance for review of question Verify regulations Cross check with ICAO Annex 14 compliance checklist Review evidence to confirm effective implementation, cooperation and coordination Include emergencies which may occur in the vicinity of an aerodrome Sample aerodrome manual Review regulation and manuals to ensure inclusion of public health emergencies and coordination with public health services International Civil Aviation Organization Universal Safety Oversight Audit Programme Protocol Questions Dr Anthony Evans Chief, Aviation Medicine Section International Civil Aviation Organization Montreal, Canada 11