Second ICAO Global Runway Safety Symposium, Lima, Peru, November 2017 Panel 3 - Root causes of runway accidents and incidents David Gamper,

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Second ICAO Global Runway Safety Symposium, Lima, Peru, 20-22 November 2017 Panel 3 - Root causes of runway accidents and incidents David Gamper, Director, Safety and Technical, Airports Council International 2

Preliminary remarks Where the work started Cooperation is key to reducing risk GRSS 2011 ACI APEX in Safety Runway safety teams 3

What are the different kinds of incidents and accidents in which an airport operator could have involvement in the root causes? Excursions Incursions Wildlife strikes FOD 4

Excursions There are many root causes of runway excursion (either on landing or rejected take-off) - one is poor braking action. This can be due to: Basic state of runway: design and construction material, surface texture and sub-texture Maintenance issues, such as accumulation of rubber Contaminated runways Measurement and reporting not adequate to inform the pilot all parts of the industry are well aware of the issue ICAO Global Runway Friction system is in place in Annex 14, for 2020 applicability worldwide. Uses RCAM Runway Condition Assessment Matrix Requires expert assessment of type and depth of contaminant Training needed 5

Incursions There are many root causes of runway incursions those related to the airport itself include: Incursions caused by aircraft: complexity of the layout of roads and taxiways adjacent to the runway, intersecting/crossing runways, insufficient spacing between parallel runways, departure taxiways that fail to intersect active runways at right angles, and no end-loop perimeter taxiways to avoid crossings. Incursions caused by drivers: Inadequate driver training, not obtaining a clearance or non-compliance with ATC instructions, not following Read-back and hear-back procedure For both: Visual aids: Inadequate or poorly maintained visual aids (including signs, marking and lighting) 6

Two more root causes that have a lesser importance in the data, but nevertheless the risks must be constantly managed by the airport operator: Wildlife presence and risk of damage to aircraft from a strike Foreign object debris and risk of damage to aircraft 7

Wildlife strikes 90% of strikes occur at or in the vicinity of aerodromes 50% of strikes occur below 100 feet Airports are attractive to wildlife - they are commonly one of the last large open green spaces in the surrounding environment Birds are a risk at all airports Land animals may also pose a threat 8

FOD Visual inspections may not detect all FOD on runways Limitations of human vision : visual acuity, contrast sensitivity, light, weather conditions At one airport that has installed an automated FOD detection system, they found the following rates of FOD detection: Visual Inspection: 3-5 pieces/month Automated Surveillance: 30-35 pieces/month 9

ACI Safety Data We intend to collect worldwide data (same data set for all regions) Number of each type of incident No data on individual incidents We intend to produce an annual publication of aggregate results (rate of incidents per aircraft movement) by region No data would be published for individual airports Pilot programme in 2018 10

ACI Safety Handbooks 11

Practical guidance for airport operators Promote airport excellence through common standards and best practices Create programmes for Runway, Taxiway and Apron area safety Practical guidance for airport operators on Standard Operating Procedures (SOPs) State of the art recommendations and Dos & Don'ts with explanations. Best industry practices case studies and examples Safety Management Systems specific guidance for setting up and improving airport SMS By the professionals for the professionals. 12

ACI Runway Safety Handbook This handbook provides guidance material for the development of a runway safety programme for all aerodrome (large or small). To achieve a state of the art level of runway safety. Helps to tailor, improve and expand existing programmes. 13

ACI Wildlife Hazard Management Handbook Wildlife Hazard Management is an important element of the operations of all airports. Distilled from excellent guidance material from large Civil Aviation Authorities around the world, ACI Member Airports', ICAO material and other international aviation and non-aviation organizations. While remaining short and succinct, it provides checklists for action, as well as an explanation of risks to be assessed and means of mitigation available. 14

ACI Emergency Preparedness Handbook Bringing together best practices, knowledge and experience from aerodromes around the world. Assists aerodrome operators to develop and implement a robust aerodrome emergency plan, including restoration of operations after an emergency. Also deals with business continuity planning. Covers the roles and responsibilities of aerodrome operators, as well as coordination of emergency response plans with other organizations interfacing with the aerodrome during an emergency. 15

ACI SMS Handbook SMS specific to Aerodrome operator. An action-orientated guide bringing together best practices, knowledge and experience from aerodromes around the world. To assist aerodrome operators to create a robust SMS using the Plan, Do, Check, Act method. 16