Safety Management at Zurich Airport Safety Office Unique (Zurich Airport Ltd.) Zürich-Fughafen 27.11.2008
Airport ayout Crossing of 2 active RWY s Severa dependencies between a 3 RWY s Severa TWY s crossing RWY s Compex TWY system; singe TWY ahead dock B 2 remote deicing pads (C and F) Responsibiities TWR/Apron TOWER APRON (north) APRON (south 2 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Airport Organisation 3 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
ICAO Annex 14 Requirements Acceptabe eve of safety to be estabished by the state Certified aerodrome operator sha impement an SMS, inc. Identify Safety Hazards Remedia action to maintain an acceptabe eve of safety is impemented Continuous monitoring and reguar assessment of achieved safety eve Continuous improvement to the overa eve of safety SMS sha define ines of safety accountabiity at AD, incuding a direct accountabiity for safety on the part of senior management 4 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Safety Management System Zurich Airport Objectives and Poicy - Safety Poicy - Safety Organisation - Safety Cutur Safety Management - Safety Procedures - Corrective Actions - Hazard Identification - Occurrence Reporting - Safety Investigations Safety Promotion - Training - Information/Communication - Continuous Improvement Safety Monitoring - Audits / Inspections - Performance Measurement - Compiance Management 5 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Aerodrome Manua I Content 1. Introduction 2. Information about the aerodrome 3. Airport Information for the aeronautica information services 4. Operationa and safety procedures 5. Safety Management System (SMS) 6 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Aerodrome Manua II Aerodrome Manua II Chapter Short description Responsibe Organisation Reevant Documents Appicabiity 7 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Airport Safety Poicy Key Issues: Compy with rues and reguations Avoid Accidents and reduce incidents Safety Cuture (Just cuture) Continuous Improvement Empoyee empowerment and capabiities Safety as indicator for airport quaity Appicabiity of poicy 8 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Safety Cuture I 9 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Safety Cuture II 10 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Safety Cuture III The first recommendation of the European action pan for the prevention of runway incursion was that a RUNWAY SAFETY TEAM shoud be formed! Participants in Zurich from: Airport, Air Traffic Contro and Homecarriers 11 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Safety Organisation ZRH Airport Operations Fughafen Zürich Airport Procedure Management Airside Systems Pünktichkeitsausschuss Produktionspanung 7-Days Snow -Ops Fachkreis Passagier Fachkreis Gepäck (ex PAUS) Airport Safety Committee Security Committee Runway Safety Team Zürich Ramp Safety Cuture Zürich Works Committee Bird Strike Committee Koordinationsgruppe Zutritt Notfapanung APT -Meeting CUTE User Board (CUT) 12 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Hazard Identification 13 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Safety Assessments System Definition Hazard identification Scenarios Risk anaysis Probabiity Damage Determine Risk Risk Appraisa Criteria Risk Appraisa Evauate Measures Risk Mitigation 14 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Zurich Airport Safety Risk Matrix 15 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Top Risk Custer Ground GND traffic RESA TWY X-ing RWY RWY X-ing Turbuences 16 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Top Risk Custer Go around / SID Top Risk Custer Go around G/A 34 / SID SID 32 SID 10 G/A 14 SID 16 17 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Risks Operations Zurich Airport (2006/7) Introduction Risk Overview Risk Sheets - Description - Assessment (P, A) and appraisa - Acceptabiity - Mitigation measures - Miestone - Materia, Studies Deveopment/Update Update SEP DEZ 2008 Risk Fight Operations V 1, März 2007 18 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Occurrence Reporting 19 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
Accidents happen daiy 20 27.11.2008 SMS in practise, ACI Safety Conference November 18 / 19
even to companies with an exceent safety record
aso at Zurich Airport
Occurrences and Accidents: 1:600 Rue 1 Fata Accidents 10 Accidents 30 Incidents Occurrences 600
Goa of the Occurrence Reporting System 1. Raising Fight Safety thanks to Reporting, Documentation and Distribution of safety reevant informations 2. Priorisation of measures to prevent simiar accidents / incidents 3. Compete Reporting to the Reguator 4. Creation of Safety Key Indicators and Safety Targets to measure Safety Performance
Occurrence Reporting categories I. Aircraft Accidents / Serious Incidents (according ICAO Annex 13) II. Other Accidents and Incidents (according Swiss Law) - Incidents inked to fueing and deicing procedures - System / infrastructure faiures - Wrong informations - Turnaround incidents - Injured persone, dangerous goods, FOD III. Safety Enhancement Informations: nothing happened (Lessons earned for other empoyees, occurrences which amost happened, faiure of a specific airport system)
ZRH Airport Occurrences 2007 39 (47/46.8) damaged airpanes by vehices or occurrences invoving airpanes (Part A- B) 68 (85/79) damaged vehices by other vehicues (Part C- D) 56 (43/45.2) damaged infrastructure by vehices or other type of occurrences (Part E) Legend: Red: Number of occurrences in 2007 Bue: Number of occurrences in 2006 Green: Average number of occurrences 2001-2006
Bird Strikes Zürich Airport, 2004-2006 Quee: Swiss, Unique
RWY Incursions und Incursion-Ratio Number of Incursions 12 10 8 6 4 2 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 4.50 4.00 3.50 3.00 2.50 2.00 1.50 1.00 0.50 0.00 Incursion Rate per 100'000 Movements Inc/Y Rate ZRH Rate ECAC
How it works in practise (I) Vorfamedung (Occurrence Report) Pushback of an MD-83. When the aircraft was sti in connection with cabe of the truck, the aircraft started to taxi because they got the taxi cearance; the cockpit crew never got the a cear signa sign, Apron instructed to stop immediatey. Investigation phases 1. Reporting from the Handing Agent 2. Documentation on the database with categorisation 3. Letter Zurich Airport to the Airine Operator (No Answer) 4. Letter from the Reguator to the foreign Reguator 5. Answer of the Airine Operator to the incident and the findings
How it works in practise (II) Letter Airine Operator to Unique and FOCA, 23.8.07 In reference to the incident occurred on the 17th of February 2007, in Zurich airport, aow us firsty to apoogize for the deay in giving an answer, due to an administrative error. As soon as we received the notification of the incident, we took actions in order to avoid repeating such incident. We incuded a company NOTAM, which we describe beow: Do not request Taxi Cearance unti Push-back manoeuvre has been competed and cear signa has been granted.
Safety Monitoring
Safety Oversight Reguator ANSP Annex 11 ESARR VFD Annex 11 JAR Maint Annex 14 Doc 9774 VIL Airport Operator Annex 6 JAR OPS Airine Operators MRO JAR OPS JIG JAR OPS, ISAGO Fueing Companies Handing Agents Lega basis FOCA Oversight Unique Oversight Airines Oversight
Audit panning
Safety Performance Indicators
Incident indicators (an exampe) Near miss on the apron (Cat. H10) Cat I: a coision was near and did not happen just by coincidence or ended with the abrupt stopping of either the aircraft or the vehice Cat II: near miss on apron without abrupt stopping maneuver (the minimum safety distance was not maintained [200m in front, 100m behind an aircraft]) Cat III: a near miss on apron between two aircrafts Cat IV: Push-Back incidents
Safety Promotion
In a Nutshe Compy with ICAO Standards and Recommended Practises (SARPs) and activey manage non-compiances Document and manage safety reevant procedures Coect, anayse accidents, incidents and any other safety reevant information (provided by empoyees) Encourage a just reporting cuture (Just Cuture) Define and communicate the meaning of Safety First Anayse operationa hazards on a reguar basis Provide safety oversight of contracting companies by audits and inspektionen Estabish a suitabe safety organisation Communicate Safety Informationen Engage in (internationa) working groups (FOCA, ICAO, ACI, FSF)