gain

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Global Aviation Information Network (gainweb.org)
Christopher A. Hart
Federal Aviation Administration
Assistant Administrator for System Safety
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The Hands-On Front Line Folks
We All Knew About That Problem
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Benefits of FDR Use
Worldwide
FDR Use Total U.S.
FDR Use 7-14 Years
FDR Use 14 Years
Sources Total U.S.- FAA NASDAC
Other - Skandia Insurance Co. Ltd.
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Norwegian Rail Experience
Total number of reported and analyzed events
Lost Time 37 reduction
Accidents40 reduction
96
97
98
95
Source Pride AS
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Current System Data Flow
Almost all Data is Lost Forever
Currently Only a Minute Portion of Data
is Collected and Analyzed
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Heinrich Pyramid
ACCIDENTS
INCIDENTS
UNREPORTED OCCURRENCES
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Common Characteristics

• Inadvertent
• Could Be A Link
• In An Accident Chain
• Happens Repeatedly

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So Should We...

• Regulate More?
• Punish More?
• Increase Training?
• OR...

Share Information to Fix the System?
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Fix the Person or the System?
Is the Person Clumsy? Or Is the Problem . .
. The Step???
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Is This Light Random?
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Accidents Result From a Combination of Events
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Global Aviation Information Network The
Concept
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Others Who Are Interested

• DOT
• Coast Guard (IMISS)
• FHWA
• FRA
• RSPA
• Critical Infrastructure Assurance Office (CIAO)
  from PDD 63

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The Health Care Industry
To Err Is Human Building a Better Health Care
System The focus must shift from blaming
individuals for past errors to a focus on
preventing future errors by designing safety into
the system. Institute of Medicine, Committee on
Quality of Health Care in America
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Information The Fuel for Our Engine
Zero Accidents
Information
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Obstacles that Block the Flow of Information
Concerns About

• Public Disclosure
• Job Sanctions/Enforcement
• Criminal Sanctions
• Civil Litigation

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Removing the Obstacles

• FAA Reauthorization, 1996
• - Prohibits public disclosure of voluntarily
  provided aviation safety information
• President Clinton, January 2000
• - Announced Aviation Safety Action Programs
  (ASAP) for voluntary pilot reporting
• FAA Reauthorization, 2000
• - Requires FAA to issue NPRM protecting airlines
  and their employees from enforcement actions for
  regulatory violations discovered from voluntary
  reporting programs

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Challenges
Improved Analytical Tools
Legal Issues
As we begin to get over the first hurdle, we must
start working on the second.
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Information Overload
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Many Have Already Begun The Process
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avings
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Three Domains For GAIN
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Steering Committee

• Airlines
• Air Transport Association
• Air France
• British Airways
• Japan Airlines
• Northwest Airlines
• Manufacturers
• Airbus Industrie
• Boeing
• Labor
• Pilots
• Mechanics
• Air Traffic Controllers
• Military
• General Aviation
• NBAA
• Flight Safety Foundation

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Working Groups
Working Group A - Aviation Operator Safety
Practices Working Group B - Analytical Methods
and Tools Working Group C - Global Information
Sharing Prototypes Working Group D - Reducing
Impediments
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Fourth GAIN World Conference
Where Paris, France When June 13-15,
2000 Hosted By
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Conference Activities
Report-outs on GAIN Working Group Products -
Aviation Operators Safety Handbook - Global
Sharing Prototypes - Reviews of Analytical
Methods and Tools - Efforts to Reduce
Impediments to GAIN Ideals Airline
presentations on - Economics of Safety -
Sharing Within Airline Partnerships How-To
workshops on implementing GAIN products and
concepts
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FAA Administrator Jane Garvey

• GAIN is one of our best hopes for enhancing
  aviation safety in the next century.

GAIN III World Conference November 1998
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Please Visit and Explore...
www.gainweb.org