Interim Report - Introduction - EASA

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INTERIM REPORT – OPTIONS FOR CHANGE – ATTACHMENT A <strong>EASA</strong>.2009.OP.21 conclusive can be deduced from these search results; however, they do highlight the following problems: − overriding environmental noise protection measures by airports, resulting in long taxi times to distant runways, when closer runways are physically available, thereby increasing the likelihood of HoTs being breached. − aircraft taxiing for take-off with contaminated wings, before returning for de-icing − aircraft departing with frost and ice on the wing without de-icing − pilots over-ruling cabin crew observations of contamination airsight GmbH - 10 -
INTERIM REPORT – OPTIONS FOR CHANGE – ATTACHMENT A <strong>EASA</strong>.2009.OP.21 4 Conclusions Most of the accidents and serious incidents summarised above are what may be termed the “top of the triangle”. Referring to the Heinrich Triangle (see Options for Change) we can ask ourselves – what about the 600 low-level events for every accident? We just do not know what the situation is concerning these regular slips, errors, oversights, problems, hazards etc that must be visible to the de-icing / anti-icing operatives. With the advent of ICAO SMS SARPs there can be no denying the facts that are available. It is now the responsibility of everyone involved, through SMS regulations, best-practice safety management, and within a positive safety culture, to collect this data, analyse it and share the results. This short Summary and Analysis of available safety data provides some guidance as to where effort and safety resources should be directed. Notably, this includes improvements to: − communication, − coordination, − inspections/checks − procedures, − adherence to procedures, − knowledge, and − training. These issues may be addressed via: − the creation of new direct and indirect regulations, − the provision of clear concise and unique regulatory interpretive and guidance material, or − an Industry-wide awareness programme and associated voluntary accreditation scheme for operations and training. The available options are discussed and presented in full detail in Options for Change. airsight GmbH - 11 -
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Interim Report - Introduction - EASA

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