# Presentation: 182544

## Global Aviation Information Network (gainweb.org)

**Federal Aviation Administration**

**Assistant Administrator for System Safety**

**Global Aviation Information Network (gainweb.org)**

## “We All Knew About 

**That Problem”**

**The Hands-On **
**“****Front Line” Folks:**** **

## Benefits of FDR Use

**Worldwide**

**FDR Use <7Years**

**Total U.S.**

**FDR Use 7-14 Years**

**FDR Use >14 Years**

**Sources: Total U.S.- FAA  NASDAC**
**                ****Other  - Skandia  Insurance Co. Ltd.**

## Norwegian Rail Experience

**‘****96**

**‘****97**

**‘****98**

**‘****95**

**               ****Lost Time: 37 % reduction**

**Accidents:40 % reduction**

**Total number of **
**reported  and **
**analyzed events**

**Norwegian Rail Experience**

- Source: Pride AS

## Current System Data Flow

**Almost all Data**
**is Lost Forever**

**Current System Data Flow**

**Currently Only a Minute**
**Portion of Data is**
**Collected and Analyzed**

## Heinrich Pyramid

- INCIDENTS

- ACCIDENTS

-  UNREPORTED
- OCCURRENCES

**Heinrich Pyramid**

## Common Characteristics

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

**Common Characteristics**

##         OR...

**So Should We...**

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

** ****Share Information to Fix the System?**

## The Step???

**Fix the Person or the System?**

**Is the Person Clumsy?**
**Or Is the Problem . . .**
**The Step???**

## Is This Light Random?

**Is This Light Random?**

## Accidents Result From a 

**Combination of Events**

## Global Aviation Information

**Global Aviation Information**
**     ****Network: The Concept**

## DOT

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

**Others Who Are Interested **

## To Err Is Human:

_**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**

**The Health Care Industry**

## Information: 

**    ****Zero**
**Accidents**

**Information**

**Information: **
**     ****The Fuel for Our Engine**

## Obstacles that Block the 

**Obstacles that Block the **
**Flow of Information**

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

**Concerns About**

## 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**

## Challenges

**Challenges**

- Legal Issues

- Improved Analytical Tools

- As we begin to get over the first hurdle, we must
- start working on the second.

## Information Overload

**Information Overload**

## Many Have Already Begun

**Many Have Already Begun**
**The Process**

## $avings

## Three Domains For GAIN

**Three Domains For GAIN**

## Steering Committee

**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**

## Working Groups

**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**

## Fourth GAIN World Conference

**Fourth GAIN World Conference**

**Where:****	****Paris, France**
**When:****	****June 13-15, 2000**
**Hosted By:**

## Conference Activities

**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**

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

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

**FAA Administrator**
** ****Jane Garvey:**

**GAIN III World Conference**
**November 1998**

## www.gainweb.org