ATS Incidents Reporting and Investigation Teams The Federal

ATS Incidents Reporting and Investigation Teams The Federal Aviation Administration Presented By: Rick Baker 1

ATS Incident Reporting and Investigation • • Reporting OE/D’s to Team Supervisor Preliminary Investigation Headquarters Call-in Controller Decertification Final OE Report Investigation Teams Follow-Up from Investigation 2

Reporting OE/D’s to Team Supervisor • Every controller is responsible to report a loss of separation – Aircraft to Aircraft – Aircraft to Airspace • Every supervisor is responsible to investigate a reported loss of separation • Unreported OE/D’s can result in disciplinary action 3

Reporting (cont. ) • Safety takes precedence over personal loyalties • Reputation of national ATC system at stake 4

Preliminary Investigation • Controller relieved from position • Investigation conducted by supervisor – Controller interviews – Listen to voice tapes – Review computer data • Management determines if OE/D occurred 5

Headquarters Call-In • Involves headquarters in QA process – What happened – Who was doing what – What action have you taken • Required within a pre-determined time limit 6

Controller De-certification • Controller initially relieved from position • Controller may be decertified if OE/D occurred – Must receive training before returning to work – Could be decertified on one or all positions 7

Investigation Teams Researches and identifies contributing factors – – Airspace Procedures Distractions Workload – – Equipment problems Supervision Weather Controller proficiency 8

Final OE Report • • • Final Analysis of OE/D Identifies causes of OE/D Summary of event in time order Identifies responsible persons Action taken by facility as a result of OE/D Report is used in trend analysis 9

Follow-Up From Investigation • • Changes to procedures Changes to airspace Additional Training Controller performance review Supervisory performance review Follow-Up recorded reviews Increased oversight by headquarters 10

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