Beruflich Dokumente
Kultur Dokumente
John E. Ostrom
Manager, Airside Operations
ACI-NA Risk Management Conference
January 15, 2015
Scheduled passenger-carrying
operations of an air carrier aircraft
designed for more than 9 seats.
Unscheduled passenger-carrying
operations of an air carrier aircraft
designed for at least 31 seats.
Airside Operations
Regulatory Compliance
Safety
Operational Efficiency
Questions!
.311 Signs
.311 Markings
.311 Lighting
.303 Signs
.303 Lighting
.303 Communication
.303 Markings
FOD Program
8
6
4
2
0
Incursions
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
Updated on 2015-01-14
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
3
2010
2011
2012
2013
2014
1988 - 2014
22
Unauthorized
Drivers
Authorized
Drivers
32
Updated on 2015-01-14
1988 - 2014
12R/30L
20 Incursions
31 Incursions
8 Incursions
Updated on 2015-01-14
4/22
1988 - 2014
12L/30R
17/35
CHAIR
Field Maintenance
FAA ATCT - QA
Airside Operations
Airport Fire
Airport Police
Driver &
Participants
1. Factors Involved
2. Cause(s) and Possible Causes
3. Recommendations
Time of Year
Time of Day
Week Day
Agency/Organization
Department
Weather Conditions
Factors
Causes
Recommendations
Training
Infrastructure
Surface Conditions
Driver Experience
Types of Vehicles
Latent Failures
Unsafe
Supervision
Latent Failures
Preconditions
for
Unsafe Acts
Unsafe
Acts
Active Failures
Failed or
Absent Defenses
Accident & Injury
Adapted from Reason (1990)
ORGANIZATIONAL
INFLUENCES
HFACS
Resource
Management
Organizational
Climate
Latent
Organizational
Process
UNSAFE
SUPERVISION
Latent
Failed to
Correct
Problem
Planned
Inappropriate
Operations
Inadequate
Supervision
Supervisory
Violations
PRECONDITIONS
PRECONDITIONS
FOR
FOR
UNSAFE
UNSAFE
ACTS
ACTS
Substandard
Substandard
Conditions of
Operators
Operators
Adverse
AdverseMental
Mental
StatesStates
Adverse
Physiological States
Latent/
Active
Substandard
Practices of
Operators
Physical/
Mental
Limitations
Crew Resource
Mismanagement
Personal
Readiness
UNSAFE
ACTS
Wiegmann
and
Shappell (2003)
Errors
Errors
Decision
Errors
Skill-Based
Errors
Active
Violations
Perceptual
Errors
Routine
Exceptional
Summary
Challenge
Questions?
John E. Ostrom
Manager, Airside Operations
Minneapolis-St. Paul International Airport
(612) 726-5780
John.ostrom@mspmac.org