WELCOME [] Non-Compliance Fleet Management Inadequate SOPs Lack of Training Ad hoc situations Multi-tasking and workload Miscommunication or lack of Time pressure

WELCOME

Access the Mobile App http://eventmobi.com/cs2014/

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#IATA_CabinSafety

Inadvertent Slide Deployment Prevention

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Carlos Dias Safety Officer Cabin

TAP Portugal

Martin Ruedisueli Manager Flight Safety Cabin Swiss International Air Lines

Cabin Operations Safety Conference May 2014


Cabin Operations Safety Conference May 2014 Madrid, Spain

Carlos Dias Cabin Safety Officer

Martin Ruedisueli Manager Flight Safety Cabin


Contents

• Objective • The Safety study • General overview of the Industry

– STEADES: Safety Trend Evaluation Analysis & Data Exchange System – GADM: Global Aviation Data Management

• Group benchmark – ISD rate – Door Operation (Inside\outside\approaching gate) – Number of sectors flown (departures) – Fleet size – Probable cause for the ISD occurrence (investigation)

• Analysis – Contributing Factors – Professional groups involved

• Conclusion


Objective

Inadvertent Slide Deployment incidents review for the last 10 years. Raise the awareness of the industry about the potential risk of ISD (injuries, costs). Broaden your view regarding the promotion of ISD prevention campaign and mitigation actions by using new innovative methods.


Safety study according to ICAO Doc. 9859 (3rd edition)

Safety studies are analyses used to gain an understanding of broad safety issues or those of a global nature. For example, the airline industry may produce safety recommendations and implement measures to reduce accidents and incidents during the approach and landing phases. Individual service providers may find that these global recommendations improve safety performance in the context of their aviation activities.


General Data overview of the Industry 2009 - 2013

Reports of inadvertent slide deployments were received at a relatively consistent rate with no observable increasing or decreasing trend of reports per 1000 flights.

This chart presents the rate of inadvertent slide deployment reports and overall STEADES reports per 1000 flights per quarter between 2009 and 2013.

STEADES


Preventive measures


Contributing Factors

SOP Non-Compliance Fleet Management Inadequate SOPs Lack of Training Ad hoc situations Multi-tasking and workload Miscommunication or lack of Time pressure Distraction Fatigue Door design

Flight Crew Cabin Crew Maintenance Service providers

• Catering • Cleaning

Professional Group


Benchmark among IATA COSTF MEMBERS


Benchmark (professional group involved)

2013 16 Airlines Total Departures: 2,36 Millions


Benchmark (Contributing factors)


Operational Environment OUTSIDE

FROM OUTSIDE

Terminal Building

FROM INSIDE

APP GATE


Benchmark (Average ISD occurrences 2013)

OPE

RATO

RS

Open from | Disarming at Professional group: Cabin Crew

ISD’s per 1000 Sectors


Known Operacional Environment OUTSIDE

North Terminal Building

@APP GATE

APP GATE None

FROM OUTSIDE | GATE Distractions

FROM INSIDE | GATE SOP Non compliance Insufficient communication Irregular operations Operational environment Distractions Automatic reactions Time pressure

Above ↗ Operators average (0,008/1000 departures) Below

APP GATE None

FROM OUTSIDE | GATE SOP Non compliance Distractions Insufficient Training

FROM INSIDE | GATE SOP Non compliance

Identifying contributing Factors | average


Inside versus Outside…

ISD’s per 1000 Sectors (Takeoff\Landing)


In Conclusion

• Door opening – Inside: 69% – Outside: 31%

• Sequence on: Door disarm opening from inside has a higher probability of ISD occurrence

• Contributing factors found on this study – SOP Non compliance – Distractions

• Maintenance and Catering found involved in the activity regarding ISD occurrences


Proactive approach

• SOP non compliance can be related with several factors e.g. cultural issues – Develop policies in order to promote that SOPs are

conceived to avoid honest errors – Promote safety culture

• FDA (Flight data analysis) can contribute to identify inadvertent door operation

• Data analysis will improve accordingly as taxonomy is standardized

• Definition of an Inadvertent slide deployment



Martin Ruedisueli Manager Flight Safety Cabin

Carlos Dias Safety Officer Cabin

Turbulence Management

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Johnny Chin Assistant Manager Flight Safety

Singapore Airlines

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Turbulence An Unpleasant But Familiar Experience

Safety, Security and Environment (SSE)

IATA Cabin Operations Safety Seminar Madrid, Spain 21st of May, 2014

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Severe Turbulence Cases

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Flight Details #1

Date: October 2011

Sector: Shanghai (PVG) to Singapore (SIN)

Flight Time: 5hrs 40mins

Aircraft Type: B777-300

Pax Load: 3P 22J 159Y (incl. 3 infants)

Crew: 3 Pilots / 15 Cabin Crew (incl. 1 SNY)

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ICAO Definition

Accident. An occurrence associated with the operation of an aircraft which takes place between the time any person boards the aircraft with the intention of flight until such time as all such persons have disembarked, in which: a) a person is fatally or seriously injured as a result of

– being in the aircraft, or – direct contact with any part of the aircraft, including parts

which have become detached from the aircraft, or – direct exposure to jet blast, – except when the injuries are from natural causes, self

inflicted or inflicted by other persons, or when the injuries are to stowaways hiding outside the areas normally available to the passengers and crew

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ICAO Definition

Serious injury. An injury which is sustained by a person in an accident and which: a) requires hospitalization for more than 48 hours,

commencing within seven days from the date the injury was received; or

b) results in a fracture of any bone (except simple fractures of fingers, toes, or nose); or

c) involves lacerations which cause severe hemorrhage. nerve, muscle or tendon damage; or

d) involves injury to any internal organ; or e) involves second or third degree burns, or any burns

affecting more than 5 per cent of the body surface; or f) involves verified exposure to infectious substances

or injurious radiation.

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Flight Path

FL350

HKG FL310

PEK FL360

Vertical Gmax: 1.74g

Vertical Gmin: -0.36g

ALT gain/loss: 100ft Source: DFDR

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Pax Seating Plan

No. of Casualties: 16 Pax / 5 Cabin Crew

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Arrival in Singapore

IFS made cabin PA for pax who required medical attention to remain onboard (no immediate medical evacuation required)

16 pax and 05 cabin crew sought medical assistance – 14 adults and 02 infants (pax) – All were sent to the airport transit clinic

06 were referred to hospital for treatment – 01 was hospitalized and the rest was discharged

All 05 cabin crew only sought medical treatment the next day

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Findings

The flight flew through the outer edge of a weather build up.

Flight Crew could have employed a more active weather scanning technique (esp. in tilt management.)

Communications between “Flight Crew & Cabin Crew” and between “Cabin Crew and Cabin Crew” were not optimal – Failure of Cabin Crew to inform Flight Crew of

seriousness of event in the cabin

– Failure of Cabin Crew to inform IFS when Flight Crew contacted the cabin

– Failure of Flight Crew to correctly assess the situation

After Landing Activities – Documentation (CCVR), failure to advise CMD that it was a

draft and that her final report would be more comprehensive.

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Flight Details #2

Date: May 2013

Sector: Singapore (SIN) to Riyadh (RUH)


Aircraft Type: A330-300

Pax Load: 258

Crew: 4 Pilots / 10 Cabin Crew

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SIN - RUH

No. of casualties: 01 Pax / 03 Cabin Crew

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Flight Details #3

Date: May 2013

Sector: Singapore (SIN) to London (LHR)


Aircraft Type: A380-800

Pax Load: 328

Crew: 3 Pilots / 23 Cabin Crew

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SIN - LHR

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SIN- LHR

No. of casualties: 11 Pax / Nil Cabin Crew

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SIN- LHR The Clean-Up

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SIN- LHR After the Clean-Up

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SIN – LHR Arrival in LHR

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Follow Up Actions

1. Training in the effective use of the weather radar on all fleets – Weather radar system and usage for both RDR4000/4B weather radars.

2. Operating procedures with regards to weather avoidance – Include weather avoidance and techniques as part of the briefing by

instructors for the RT sessions – A generic PowerPoint presentation on weather avoidance and turbulence

management for all fleet.

3. Turbulence Management Working Group to review the turbulence management, with an added focus on post occurrence handling of such event. – Cabin crew should actively patrol the cabin to look out for pax with injuries

after a severe turbulence, coupled with a post turbulence announcement. – The post event communication between cabin and cockpit crew needs to be

improved.

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Turbulence Management - Moving Forward

Flight Ops will issue circulars at the start of each turbulence season for technical crew awareness.

Flight Ops Notice (FON) will be issued every month from June-November on the status of crew and pax injury to maintain awareness.

Cabin Crew will issue circulars and briefing sheet periodically to enhance crew awareness.

Implementation of PIREPs

SEP Documentation – Inflight Management of Significant Incident

Review of activation of Fasten Seatbelt Signs at a higher altitude during aircraft descend. - KIV

Software based logic to inform aircraft of turbulence on their planned flight path through aircraft to aircraft (via a ground station) communications. – KIV

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Unruly Passenger – Consequences of an improper

assessment by Cabin Crew

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Philippe Bricaud Head of Standards and Cabin Crew Training

Air France

Interactive Panel Discussion on Unruly Passenger Prevention and Management

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Moderator: ;

Tim Colehan,Assistant Director External Affairs, IATA

Panel Members: Auguste Hocking, Legal Analyst, IATA

Brian Kinane, Air Crew Security Training Manager, Emirates

Lorena Guardia, Cabin Crew Safety Analyst, LAN Group Airlines

Captain Christian Thein, Flight Operations Security Representative, Luxair

To represent, lead and serve the airline industry

Panel on Unruly Passenger Prevention and Management IATA Cabin Operations Safety Conference 22 May, 2014

Panelists Auguste Hocking, Legal Counsel, IATA

Brian Kinane, Training Manager - Security, Emirates


Lorena Guardia, Cabin Crew Safety, LAN Airlines

IATA Cabin Operations Safety Conference 22 May, 2014

Moderator: Tim Colehan, Assistant Director External Affairs, IATA

Unruly Behaviour Brian Kinane

Training Manager - Security

©2013 Emirates. All Rights Reserved.

Restraints

0.00000%

0.00005%

0.00010%

0.00015%

0.00020%

0.00025%

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Restraints as % of passengers carried

2014 - %

2013 - %

2012 - %

2011 - %

2010 - %

Alcohol

• Sociable • Relaxed • Comfortable • Happy

Continue RSA

Monitor

• Shows reduced inhibitions • Has impaired judgment • Talks / laughs louder than

normal • Seems overly friendly • Argues or baits • Uses foul language more

frequently • Increases alcohol

consumption • Is careless with personal

belongings

4Ds Communicate Monitor

• Moves in slow motion • Responds slowly to questions • Appears glassy-eyed • Loses train of thought • Makes irrational statements • Spills drinks • Walks awkwardly • Stumbles or falls down • Is unable to sit up straight

Deny Communicate Offload

BEHAVIOURS / SIGNS ACTIONS / OPTIONS

TRAFFIC LIGHT GUIDE

Note: some signs & symptoms associated with intoxication may actually be related to a medical condition

Thank you

©2013 Emirates. All Rights Reserved.

Luxair Luxembourg Airlines S.A. Unruly Passengers Policy IATA Cabin Operations Safety Conference 22/05/14 Presented by Capt. Christian Thein

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Luxair Upax background

• Doubling of unruly passenger events 2010-2013

• Different events on business and leisure flights

• Empower staff to stop the problem at the gate

• Behavioural change within the European society:

‘I want what I want and when I want it!’

• Solid legal framework in Luxembourg and Europe

• Single CCM operation on Embraer 145

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Updated Upax policy since 2013

• Zero tolerance / denied boarding

• Guidance for all 4 ICAO Upax levels

• Pre-flight observation of passengers

• Emphasis on conflict resolution and de-escalation

• Passenger Warning Cards and restraint kits

• Prosecution/blacklisting of offenders and legal support to staff

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Upax training

• Combined training for cockpit and cabin crew:

• Communication

• Captain’s authority and support

• Safety concerns (single cabin crew)

• CCM customer care training

• Hands-on CCM training on restraint techniques

• Effective Passenger Warning Card distribution

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Challenges

• Free alcohol service

• Standardizing of staff response

• Single CCM operation:

• Passenger involvement

• Safety risk

• Blacklisting of passengers

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Thank you for your attention

UNRULY PASSENGERS Presented By Lorena Guardia Cabin Safety

May 2014

U n ru ly Pa ssen gers 2 0 1 3

197 reports registred 234,000 total legs

27309

Total

197

Others

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Physical Agression

Alcohol Smoking

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Instructions Insults

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Actual scenario • Different regulations • Different criteria


Future Challenge • Establish only one unruly policy • Enforced training for cabin crew and pilots


Panelists Auguste Hocking, Legal Counsel, IATA

Brian Kinane, Training Manager - Security, Emirates


Lorena Guardia, Cabin Crew Safety, LAN Airlines


Moderator: Tim Colehan, Assistant Director External Affairs, IATA

Resources For information on the Tokyo

Convention and Montreal Protocol www.iata.org/policy

Download Guidance on Unruly Passenger Prevention & Management: www.iata.org/whatwedo/safety/Pages/cabin-safety.aspx


http://www.iata.org/policy

http://www.iata.org/whatwedo/safety/Pages/cabin-safety.aspx

http://www.iata.org/whatwedo/safety/Pages/cabin-safety.aspx

Refreshment Break

Top Cabin Safety Issues of Concern and Regional Initiatives

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Moderator: Gennaro “Rino” Anastasio, Cabin Safety Officer, Alitalia

Panel Members: Steven Bereznak, Chair Cabin Operations Committee, Airlines for America (A4A)

Darryl Heck, Chair Cabin Safety Subcommittee, National Airlines Counsil of Canada (NACC)

Anna V. Serdyuk, Senior Cabin Crew Instructor, Aeroflot, representing FATA


Panel Members Steven Bereznak (American Airlines), Chair Cabin Operations

Committee, Airlines for America (A4A) Darryl Heck (WestJet), Chair Cabin Safety Subcommittee, National

Airlines Council of Canada (NACC) Anna V. Serdyuk (Aeroflot) representing Federal Air Transport Agency

(FATA) CSWG, Russia Moderator: Gennaro “Rino” Anastasio (Alitalia), Vice-Chair Cabin Management

Group (CMG), Association of European Airlines (AEA)


NACC

A4A

FATA

APCSWG AEA

http://nuke.mollotutto.com/Default.aspx?tabid=712

IATA Cabin Operations Safety Conference Steven Bereznak Manager Cabin Safety/ASAP

May 2014

Presentation Overview

About American Airlines

About Airlines for America

Top Cabin Safety Issues

American Airlines Group is the holding company for American Airlines and US Airways. American operates an average of nearly 6,700 flights per day to 340

destinations in 57 countries

Hubs in Charlotte, Chicago, Dallas/Fort Worth, Los Angeles, Miami, New York, Philadelphia, Phoenix and Washington, D.C.

American is a founding member of the oneworld® alliance, whose members and members-elect serve 981 destinations with 14,244 daily flights to 151 countries.

Combined fleet size – 1,000 aircraft

A319 B737 E190 A320 B757 MD-80 A321 B767 A330 B777

Employees 120,000 Flight Attendants 24,000 Pilots 13,000

Cabin Operations Committee Airline Members Alaska Airlines American Airlines Delta Air Lines Hawaiian Airlines JetBlue Airways Southwest Airlines United Continental US Airways

Cabin Operations Committee Mission/Charter The mission of the Cabin Operations Committee is to develop,

promote, implement and enhance comprehensive passenger and cabin initiatives and training programs that assure safe, efficient cabin operations. Its vision is an accident-free, cost-effective cabin environment for passengers and employees.

Cabin Safety

Risk of slide deployment

Turbulence injury

Portable electronic devices in the cabin

Distraction

Threat of procedural drift

Date

IATA Cabin Safety Conference

Darryl Heck, May 21, 2014

About NACC

About WestJet

Top Threats to Cabin Safety in Canada

Regional Initiatives

PRESENTATION OUTLINE

Trade association, representing Canada’s four largest passenger airlines, founded in 2008 by Air Canada, Air Transat, Jazz Aviation LP and WestJet to promote safe, sustainable and competitive air travel.

Working with governments, regulators and partners on:

Cost competiveness - Lower infrastructure costs and taxes

Safety and Security - Effective and efficient systems

Environmental responsibility – Better environmental performance

ABOUT NACC

Founded in 1996 with three aircraft serving 5 cities in Western Canada

Today, almost ten thousand employees with 120 aircraft serving 90 domestic and international destinations

Awarded third in Canada’s top 100 employers by Aon Hewitt

Independently recognized as Canada’s most admired corporate culture

Recognized by J.D. Power as Customer Service Champion

About WestJet

Top Cabin Safety Threats - Direct

Undisclosed and unknown dangerous goods in the cabin

Portable electronic devices proliferation and expanded use

Unruly passengers

Medical incidents

Flight attendant fatigue

Complacency

The challenge of fast-paced change

Slow adoption and lack of understanding of risk based, quality focused, safety management systems

Lack of harmonization and inconsistencies between regulatory jurisdictions

Top Cabin Safety Threats - Indirect

Benchmarking with other airlines

Sharing data and best practices

Partnering with regulatory authority (Transport Canada) to improve:

Consistent application of regulations

Innovation in processes to improve safety effectiveness and efficiency

SMS effectiveness

The culture of generative safety

Regional Initiatives

Thank you

Darryl Heck, Cabin Safety Sub-committee

IATA Сabin Operations Safety Conference

FATA Сabin Safety Work Group

What is AEROFLOT?

National Carrier and the largest airline in Russia, founded on March 17, 1923 – one of Russia’s most recognized brands

Carried 20.9 million PAX in 2013, together with the airlines of Aeroflot group - 31.4 million PAX

Fleet – 154 aircraft - is among Europe’s most modern, youngest and fast growing

Joined IATA in 1989, a full member of SKY TEAM – since 2006

Excellent safety record, the first Russian Carrier to be included in IATA’s Operational Safety Audit (IOSA) Registry

Who is Anna Serdyuk?

1980 – joined Aeroflot Cabin Crew team

1990 – acquired experience as instructor in LH, BA, Airbus and Boeing Training Centers

1999 – transferred to Aeroflot Training Department

2006 – Cabin Crew Training Manager

2012 – senior Cabin Crew Instructor in Aeroflot Service on Board Department

What is FATA Work Group?

Federal Air Transport Agency (FATA) is an executive body in the sphere of Air Transport in the structure of the Ministry of Transport of the Russian Federation. FATA Cabin Safety Work Group was organized in 2009 by a chief state Expert and Inspector Sergey Slepukhin. Today - its Leader is a chief state Expert and Inspector – Vladimir Bolotov About 30 members constantly work in the Group. They are the representatives of the leading airlines and training centers, most qualified and experienced CC managers, instructors and inspectors.

The main task of the FATA Cabin Safety Working Group is to improve Cabin Operations Safety in all Russian Airlines. It coordinates efforts in introducing the international safety standards and promotes the best and most effective practice of different airlines. The work is organized through monthly meetings and annual conferences.

What was done?

Guidelines for CC Training Line Checklist Guidelines for CC Department Structure and Organization Medical On Board Provision, First Aid on Board What is to be done? Cabin Attendant Operations Manual Cabin Crew certification: - Qualification requirements - Knowledge check organization - Questionnaire for Cabin Crew

Polling Question

Do you follow Standard Safety Rules on board an aircraft (such as NO SMOKING/ NO alcohol consumption/ PEDs OFF/ FASTEN SEATBELTS/baggage stowage)?

A/ yes, always B/ only when told by Cabin Crew C/ these silly rules are not for me

SAFETY THREATS

Unruly passengers

Commercial pressure on CC priority of comfort and service

Security threats

THANK YOU!

AEA CMG Gennaro Anastasio

Alitalia

Cabin Management Group (CMG)

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AEA - brings together 30 major airlines, and has

been the trusted voice of the European airline industry for over 50 years

CMG has currently 15 active airline members Annual meetings & active LinkedIn discussion forum

Current Safety & Security Concerns

New PED rules Turbulence Smoke and fumes Lithium battery fire Unruly passengers Crew member fatigue

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Polling Question

What are your top safety issues? 1. SOP Non-Compliance 2. Unruly Passenger 3. Lithium Battery/Fire and Smoke 4. All of Above 5. Other

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Thank you

Lunch Break

Documents

WELCOME [] Non-Compliance Fleet Management Inadequate SOPs Lack of Training Ad hoc situations Multi-tasking and workload Miscommunication or lack of Time pressure