ATS INCIDENTS IN ICAO
CAR/SAM REGIONS
• ACTIVITIES DEVELOPED
• MAIN CAUSES
• ADOPTED ACTIONS
• CONCLUSION
¿HAVE ATS
INCIDENTS
INCREASED IN
THE CAR/SAM
REGIONS?
• GREATER AIR TRAFFIC
VOLUME
• AIRCRAFT EQUIPMENT
(ACAS)
• PROGRAMME TO
ENCOURAGE ATS INCIDENTS
REPORTING
ACTIVITIES DEVELOPED
• REGIONAL MEETINGS
•GREPECAS
•REGIONAL OFFICES
MOST FREQUENT CAUSES
• REGULATORY FACTORS
• MANAGEMENT FACTORS
• TECHNICAL FACTORS
• HUMAN FACTORS
REGULATORY FACTORS
• LACK OF NATIONAL REGULATIONS
FOR MODE “C” AND ACAS
UTILIZATION
•INADEQUATE STRUCTURE FOR
PREVENTION AND INVESTIGATION
REGULATORY FACTORS Cont.
• ABSENCE OF STUDIES ABOUT
MAXIMUM WORKLOAD
• LACK OF OPERATIONAL MANUALS
• INADEQUATE CIVIL/MILITARY
COORDINATION
MANAGEMENT FACTORS
• DEFICIENCIES IN SUPERVISION
•
INADEQUATE SELECTION
PROCEDURES
•
INADEQUATE TRAINING
PROGRAMMES
• SHORTAGE OF SPECIALIZED HUMAN
RESOURCES
MANAGEMENT FACTORS Cont.
•
INADEQUATE ENVIRONMENT
AND ECONOMICAL CONDITIONS
•
INSUFFICIENT KNOWLEDGE OF
ENGLISH LANGUAGE
• MISUSE OF AERONAUTICAL
PHRASEOLOGY
TECHNICAL FACTORS
• SHORTCOMINGS IN FACILITIES AND
SERVICES
• DEFICIENCIES IN UPDATING AND
DISSEMINATION OF INFORMATION
• INADEQUATE STRUCTURE /
AIRSPACE MANAGEMENT
Routes - TMAs - STARs - SIDs - IAC
TECHNICAL FACTORS Cont.
•
LACK OF AUTOMATION
•
SHORTCOMINGS AND
DEFICIENCIES IN AIR TRAFFIC
FLOW MANAGEMENT
HUMAN FACTORS
• LACK OF HUMAN FACTORS
TRAINING
• LACK OF PROFESSIONAL
RECOGNITION
• ABSENCE OF CAREER PLANNING
HUMAN FACTORS Cont.
• LACK OF MOTIVATION
• PSYCHOLOGICAL SUPPORT TO
ATCOs :
•Immediate actions
•Follow-up actions
ACTIONS TO BE TAKEN
• TO EVALUATE ATC UNITS
• TAKE APPROPRIATE ACTIONS
• ASSIGN RESOURCES
• DEVELOPMENT OF ALL ANS
ATS QUALITY ASSURANCE PROGRAMME
• TO ENCOURAGE INCIDENT REPORTING
AND IMPROVE INVESTIGATION
PROCEDURES
¿TO REAFFIRM CONFIDENCE OF
USERS IN THE SYSTEM?
¿TO RE-INITIATE NORMAL
ACTIVITIES?
TO EASE POLITICAL OPPOSITION?
OR
OBJECTIVE OF
INVESTIGATIONS
TO ENHANCE SYSTEM
ARCHITECTURE:
BY IDENTYFYING VULNERABLE
POINTS
BY DEVELOPING STRATEGIES TO
GENERATE CHANGES
BY ESTABLISHING PRIORITIES IN THE
ASSIGNMENT OF RESOURCES
¿HOW TO IMPROVE
INCIDENT REPORTING
AND INVESTIGATION
PROCESS ?
• IMPROVING TIME OF PROCESSING
• IMPROVING RECORDING SYSTEMS
• USING SPECIALIZED PERSONNEL
• IMPLEMENTING ADEQUATE FEEDBACK PROCESS
THE CHANGE IN PEOPLE´S
BEHAVIOUR IN ANY
ORGANIZATION GENERALLY
STARTS BY CHANGING THE WAY
OF THINKING OF JUST ONE
PERSON:
YOU
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NAM/CAR/SAM Air Traffic Services Quality Assurance