Transcript 2009年我國飛安概況 Taiwan Aviation Safety 2009 Thomas Wang Aviation Safety Council

2009年我國飛安概況
Taiwan Aviation Safety 2009
Thomas Wang
Aviation Safety Council
Operators
Investigation
Agency
Regulators
Safety
Manufactures
Aviation Safety Council
May 25, 1998
Aviation Occurrence Investigation Act
Article 3
In order to conduct impartial investigation of aviation
occurrences and to improve aviation safety, there
shall be established the Aviation Safety Council.
The ASC shall carry out its duties independently in
accordance with this Act.
3
ASC Investigation Summary
 Since ASC established in 1998
 Investigated 67 occurrences/incidents
 59 related to civil aviation aircraft,
government aircraft and ultra-light
 2 were incidents
 6 occurrences conducted by other states,
ASC was AR
 Issued 443 safety recommendations
Aviation Occurrence Statistics in Taiwan
1999-2009,10.31
Number of Occurrence
Fatalities
Total
Fatal
Hull Losses
Total
Fatalities
Aboard
30
2
4
228
228
6
36
1
3
1
5
2
230
2
230
General Aviation Aircraft
Public Aircraft
Ultralight Aircraft
7
9
8
4
3
4
5
5
8
8
6
7
8
6
7
Accidents related to Sabotage,
hijacking or terrorism
1
1
1
1
1
Foreign-Registered Aircraft Accident
in Taiwan/ Accidents Investigated by
ASC
6
1
1
83
83
67
16
25
335
335
Civil Aviation Transport Category
Commercial Jet airplane
Turboprop airplane
Sum
Total
Aviation Occurrence – by number/year
1998-2009,10.31
by ICAO definition
Aviation Occurrence – by category
1999-2009,10.31
by ICAO definition, event category
Runway Excursion
Date
Time
Aircraft Type
Precipitation
RE type
1999.09.02
11:48
B747-200
None
veer off
2000.04.24
07:30
MD82
Heavy rain
veer off
2000.08.24
01:48
MD90
Light rain
over run
2000.10.31
21:50
B737-800
Heavy rain
veer off
2003.08.21
11:13
MD82
Light rain
veer off
2004.08.24
09:20
MD82
Heavy rain
veer off
2004.10.18
17:59
A320
Light rain
veer off
2006.07.14
19:15
MD83
Heavy rain
veer off
2007.08.22
09:20
MD82
Light rain
veer off
2008.08.15
21:50
A340
None
veer off
Reducing the Risk of Runway Excursion
Jim Burin ISASI 40th Annual Seminar
Fatal and Non-Fatal Runway
Accidents by Type 1995 thru 2008
Runway Confusion
Fatal
Non-Fatal
Runway Incursion
Runway Excursion
0
50
100
150 200 250 300
Number of Accidents
350
400
450
9
Conclusions and Recommendations
1.
2.
3.
4.
A mishandled rejected takeoff (RTO) increases the risk of takeoff runway excursion
Takeoff performance calculation errors increase the risk of a takeoff runway excursion
Unstable approaches increase the risk of landing runway excursions
Failure to recognize the need for and to execute a go-around is a major contributor to
runway excursion accidents
5.
Contaminated runways increase the risk of runway excursions
6.
Thrust reverser issues increase the risk of runway excursions
7.
Combinations of risk factors (such as abnormal winds plus contaminated runways or
unstable approaches plus thrust reverser issues) synergistically increase the risk of
runway excursions
8.
Establishing and adhering to standard operating procedures (SOPs) will enhance flight
crew decision making and reduce the risk of runway excursions
9.
The survivability of a runway excursion depends on the energy of the aircraft as it leaves
the runway surface and the terrain and any obstacles it will encounter prior to coming to a
stop
10. Universal standards related to the runway and conditions, and comprehensive
performance data related to aircraft stopping characteristics, help reduce the risk of
runway excursions
Reducing the Risk of Runway Excursion
Jim Burin ISASI 40th Annual Seminar
10
Recommendations
3.
Unstable approaches increase the risk of landing runway
excursions
 Operators should define, publish, and train the elements of a
stabilized approach
 Flight crews should recognize that fast and high on approach, high
at threshold, and fast, long, and hard touchdowns are major factors
leading to landing excursions
 ATC/ATM personnel should assist aircrews in meeting stabilized
approach criteria
4.
Failure to recognize the need for and to execute a go-around is a
major contributor to runway excursion accidents
 Operator policy should dictate a go-around if an approach does not
meet the stabilized approach criteria
 Operators should implement and support no-fault go-around
policies
 Training should reinforce these policies
11
Aviation Safety Goals

Jan 2005 ASC reported to the Premier

「加強飛航組員之訓練與考核」飛安改善重點
 飛航組員對航空器系統與性能之瞭解
 加強訓練與考核大陣側風及濕滑跑道上降落時，駕駛員應具備
的學理知識與操作技能
 加強組員間之合作訓練
 穩定進場的重要性

「提昇機場跑道安全」飛安改善重點
 檢視各機場跑道是否符合「跑道地帶」及「跑道端安全區」規
範之要求
 建立跑道道面摩擦係數、積水檢測及宣告等機制，期使航空器
駕駛員事先知所因應，以降低航空器偏出或滑出跑道之風險
12
Safety Recommendations Summary
Category
Government
Organizations
Operators
International
Organizations
Total
%
G.A.
27
27
3
57
12.87 %
Transport
128
104
67
299
67.49 %
Others
72
12
3
87
19.64 %
Total
227
143
73
443
100 %
%
51.24 %
32.28%
16.48 %
100 %
13
Safety Recommendations 1998-2009,10.31
30%
35%
6%
7%
12%
2%
3%
4%
1%
Flight Operations
Cabin Attendant
Maintenance Quality
Ground Handling
Airport Facility
Air Traffic Service
Security
Design/ Manufacture
Oversight/ Policy
15
2009 Occurrence Review
16
Occurrences
1 January to 31 October 2009
Date
3 Jan 09
4 Feb 09
10 Jul 09
11 Aug 09
Aircraft Type
Aircraft Category
Location
Fatal
Phase
2
MANOEUVING
AIR CREATION
ULTRALIGHT
PINGTONG
DH8-311
COMMERCIL
TURBOPROP
MAGONG
0
TAKEOFF
BK-117
EMS
HELICOPTER
KINGMEN
2
APPROACH
UH-1H
S&R
GOVERNMENT
HELICOPTER
PINGTONG
3
CRUISE
Taiwan Aviation Accident
Rates
18
350,000
Flight Number 1999-2008
300,000
250,000
200,000
150,000
100,000
國內航線
Domestic
國際航線
International
總計
Total
50,000
19
0
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Hull Loss Accidents
Taiwan Commercial Jets (>15,000 kgs)
1993 – 2009.9
7
6
Hull losses
6.00
Hull loss rate
5
5
5
Hull losses
5.00
4
4
3
2
4
0
4
3
4.00
3.52
3.00
2.82
2.69
2.17
1
4
2.10
2.09
2.26
1.83 2.00
1.00
10 years running average
Hull loss rate per million deps
6
7.00
Hull Loss Accidents
Taiwan Commercial Turboprop
1993 – 2009.9
7
6
Hull losses
6.00
5
Hull losses
5
Hull loss rate
5
5.00
4.86
4
4
4.10
3
2
1
0
4.15
4.00
3
3.51
2.77
3.00
2
1.97
1
1
2.00
1.36
1.02
1.00
10 years running average
Hull loss rate per million deps
6
7.00
Hull Loss Accident Rate - FSF
C.I.S. 4.9
North America
0.5
Europe 1.2
Europe 0.7
North Asia
 0.3
ME&NA
 13.0
Latin America
and Caribbean
2.4
Asia Pacific
1.9
Africa
12.0
World
1.16
Australia
0.0
Hull loss accidents per Million Departures. Western Built Jets 1997 - 2006
Hull Loss/ Fatal Accident Rate, per million departure
Taiwan Civil Aviation Transport Category,
MTOW>15000kg
4.0
3.5
3.52
3.0
2.93
2.82
2.69
2.5
2.25
2.0
1.5
2.17
2.10
2.09
1.63
1.58
1.57
2.26
1.61
1.13
1.0
0.5
Fatal Rate
Hull loss rate
0.0
1993-2002
1994-2003
1995-2004
1996-2005
1997-2006
1998-2007
1999-2008
ICAO Global Aviation Safety
Plan (GASP)
Objectives
1. Reduce the number of fatal accidents and
fatalities worldwide irrespective of the volumes
of air traffic
2. Achieve a significant decrease in accident rates,
particularly in regions where these remain high
3. No single ICAO Region shall have an accident
rate more than twice the worldwide rate by the
end of 2011 (Based on a five year sliding average)
25
Western Built Commercial Jet Hull Losses Accident Rate
1.4
1.30
1.26
1.2
1.21
1.14
1.27
1
Hull Loss rate
1.05
1.11
1.05
5-year-average
0.95
0.88
0.94
0.87
0.8
0.81
0.80
0.8
0.76
0.77
0.75
0.65
0.6
0.75
0.4
0.2
0
1999
2000
2001
2002
2003
2004
MTOW > 15,000Kg
Data from Aviation Safety Performance Fact Sheet, IATA
2005
2006
2007
2008
Hull Loss Accidents
Taiwan Commercial Jets (>15,000 kgs)
1999 – 2009.9
4
4.00
2.01
1999
2000
2.24
2.18
2.00
1
0
2.20
2.01
1
0
3.00
2.22
2.12
2
1
3.21
3.10
3
Hull loss rate
1
0
2001
2002
2003
0
2004
0
2005
0
2006
2007
1.36
1.20
1
1.00
0
0
2008
2009.9
0.00
5 years running average
Hull loss rate per million departure
Hull losses
Hull losses
Hull Loss Accidents
Taiwan Commercial Turboprop
1999 – 2009.9
7.00
Hull losses
6
Turboprop
6.00
Hull losses
5.65
5
5.00
4.48
4
4.00
3.63
3.28
3
3.00
2
2.12
2.00
1
1
0
2.13
2.01
1.92
0
0
0
1999
2000
2001
1.00
0
2002
2003
0
0
2004
2005
0
0
0
0
2006
2007
2008
2009.9
0.00
5 years running average
Hull loss rate per million departure
7
Hull Loss Accidents
Taiwan Commercial Jets (>15,000 kgs)
1993 – 2017
4.0
3.5
3.52
3.0
2.82
2.69
2.5
2.17
2.0
2.10
2.26
2.09
1.83
1.5
1.83
1.83
1.62
1.24
1.0
1.22
0.91
0.85
0.97
0.80
0.77
0.5
0.64
0.64
0.64
0.61
0.61
0.61
0.61
0.21
0.21
0.21
0.21
0.43
0.0
19932002
19942003
19952004
19962005
全毀事故率
19972006
19982007
1999- 2000- 20012008 2009.9 2010
（次/百萬飛時）
20022011
20032012
Hull loss rate
20042013
20052014
20062015
20072016
0.00
20082017
Thank You