LOSA Line Oriented Safety Assurance
Transcript of LOSA Line Oriented Safety Assurance
Air Line Pilots Association, Int’l
Qualities of a LOSA
▪ Jumpseat during normal flights
▪ Voluntary!
▪ Confidential, safety-only data collection
▪ Joint airline-union sponsorship
▪ Targeted observation
▪ Trusted, trained, standardized observers
▪ Trusted data collection
▪ Data cleaning/validation round tables
▪ Data driven decision making
▪ Feedback!
Source: ICAO LOSA Manual, Doc 9803
Air Line Pilots Association, Int’l
The “In-House LOSA”
…motivation & challenges
- $
- “Drift”…FOSA
- Duration
- Benchmarking
- No memorialized agreement / buy-in
- Big Brother?
Air Line Pilots Association, Int’l
Who is the LOSA Collaborative?
Dr. James Klinect + 25
• Founder & CEO
• Authored ICAO regs & FAA AC
• UT – A history
The LOSA Collaborative
PO Box 684645
Austin, Texas 78768 Tel: +1 512 892 5527
Email: [email protected]
Air Line Pilots Association, Int’l
LOSA Archive
AeroMexico
Air Canada
Air Hong Kong
Asiana
Alaska Airlines
Air France
Air New Zealand
Air Nelson
Air Nuigini
Air Transat
ANA
ANA Network
ASA
Cathay Pacific
Frontier
Horizon Air
Japan Airlines
JetBlue
LACSA
QANTAS
Qatar Airways
Malaysia Airlines
Mexicana
Mt. Cook
Regional Express
Republic
Royal Air Maroc
Saudia
Shuttle America
Chautauqua
China Airlines
Click Mexicana
COPA
COPA Colombia
Continental
Continental Express
Continental Micronesia
Delta
DHL Air
Dragonair
FedEx
Emirates
ExpressJet
Silk Air
Singapore Airlines
Singapore Cargo
Southwest
TACA
TACA Peru
TAP Portugal
Thomas Cook
UPS
United
US Airways
USAF AMC
Virgin Australia
Volaris
WestJet
100+ LOSAs / 70+ airlines / 20,000+ observations
Air Line Pilots Association, Int’l
▪ Steering committee / coordinator / benchmarks / focus
▪ Comm to pilots
▪ Create observation form (sample)
▪ Select / train / schedule observers
▪ Validate / analyze data
▪ Report (in and out)
▪ Implement / monitor change (AQP, ASAP, FOQA, etc.)
LOSA Implementation Steps
Air Line Pilots Association, Int’l
LOSA Can Tell Us What Happens
Proactive identification of system safety and flight crew performance “strengths and
weaknesses” from everyday operations
Air Line Pilots Association, Int’l
▪ Threat - Events or errors that occur outside the influence
of the flight crew but which require their attention if
safety margins are to be maintained
LOSA Threats
Environmental Threats
• Adverse Weather
• Airport
• ATC
• Environmental Ops Pressure
• Terrain
• Traffic
• Communication
Airline Threats
• Airline Operational Pressure
• Aircraft
• Cabin
• Dispatch / Paperwork
• Ground / Ramp
• Ground Maintenance
Air Line Pilots Association, Int’l
▪ Error - Observable deviations from organizational or crew
intentions or expectations
LOSA Errors
Aircraft Handling
• Automation
• Manual Handling
• Flight Control
• System / Radio / Instrument
• Taxi
Procedural
• Briefing
• Callout
• Checklist
• Cross-Verification
• Documentation
• PF/PM Duty
Communication
• Crew to External
• Pilot to Pilot
Air Line Pilots Association, Int’l
• Continuous vs. “snapshot”
• Observer burnout
• Biases
• Pilot buy-in / labor issues
• Statistical significance (0.002777%)?
LOSA Challenges
Air Line Pilots Association, Int’l
▪ Modified for demographic / technological / ethnographic
concerns
LOSA 2.0
What might the future of LOSA look like?