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Occurrence Reporting – The Alitalia experience 24th March, 2015

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�2 COA (Alitalia and Alitalia CityLiner)

�119 Aircraft: 10 B777, 13 A330, 76 A32F, 20 EMB

�103 Destinations, 26 Dom, 63 Int, 14 Inc

�about 200,000 Flights per year

An Intensive and demanding Program aimed to:

� Improve passenger network

� Integrate with Etihad and associated alliance carriers

� Improve quality of service offered to our guest

�Enhance safety outcomes

The Alitalia Group today

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SECURITY

PLANNING & CREW ROSTERING

FLIGHT OPERATIONSCREW TRAINING

CENTERGROUND OPERATIONS

ENGINEERING & MAINTENANCE

OPERATIONS CONTROL CENTRE

CHIEF OPERATIONS OFFICER

FUEL MANAGEMENT

COMPLIANCE MONITORING

SAFETY

ALITALIACITYLINER

Operations Organization

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Safety Organization

SAFETY MANAGER

FDM

& RISK ANALYSIS

CRISIS

MANAGEMENT

REPORTING

SYSTEMS

GROUND SAFETY

FLEET SAFETY

MANAGERS

INVESTIGATION

CHIEF OPERATIONS

OFFICER

MAINTENANCE

INVESTIGATION

CABIN SAFETY

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Safety Vision & Policy

Safety VisionTo develop a working environment in which every individual is trained and

motivated to manage risks in day to day activities, thus enabling successful

completion of all operations maintaining risks at or below an acceptable

level

Safety PolicyTo develop, implement, maintain and constantly improve an effective SMS

to ensure the smooth running of all our activities providing analysis

products to guide decisions on correct allocation of resources, and

conducting communication activities to effect positive behavioural change.

Reporting is strongly and effectively encouraged.

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Occurrence Reporting

� Reporting: the primary tool for Hazard Identification

� The role of No-Penalty Policy

No mutual Trust = No Reporting

No Reporting = No SMS

� Reporting Culture, hard to build , easy to destroy

� Internal (Voluntary) Reporting: a success story

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Occurrence Reporting

COCKPIT CREW AIR SAFETY REPORT

GROUND STAFF(Handling/Ramp)

GROUND SAFETY REPORT

MAINTENANCE STAFF(Line/Hangar)

TECHNICAL OCCURRENCE REPORT

CABIN CREW CABIN SAFETY REPORT

� Customized Reports for different professionals areas

� eReporting as a primary option

� Centralized Database managed by Safety

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Occurrence Reporting in numbers

0

1000

2000

3000

4000

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

2014

2.051 Reports

331 MOR

600 Birdstrike

Extension to Ground & Maint Ops

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9

0

2

4

6

8

10

12

14

16

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

2010 2011 2012 2013 2014

RE

PO

RT

ED

EV

EN

T R

AT

E

X 1,000 flights

Reporting Trends – Voluntary Event Rate 2010-14

10

0,00

0,50

1,00

1,50

2,00

2,50

3,00

3,50

4,00

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

2010 2011 2012 2013 2014

EV

EN

T R

AT

E X 1,000 flights

Reporting Trends – MOR Event Rate 2010-14

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11

0

1

2

3

4

5

6

7

8

9

10

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3

2010 2011 2012 2013 2014

TO

TA

L/ M

OR

R

AT

E

Reporting Trends – Tot vs MOR 2010-14

12

0

1

2

3

4

5

6

7

8

9

ASR GSR MSR

RA

TE 2013 Q4

2014 Q1

2014 Q2

2014 Q3

2014 Q4

Reporting Trends – Voluntary per Area 2014

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13

0,00

0,25

0,50

0,75

1,00

1,25

1,50

1,75

2,00

2,25

2,50

2,75

3,00

ASR GSR MSR

RA

TE

2013 Q4

2014 Q1

2014 Q2

2014 Q3

2014 Q4

Reporting Trends – MOR per Area 2014

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Reporting System – 2015 Challenges

� EU Regulation 376/2014: Huge workload increase

� A more efficient reporting process: single notification to

Authority

� Less bureaucracy……more data analysis

� Data intelligence sharing (if any): what about thousands of

MORs sent?

� Authority and Just Culture: room for improvement

� Voluntary vs Mandatory Reporting: need for clarification