Session 13. A Small State s Experience SEMINAR ON AIRCRAFT ACCIDENT INCIDENT INVESTIGATION AUGUST 2014

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1 Session 13 A Small State s Experience SEMINAR ON AIRCRAFT ACCIDENT INCIDENT INVESTIGATION AUGUST

2 A Small State s Experience Singapore aviation industry AAIB set-up AAIB functions Equipment and facilities Training 2

3 Singapore Small island State Population 5.4 million Area km 2 N-S 26 km. E-W 47 km Highest hill m Dry/wet seasons 3

4 2 civilian airports Aviation Industry (1) 7 national airlines (SIA, SIA Cargo, SilkAir, Tiger Airways, Jetstar Asia, Valuair, Jett8) 1 helicopter-operator (ST Aerospace Engineering) 196 jets (B747/777, A319/320/330/340/380) GA: 22 fixed wing, 3 helicopter foreign airlines ~ 6,700 weekly flights 4

5 300 + ATCOs Aviation Industry (2) 3,500+ pilots, 9,000+ flight attendants 2 major aircraft maintenance companies (SIA Engineering Company, ST Aerospace/SASCO) Many FAA-approved maintenance repair stations FAA Asia-Pacific Regional Office in Singapore 5

6 Past Major Occurrences 1954 Lockheed Constellation, Kallang Airport 1979 B707F, Paya Lebar Airport 1997 SIA Learjet 31, Thailand 1997 SilkAir B737, Indonesia 2000 SIA B747, Taiwan 6

7 AAIB Set-up 7

8 AAIB Singapore A department of Ministry of Transport since 1 October 2002 Independent of civil aviation regulatory authority, judicial authorities and aviation service providers Investigation authority to fulfil Singapore s Annex 13 obligation Note: Other agencies may carry out their own investigations (e.g. Coroner, CAAS, Police) 8

9 Current strength AAIB Manpower 9 investigators (1 pilot, 1 ATCO, 7 engineers) 2 support staff Approved strength 11 investigators + 3 support staff Long term plan (2020) 14 investigators + 4 support staff 9

10 Part-time Investigators 13 volunteers (specialists in their own field) to help investigate specialised areas 3 Air Force officers to assist in military aircraft accident/incident investigation during civilian organised flying display. 10

11 AAIB Functions (1) PRIMARY Fulfil Singapore s obligation under the Chicago Convention, in compliance with Annex 13 SARPs, by investigating Accidents Serious incidents Incidents (where safety lessons are expected to be learnt) 11

12 AAIB Functions (2) Monitor CAA Singapore and operators investigation of significant incidents Review safety information and investigation reports and share lessons learnt Administer a voluntary, non-punitive Singapore Confidential Incident Reporting (SINCAIR) programme 12

13 AAIB Functions (3) Implement Annex 13 SARPs through legislation, policies or procedures Educate the industry/public on ICAO s no-blame philosophy of investigation, AAIB s role and investigation procedures 13

14 AAIB Functions - Others Develop resources and expertise Coordinate with other local agencies Update legislation, policies and procedures Liaise with ICAO / other States / industry Maintain relevant statistics Advise Minister / Ministry 14

15 Procedures 15

16 Procedure Manuals Policy Manual Investigation Training Manual Accident Investigation Handbook Chief Inspector of Accidents Handbook Accident Site Safety Manual 16

17 Inter-agency Coordination ATC service provider (ATC tapes, radar data) Airport operator (post-crash fire protection) Airline (CVR/FDR removal, round up crew/pax for interview) Engineering agent of the airline (technical investigation) Military/Police (aerial survey, security, comb site, escort) Hospital (medical/toxicological tests, autopsies) 17

18 Other Investigation Resources Facilities and equipment from: Singapore carriers Aerospace companies in Singapore Aircraft / engine / components manufacturers Universities (NTU, NUS), research agencies (DSTA, DSO) Other investigation agencies 18

19 Prior Coordination Inter-agency coordination Airport emergency plans Dialogue with industry

20 Emergency Response Plan (ERP) Coordination should be documented in an ERP, such as an Airport Emergency Plan (AEP) Example - AEP of Singapore Changi Airport: Section 10 Action Plan for Aircraft Accident Investigation Section 11 Removal of Crashed or Disabled Aircraft Actions prescribed for: Aircraft operator and its engineering agent, CAA, Aerodrome operator, ARFF, Police, Military, Hospitals

21 MOU (1) Bilateral MOUs with: Australia ATSB Brunei DCA Cambodia SSCA Canada TSB China CAAC France BEA Germany BFU Indonesia NTSC Japan JTSB Korea ARAIB Qatar CAA CIS MAK (Interstate Aviation Committee) UAE GCAA UK AAIB US NTSB 21

22 ASEAN regional MOU MOU (2) (ASEAN stands for Association of Southeast Asian Nations, which comprises Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, Vietnam) 22

23 MOU (3) MOU covers: Assistance - manpower / equipment / facilities Training Observer attachment 23

24 International Membership Corporate member of the International Society of Air Safety Investigators (ISASI) Secretary of the Asian Society of Air Safety Investigators (AsiaSASI) Members of the International Confidential Aviation Safety Systems (ICASS) Informal Group 24

25 Equipment / Facilities

26 Equipment / Facilities Maps Boards Investigator go-kit Work bench CVR/FDR readout facility Measuring equipment Recording equipment ULB signal detection equipment Remotely Controlled Aerial Vehicle 3D Laser Scanner 26

27 Training

28 Investigation Training (1) Basic investigation techniques course (Singapore Aviation Academy (SAA)) Investigation management training (SAA) In-house orientation / on-the-job training Debris mapping Flight recorder Evidence preservation and photography Donning of personal protective equipment Decompression chamber Cold weather training Desert training Training in advanced / specialised areas (ATSB, NTSB, SCSI, USC) 28

29 Investigation Training (2) Training in handling the media/nok Seminar/Conference attendance Review of foreign investigation reports and safety information Crash exercises Investigation exercises Attachments to foreign investigations Excellent way to gain exposure and experience in investigation management Fitness training 29

30 - End - Session 13 Sharing of a Small State s Experience SEMINAR ON AIRCRAFT ACCIDENT INCIDENT INVESTIGATION AUGUST

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