1. The Federal Aviation Administration Presented By: Rick Baker
ATS Incidents Reporting and Investigation Teams
The Federal Aviation Administration
Presented By:
Rick Baker

2. ATS Incident Reporting and Investigation
Operational Error
Operational Deviation

3. ATS Incident Reporting and Investigation
Reporting Suspected Events
Preliminary Investigation
Investigation Teams
Controller Decertification
Final OE Report
Follow-Up from Investigation

4. Reporting Suspected Events
Every controller is responsible to report a loss of separation to the supervisor
Aircraft to Aircraft
Aircraft to Airspace
Every supervisor is responsible to investigate a reported loss of separation
Unreported OE/D’s can result in disciplinary action

5. Reporting (cont.) Safety takes precedence over personal loyalties
Reputation of national ATS system at stake

6. Preliminary Investigation
Controller relieved from position
Investigation conducted by supervisor
Controller interviews
Listen to voice tapes
Review computer data
Gather pertinent data
Management determines if OE/D occurred

7. Investigation Teams
Researches and identifies contributing factors such as:
Equipment problems
Supervision
Weather
Controller proficiency
Airspace
Procedures
Distractions
Workload

8. Controller Decertification
Controller initially relieved from position
Controller may be decertified if OE/D occurred
Must receive training before returning to work
Must be recertified by supervisor
Could be decertified on one or all positions

9. Final OE/D Report Final Analysis of OE/D Identifies causes of OE/D
Summary of event in time order
Identifies responsible persons
Action taken by facility as a result of OE/D

10. Follow-Up From Investigation
Changes to procedures
Changes to airspace
Additional training
Controller performance review
Supervisory performance review
Follow-up tape reviews
Increased oversight by headquarters