1. Aviation Safety Improvement How and Why the Industry is Progressing Kenneth Neubauer Futron Corporation

2. Ken Neubauer “Nubs” F-4 Phantom - Japan F-21 Kfir – Adversary, Oceana F-21 Kfir – Adversary, Oceana CO - VF-41 Black Aces USS Constellation – Ops Officer RAND Corporation Fellowship School of Aviation Safety Naval Safety Center Futron Corporation - 2007 kneubauer@futron.com (800) 807-4927, x7317 Aerospace Safety

3. Overview Where have we been and where are we now?  Safety performance and the driving metrics What is making a difference?  The programs, the benefits and the barriers What is next?  SMS, data sharing, advanced analytics... and then there are UAS Conclusions  What could this mean for commercial space?

4. Overview Where have we been and where are we now?  Safety performance and the driving metrics What is making a difference?  The programs, the benefits and the barriers What is next?  SMS, data sharing, advanced analytics... and then there are UAS Conclusions  What could this mean for commercial space?

5. Operational Safety

6. Aviation Safety Performance

7. What Drives Safety Performance in Aviation ?

8. Civil Aviation Statistics

9. Overview Where have we been and where are we now?  Safety performance and the driving metrics What is making a difference?  The programs, the benefits and the barriers What is next?  SMS, data sharing, advanced analytics... and then there are UAS Conclusions  What could this mean for commercial space?

10. Military Civil Solutions Driving Improvement

11. Civil Military Solutions Driving Improvement FOQA ASRS ASAP CAST

12. Civil Solutions Driving Improvement FOQA ASRS ASAP CAST Commercial Aviation Safety Team Joint Industry/Government Initiative Set Safety Goals for the Industry Prioritize Initiatives Coordinate the Efforts of Sub-Teams

13. Civil Solutions Driving Improvement FOQA ASRS ASAP CAST Aviation Safety Reporting System National Anonymous Reporting Non-Punitive with Known Exceptions Aviation Safety Action Program Off-Shoot of ASRS Used Internally to the Company

14. Civil Solutions Driving Improvement FOQA ASRS ASAP CAST Flight Operations Quality Assurance Captures System Performance Data Mine for Trends and Anomalies Early Hazard Identification for Aircraft and Procedures

15. Military Civil Solutions Driving Improvement FOQA Culture Shaping Leadership Challenge ASRS ASAP CAST Safety Education

16. Military Solutions Driving Improvement Leadership Challenge Safety Education Safety Culture Shaping Using Online Survey Tools and Facilitated Workshops to inform Leadership Tools used for Hazard Identification Methods improves safety awareness Culture Shaping

17. Military Solutions Driving Improvement Leadership Challenge Culture Shaping Safety Education Each service has a dedicated aviation safety school Education a key to include new members Heightens overall awareness and leads to innovation Safety Education

18. Military Solutions Driving Improvement Culture Shaping Leadership Safety Challenges Secretary of Defense Accident Reduction Senior leaders consistently deliver safety awareness messages Downside – Safety considerations are often overshadowed by operational orders Safety Education Leadership Challenge

19. Military Civil Solutions Driving Improvement Leadership Challenge ASIAS SMS CAST Safety Education ASRS ASAP FOQA Culture Shaping

20. Overview Where have we been and where are we now?  Safety performance and the driving metrics What is making a difference?  The programs, the benefits and the barriers What is next?  SMS, data sharing, advanced analytics... and then there are UAS Conclusions  What could this mean for commercial space?

21. Military Civil The Next Steps SMS CAST Leadership Challenge Safety Education ASRS ASAP FOQA Culture Shaping

22. Military Civil The Next Steps ASIAS CAST Leadership Challenge Safety Education ASRS ASAP FOQA Culture Shaping

23. Overview Where have we been and where are we now?  Safety performance and the driving metrics What is making a difference?  The programs, the benefits and the barriers What is next?  SMS, data sharing, advanced analytics... and then there are UAS Conclusions  What could this mean for commercial space?

24. Taking the Initial Steps Safety View Accidents

25. Thank You for the Opportunity Kenneth Neubauer Futron Corporation, USA (800) 807-4927, X7317 kneubauer@futron.com

26. Proposed CSF Voluntary Data Sharing Agreement Jim Van Laak March 21, 2013

27. Advancing Safety for Commercial Space Commercial space is healthy and growing New players and vehicles mean more exposure to mishaps –Spaceflight has experienced consistently high mishap rates –New companies and systems suffer most Public response to mishaps needs to be managed: –Poorly perceived operations could severely damage the industry –Careful operations may be acceptable as “the cost of progress” Industry will benefit from a mature safety program as soon as possible Proposal: CSF voluntary information sharing initiative

28. Why Information Sharing Aviation experience has demonstrated its safety value –Complex, high risk ops, numerous hazards, high failure rate early –Specifics differ but trends are common –Aviation has evolved a culture of professional excellence Information sharing is core to progress –Learning comes through overcoming mistakes –Wise people learn from the mistakes of others –Goal: Industry learns from their collective experience base Bonus - opportunity for ASRS-like protections –Limited immunity from enforcement for inadvertent violations –Objective evidence of an active safety culture

29. Key Points of the Proposal Participation is voluntary Proposed data to be shared (priority order) –Safety-significant near miss or close call (any type) –Human errors or oversights that defeat hazard controls –Test failures of major systems, energetic materials, or safety elements –Ground test results which depart significantly from expected –Other unexpected events Proprietary information does not need to be shared –Honest effort to communicate useful information Sharing with CSF is required, others by agreement (optional) –Sharing with NASA and FAA needed for ASRS benefits

30. Mechanics of Implementation CSF can begin voluntary sharing immediately –Informal interim process through CSF communications channels –FAA lessons learned database is available if appropriate Formal process will require new agreements: –3rd party contracted to manage data IAW agreements Data collection, control, filtering, confidentiality, distribution Contractually bound to conform to agreement –FAA documentation of ASRS-like provisions –Funding for 3 rd party data integrator

31. Recommendations CSF agree in principle to explore sharing critical information immediately –Ask for volunteers to draft agreement and implementation –Help available if desired CSF agree to consider long term proposal when ready –JVL & L-A work with AST and NASA for formal agreements and funding