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Appendix C - Safety Reporting Systems
Pages 92-108

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From page 92...
... • Aviation Safety Action Program (ASAP) • Air Traffic Safety Action Program (ATSAP)
From page 93...
... involved with safety-critical operations Airline employees with a Memorandum of Understanding (MOU) with the FAA Air traffic control specialists, both nonbargaining unit employees and bargaining unit employees contingent upon a MOU with FAA Annual cost Approximately $3M, of which $2.4 M comes from FAA and the remaining from NASA Salary cost for 8 FAA employees, 5 contract personnel and office computer costs Information not available Staffing Staffing services provided by Battelle Memorial Institute and includes highly experienced pilots, air traffic controllers, mechanics, and human factors analysts.
From page 94...
... Aviation Safety Action Program The next iteration in the development of voluntary safety reporting systems came with the Altitude Awareness Program. Prior to this, a group of senior executives from all facets of aviation and the FAA formed the beginnings of what is now the Commercial Aviation Safety Team (CAST)
From page 95...
... was developed between the FAA and the airline, detailing how the proStakeholder Concerns Labor Confidentiality of the information Protection from discipline by the FAA (fines/certificate action) Protection from discipline by the airline management Airline Management Liability for any reported incidents Public image Federal Aviation Administration Handling an incident that involves a FAR violation Sole source versus non-sole source Appearance of leniency Table 23.
From page 96...
... for their ASAP system. Keeping track of self-reported safety incidents allows airlines to compare report frequency and type of report before and after remedial actions, thereby giving them a means to track the 96 Improving Safety-Related Rules Compliance in the Public Transportation Industry
From page 97...
... Air Traffic Safety Action Program In August 2007, the FAA released a call to action to reduce runway incursions. One of the action items that came about involved a renewed interest in developing a reporting system specifically for air traffic controllers.
From page 98...
... • Before any voluntary safety reporting system is put into effect, a complete understanding and support for the new system must come from each element that will be involved. All employees 98 Improving Safety-Related Rules Compliance in the Public Transportation Industry
From page 99...
... FRA, working closely with the Volpe Center, invited key represenFeature Description Managing organization Federal Railroad Administration, Office of R&D Year initiated 2005 Coverage Employees at selected pilot sites Annual cost $1.6M for implementation and evaluation (Volpe) plus $130K per month for processing reports Staffing Information not available Annual number of reports 1½ calls per day with three pilot sites Report submission Paper copy submitted by mail Time limit on submission File within 3 days of event to receive protection from discipline Implementation issues Confidentiality, liability, trust, protection from discipline Program oversight Steering Committee Table 24.
From page 100...
... The purpose of the workshop was to inform the railroad industry of the benefits of understanding close call events and the challenges to implementation and success of a close call reporting system. A close call was defined as "an opportunity to improve safety practices in a situation or incident that has a potential for more serious consequences." The workshop focused on experiences in the U.S.
From page 101...
... The PRT is a local joint labor/management/FRA problem-solving group that will review all the de-identified reports and ultimately recommend corrective action to railroad management. For the pilot implementation, Volpe Center staff have been responsible for training the PRT on team building and root cause problem solving designed for C3RS.
From page 102...
... At that time, firefighters involved in wildland fire safety already had SAFENET, a safety reporting 102 Improving Safety-Related Rules Compliance in the Public Transportation Industry
From page 103...
... Annual cost $1M (grant from DHS) Fireman's Fund Insurance Company provided matching funds for 2004–2005 Staffing 1 project manager, 1 administrative support, 8 parttime report reviewers Annual number of reports ~600 1,058 in 2009, probably due to outreach at fire academies Report submission Online but have option to fax or mail Time limit on submission None Implementation issues Confidentiality Program oversight Advisory Board Table 26.
From page 104...
... Feature Description Managing organization Rail Safety and Standards Board Year initiated 1999 Coverage All UK railroad workers, including contractors Annual cost Not available Staffing Not available Annual number of reports 550 Report submission Submit report on form via mail, telephone or text message to CIRAS Time limit on submission None Implementation issues Confidentiality Program oversight Executive Committee Table 27. Confidential Incident Reporting and Analysis System.
From page 105...
... Based on the reports produced to date, it appears that CIRAS is achieving its intended purpose. Sacramento Regional Transit District Table 28 describes the features of the Near Miss Incident Review Program implemented at Sacramento Regional Transit District.
From page 106...
... In one Feature Description Managing organization Sacramento Regional Transit District Year initiated 2010 Coverage Employees or contractors working along ROW with trains or maintenance equipment Annual cost Information not available Staffing Information not available Annual number of reports >20 in first 7 months Report submission Paper copy Time limit on submission None Implementation issues Protection from discipline Program oversight None Table 28. Sacramento Regional Transit Near Miss Incident Review Program.
From page 107...
... Separately, the OSS will investigate those incidents where employee contact issues were involved. Within 30 days of the incident, the supervisor must issue an incident report to the relevant Divisional Chief Officer and also submit a copy to OSS.
From page 108...
... A multimodal transit agency has a very detailed accident report form that includes "near-miss" as an option under "Type of Accident." While many transit agencies do provide a way for employees to report information about near-miss incidents, the interview process did not identify any agency, other than NYCT and Sacramento Regional Transit District, which has a separate process to identify and investigate near-misses. 108 Improving Safety-Related Rules Compliance in the Public Transportation Industry


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