Civil Aviation Daily Occurrence Reporting System (CADORS)
NOTE: This post is from one of our frequent contributors to this blog, "Birdseye59604.
The Civil Aviation Daily Occurrence Reporting
System, (CADORS), reports daily airport or airline occurrences. Any operators could
assume these reports of their operation to be annoying facts and nothing else but to tell the world of what
problems they have to fix. There some truth to this since these reports are publicly
available and for anyone to view. However, there is also another side to these
reports that are extremely valuable to any operator. This information is the
discovery of potential unknown operational processes or lack of tools. It is a
misconception that people will do what they were told in all situations. It is
not that anyone intend to go outside the process, but because minor changes to
processes are widely accepted the process deviates over time.
Over time these multiple small
changes becomes the norm of what is organizational acceptable. With
undocumented changes to a process, the next tolerance change does not take into
account deviation from original process, but rather change from current
process. Information reported in CADORS could give some clues to what out-of-tolerances
an organization accepts.
Regulatory violations could go unnoticeable until it reaching an
unacceptable level.
|
In the above chart there is an
incline in regulatory violations. It could be that this trend is not monitored
and unnoticeable. At some point the trend
gets managers attention and mitigation is implemented. It could be that a process, or how things are
done, over time deviated widely from the standard operating procedures. Minor
changes were operationally accepted, which sometimes is called "slacking
off", when it actually is organizational acceptable process deviations.
In
an SMS world information from CADORS gives invaluable information of
operational status. An airport bird occurrence graph could over a few years
look like the graph below, with more occurrences in August than any other
months. An assumption is that this happens due to more birds in the area during
the migratory bird seasons.
It takes some initiative and time on
the part of both airport-operator and air-operator to investigate and analyze
information of reports and then apply to their operations information given in
the CADORS. That there are more bird-strikes in August / September does not necessarily
imply process deviation in how things are done, but it rather could imply that
there are no effective tools available for in-flight bird detections, or tools
to move migratory birds from the approach paths.
Analyzing occurrences reports could detect
process deviations or ineffective operational tools.
BirdsEye59604
No comments:
Post a Comment