ICAO 9910-2008 Normal Operations Safety Survey (NOSS)《正常运行安全监测(NOSS) 第1版》.pdf
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1、Doc 9910 AN1473 Normal Operations Safety Survey (NOSS) Approved by the Secretary General and published under his authority First Edition - 2008 International Civil Aviation Organization Copyright International Civil Aviation Organization Provided by IHS under license with ICAONot for ResaleNo reprod
2、uction or networking permitted without license from IHS-,-,-Doc 9910 AN1473 Normal Operations Safety Survey (NOSS) Approved by the Secretary General and published under his authority First Edition - 2008 International Civil Aviation Organization Copyright International Civil Aviation Organization Pr
3、ovided by IHS under license with ICAONot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Published in separate English, Arabic, Chinese, French, Russian and Spanish editions by the INTERNATIONAL CIVIL AVIATION ORGANIZATION 999 University Street, Montreal, Quebec, Canad
4、a H3C 5H7 For ordering information and for a complete listing of sales agents and booksellers, please go to the ICAO website at www.icao.int First edition 2008 ICAO Doc 9910, Normal Operations Safety Survey (NOSS) Order Number: Doc9910 ISBN 978-92-9231-1 53-7 0 ICAO 2008 All rights reserved. No part
5、 of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, without prior permission in writing from the International Civil Aviation Organization. Copyright International Civil Aviation Organization Provided by IHS under license with ICAONot for
6、ResaleNo reproduction or networking permitted without license from IHS-,-,-AMENDMENTS Amendments are announced in the supplements to the Catalogue of ICAO Publications; the Catalogue and its supplements are available on the ICAO website at www.icao.int. The space below is provided to keep a record o
7、f such amendments. RECORD OF AMENDMENTS AND CORRIGENDA AMENDMENTS No. Date Entered by Copyright International Civil Aviation Organization Provided by IHS under license with ICAONot for ResaleNo reproduction or networking permitted without license from IHS-,-,-TABLE OF CONTENTS Page Foreword Acronyms
8、 and abbreviations . Introduction . Chapter I . Background and justification . 1 . 1 A brief description of Normal Operations Safety Survey (NOSS) . 1.2 Framework for NOSS 1.3 NOSS and the organizational safety framework . 1.4 NOSS operating characteristics . 1.5 Resources required for conducting a
9、NOSS . 1.6 Benefits of NOSS . Chapter 2 . Preparing for a NOSS Association and management endorsement Project steering committee . Role of the NOSS project manager Promotion campaign . NOSS target selection Scope of the NOSS . Duration of the NOSS Time frame for the NOSS . Language for the NOSS . .
10、Observer selection . Observation protocols . Data storage and protection Preparing to receive and act upon the NOSS report Briefings of affected groups Chapter 3 . Observer training and data collection . 3.1 Observer training overview 3.2 Background knowledge and observer training . 3.3 General guid
11、elines . 3.4 The use of NOSS forms . 3.5 The use of codes 1 3.6 The narrative 3.7 Structuring the narratives . 3.8 Data de-identification Copyright International Civil Aviation Organization Provided by IHS under license with ICAONot for ResaleNo reproduction or networking permitted without license f
12、rom IHS-,-,-(vi) Normal Operations Safety Survey (NOSS) Page 3.9 NOSS managementlstaff interface . 3.10 Observer support during observations Chapter 4 . Data verification process 4.1 Purpose of the data verification process . 4.2 Description of the data verification process 4.3 Composition of the da
13、ta verification group . 4.4 Unusable data Chapter 5 . Data analysis and production of the final report . 5.1 Analysing the data 5.2 Writing the report 5.3 Outline for the NOSS report . Chapter 6 . Using the NOSS results in the organization . General Presentation of the NOSS report to the organizatio
14、n . Managing the NOSS report Selecting targets for safety enhancements . Use of the NOSS data for comparative purposes . Evaluation of the NOSS project in the organization Conducting a follow-up NOSS Conducting another NOSS at a different location andlor with a different target . Appendix A . Threat
15、 and error management (TEM) in air traffic control Appendix B . NOSS observation forms and code books . Appendix C . Executive summary Appendix D . Sample support letter . Appendix E . Attributes of the NOSS facilitator and the data analyst . Appendix F . Pre-NOSS checklist . A-I B-I F-I Copyright I
16、nternational Civil Aviation Organization Provided by IHS under license with ICAONot for ResaleNo reproduction or networking permitted without license from IHS-,-,-FOREWORD The safety of civil aviation is the major objective of the International Civil Aviation Organization (ICAO). Considerable progre
17、ss has been made in securing one of the highest levels of safety in contemporary socio-technical production systems, but additional improvements in safety are considered necessary. It has long been known that the majority of aviation safety breakdowns result from less than optimum interaction betwee
18、n the different components of the aviation system and the people who operate that system and serve as a last line of defence to preserve aviation safety. Therefore, any advance in this regard can have a significant impact on the improvement of aviation safety. This was recognized by the ICAO Assembl
19、y, which in 1986 adopted Resolution A26-9 on Flight Safety and Human Factors. As a follow-up to that Assembly Resolution, the Air Navigation Commission formulated the following task: “To improve safety in aviation by making States more aware and responsive to the importance of Human Factors in civil
20、 aviation operations through the provision of practical Human Factors materials and measures, developed on the basis of experience in States, and by developing and recommending appropriate amendments to existing material in Annexes and other documents with regard to the role of Human Factors in the
21、present and future operational environments. Special emphasis will be directed to the Human Factors issues that may influence the design, transition and in-service use of the future ICAO CNSIATM systems.“ One of the methods chosen to implement Assembly Resolution A26-9 was the publication of guidanc
22、e material, including manuals and a series of digests that address various aspects of Human Factors and their contribution to aviation safety. These documents are intended primarily for use by States to increase the awareness of their personnel about the contribution of Human Factors and human perfo
23、rmance to aviation safety. The target audience is managers both of civil aviation administrations and industry, including safety, training and operational managers. The target audience also includes regulatory bodies, safety and investigation agencies and training establishments, as well as senior a
24、nd middle non-operational industry management. The publication of this manual is furthermore a result of Recommendation 215 of the Eleventh ICAO Air Navigation Conference, held in Montreal in 2003, which reads: “That ICAO initiate studies on the development of guidance material for the monitoring of
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