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Copyright and IP of Aloft Aviation Consulting
Leveraging safety data using BowTie models
2
Operator Safety Data
Threat Risk Control
Risk Control
Risk Control
Undesired Operational
State
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Risk Control
Risk Control
Risk Control
Risk Control
Risk Control
Risk Control
Consequence
Recovery Control
Recovery Control
Safety System and Culture Threats
Threat
Threat
Consequence
Consequence
Consequence
BowTie models adapted to operator and data BowTie risk
models of key operational hazards based on global data
Safety Risk Performance Monitoring
Measures of critical risk performance (combine subject matter knowledge and data)
Safe
ty
Repo
rts
Flig
ht D
ata
Audi
t Re
port
s
Confi
denti
al
Repo
rts
Safe
ty
Com
mitt
ees
Inve
stiga
tion
Repo
rts
Maj
or G
loba
l Ev
ents
Exte
rnal
Au
dits
Corr
ectiv
e Ac
tions
Organisational Learning Engine
DataTaxonomy
Engine
Internal DataShared Global Safety Experience
BowTie Risk Models
Semi-Automatic Data Management
Runway Excursion - TO
Loss of Control in Flight
Runway Excursion - Landing
Controlled Flight Into Terrain
In-Flight Fire
Mid-Air Collision
Turbulence Injury
Threats
Controls
Distraction
Bird Hazard
AC Malfunction
Runway State
Weather
ATC
Weight and Balance
Threat Drivers
A320 A330 A340 B747 B777
Procedures
Competence/Training
Hardware
Software
Control Framework
Risk Dashboards
05/02/2023Copyright and IP of Aloft Aviation Consulting
BowTie model for one hazard – Runway Excursion on Take OffBased on published studies, investigations and airline expertise
Key flight safety risks are well studied
Runway Excursion
Loss of Control in flight
CFIT
Mid-Air Collision
Turbulence Injury
In-flight fire
Runway Incursion
+ Leveraging Existing DataThreats Safety Reports
Observations Barrier Failures Safety Reports ObservationsInvestigation FindingsAudit FindingsTechnical Data
Undesired Operational State
Safety Reports ObservationsInvestigation FindingsTechnical Data
Recovery Failures Safety Reports ObservationsInvestigation FindingsTechnical Data
Consequences Industry Data
ThreatRisk Control
Undesired Operational
State
Recovery Control
Consequence
Threat
Threat
Risk ControlRisk Control
Risk ControlRisk Control
Risk Control
Risk ControlRisk Control
Risk Control
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Consequence
Consequence
Consequence
www.aloftaviationconsulting.com [email protected]
+
Safety Reports
Threat Rates
Consequence Rates
Control Failures
Recovery ActivationUOS
Risk Register
Classifying Data Based on BowTie Models
Threat Risk Control
Risk Control
Risk Control
Undesired Operational
State
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Recovery Control
Risk Control
Risk Control
Risk Control
Risk Control
Risk Control
Risk Control
Consequence
Recovery Control
Recovery Control
Safety System and Culture Threats
Threat
Threat
Consequence
Consequence
Consequence
www.aloftaviationconsulting.com [email protected]
Risk Dashboards
Runway Excursion - TO
Loss of Control in Flight
Runway Excursion - Landing
Controlled Flight Into Terrain
In-Flight Fire
Mid-Air Collision
Turbulence Injury
Threats
Controls
Distraction
Bird Hazard
AC Malfunction
Runway State
Weather
ATC
Weight and Balance
Threat Drivers
A320 A330 A340 B747 B777
Procedures
Competence/Training
Hardware
Software
Control Framework
05/02/2023Copyright and IP of Aloft Aviation Consulting
+CONTACT US
AMERICAS
44366 Adare Manor Square, Suite 1Ashburn, VA 20147 USAPhone USA : +1.505.306.5326
INTERNATIONAL
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www.AloftAviationConsulting.com
