Good morning, Madam Chair and honourable members.
Thank you for inviting the Transportation Safety Board of Canada to appear today as you begin your study into aviation safety.
Our mandate at the TSB, which is also our sole purpose, is to promote safety in the air, marine, rail and pipeline modes of transportation.
When something goes wrong, we investigate to find out not just what happened, but also why. And then we make public what we've learned, so those best placed to take action, regulators and the industry, can do so.
To set the stage for your study, we would first like to table a preliminary version of the TSB's 2016 statistics on aviation safety for the use of the committee. Overall, Canada's aviation industry has a very good safety record, showing a significant downward trend over the last 10 years in the accident rate for Canadian registered aircraft, expressed as accidents per 100,000 flying hours. The incident rate paralleled the reduction in accident rate up to 2014 when the TSB enacted new regulations that made more incidents reportable.
However, there is always room for further improvement, particularly when known risks persist in the aviation system. Which brings me to the TSB watch-list that we updated at the end of October 2016 and have previously sent to your committee for information. This list identifies key safety issues that need to be addressed to make Canada's transportation system even safer. Currently, there are three aviation specific issues on the watch-list: unstable approaches, runway overruns, and the risk of collisions on runways.
In the interests of time I will only briefly describe each issue.
Continuing an unstable approach—for example, one in which the aircraft is too high and too fast on approach—constitutes a frequent contributory factor to serious landing accidents.
One type of accident includes a runway overrun, when the aircraft is unable to stop before the end of the runway.
The TSB has investigated numerous landing accidents related to these two issues. One dramatic example of this occurred in 2005 at Toronto's Pearson Airport when Air France ran off the end of runway 24L into a ravine where the aircraft caught fire. Fortunately, no one was killed, but over two dozen people were injured.
Since 2007, the TSB has recommended that Transport Canada implement a variety of measures to address these issues, including enhanced training in pilot decision-making and crew resource management, improved guidance to pilots for landing when thunderstorms are present, enhanced use of airline flight data monitoring programs, and requiring major airports to implement 300-metre runway and safety areas or other engineered material arresting systems to meet international recommended practices.
With respect to the third aviation-specific issue, airports are busy places, with multiple aircraft and vehicles traversing runways and taxiways, in addition to aircraft landing and taking off all the time.
This can sometimes lead to conflicts known as runway incursions, which occur about once a day somewhere in Canada. The board is particularly concerned by the number of serious runway incursions in which a collision was narrowly avoided or there was a significant potential for collision. More needs to be done to provide technological defences to alert flight crews and vehicle operators directly in time to prevent a collision.
There are also two watch-list issues that affect not just aviation safety, but also marine and rail transportation.
The first of these multimodal issues is safety management and regulatory oversight. Put simply, some transportation companies are not managing their safety risks effectively and the majority of air operators in Canada are not yet required to implement safety management systems. Furthermore, Transport Canada's oversight and intervention has not always been effective at changing companies' unsafe operating practices. The board is encouraged that Transport Canada is taking action to address the issues identified with regulatory oversight, and we look forward to the results of the department's review of its aviation oversight program, expected at the end of 2017.
The other multimodal watch-list issue is the slow progress made by Transport Canada in addressing numerous TSB recommendations. While the responses to about three-quarters of all of the TSB recommendations in all modes issued since our creation in 1990 have received our highest rating of fully satisfactory, there are currently 52 recommendations directed to Transport Canada that have been active for more than 10 years, and 39 of these have been active for over 20 years, of which 32 are in aviation. Implementation of these recommendations could go a long way to reducing known preventable risks that continue to play a role in aviation accidents.
However, the regulatory issue is not just a Transport Canada issue. We would respectfully suggest that you consider the need to adopt an expedited process for taking action on safety-related recommendations, similar to what you recommended as part of the rail study.
One issue that is not on our watch-list, but is a current topic of discussion between Transport Canada and the aviation industry, is pilot fatigue. The TSB recognizes that fatigue is a hazard in any mode of transportation that operates 24-7. We always look for fatigue in our investigations, whether it was present or not, and, if it was, whether or not it contributed to an occurrence. Over the years, we have made findings with respect to the role that fatigue has played in aviation occurrences. We included fatigue as a specific issue in railway freight crews on our 2016 watch-list, but we did not have sufficiently compelling data to support elevating fatigue in aviation to the watch-list. However, that should not be construed to imply that fatigue isn't an issue in aviation or that it does not warrant further attention.
Finally, if we look at specific sectors of the commercial aviation industry, the TSB is particularly concerned about air taxi operations, which typically involve smaller airplanes and helicopters carrying up to nine passengers to smaller communities. In Canada, these operations have by far the largest number of accidents and fatalities in commercial aviation, which is why the TSB launched a broad safety study on air taxi operations in 2015 looking at air taxi occurrences during the period 2000-2014. This study will identify and examine the hazards and risk factors associated with air taxi operations in Canada, how these are being managed, and what additional measures are needed to improve safety in this aviation sector. We expect to issue our final report in early 2018.
In closing, we very much appreciate your focus on aviation safety and we're pleased to have been invited here today to speak with you about it.
We hope that our presence will help inform your study, and we are now ready to answer any questions you may have.