EASA Air Operations Management Workshop

AAII Aircraft Accident and Incident Investigation

EU- Directive 2003/42/EC, ICAO DOC 9859, ICAO Annex 6, 13, – others, Commission Regulation (EU) No 996/2010 and (EU) No. 965/2012 and Regulation (EU) No 2018/1139 previous (EU) No. 216/2008, Annexes VI & VII NCC & NCO, associated -AMC1 ORO.GEN. .200(a)(1) & 200(a)(3) Management system, AMC2 ORO.GEN.200(a)(5) Management system, AMC1 CAT.GEN.MPA.140, CAT.GEN.MPA.195 Preservation, production and use of flight recorder recordings,GM1 CAT.IDE.A.190 Flight data recorder, AMC1 ARO.GEN.310(a) Initial certification procedure – organisations as per company OMs, other relevant regulations & documents

An industry specific 2 day program (16 hours); Starting on 09:30 h until 16:30 h
Designed for Air Operations Management Team personnel and specifically tailored for the Flight Data Monitoring staff, Safety Officers, Safety Manager, lead staff of ATOs, AOC, NCC, NCO holders, HEMS operations (Helicopter Emergency Medical Services)

The Management System for any AOC, NCC, NCO and HEMS holder’s Flight Operations requires fully effective processes and procedures in such area. The duty staff and Nominated Persons will show fully responsible for a wide range of legal rule enforcement, security issues, safety critical processes. The introduction course is intended to provide participants with the basics to perform an investigation on Aircraft Accident and Incident Investigation issues, within their own organisation.


The following subjects will be introduced during the course:

  • ICAO Annex 13, applicable EU Regulations, the legal requirements for incident investigations
  • Stakeholders requirements and responsibilities,
  • The difference views on investigations (ideas from history starting with Heinrich’s iceberg via the Swiss Cheese model of Prof. James Reason, to the ideas of Prof. Erik Hollnagel, FRAM and Prof. Sidney Dekker as the latest views on safety investigations
  • Sources to be used during investigation
  • Data collection, root cause analysis
  • Human factors (decision making, environmental, stress, situation awareness, fatigue, communication)
  • Interviews techniques
  • Analysis of the collected data
  • Conclusions, including information on causes, contributory factors, risk and severity
  • Databases of incidents and recommendations and the use of databases
  • Report writing, files to maintain and store

Pass mark: 75% or higher, course completion certificate will be issued