Summary of Conclusions and Recommendations
98. Our principal conclusions and recommendations
are:
(a) We recommend that the record of the Safety
Regulation Group be closely overseen by the Government in the
short term. In the longer term, we believe that the Safety Regulation
Group should be incorporated within an independent Transport Safety
Authority, once one is established in line with previous recommendations
we have made (paragraph 11).
(b) We note the particular difficulties posed
by overseeing the safety cases of airlines which have contracted
out functions, and by the emergence of 'virtual airlines'. We
recommend that the Safety Regulation Group ensures that its oversight
of such airlines is of the same high standard as the rest of its
work (paragraph 12).
(c) We believe that it is essential that the
Department of the Environment, Transport and the Regions should
take a close interest in the response of the Safety Regulation
Group to recommendations made by the AAIB. We recommend that it
ensures that the CAA should be made publicly accountable for its
actions following reports by the AAIB (paragraph 14).
(d) We recommend that, if the Safety Regulation
Group continues to experience staff shortages, the Government
should relax the pay constraints it imposes on the CAA. We believe
that the rates of pay of those involved in safety regulation should
reflect its fundamental importance (paragraph 16).
(e) We recommend that the Government should
review the level of staffing of the AAIB and, if investigations
are currently delayed because of a shortage of inspectors, it
should provide adequate resources to ensure that such shortfalls
are made up (paragraph 17).
(f) We recommend that the Safety Regulation
Group re-examines its regulation of the helicopter industries,
and we specifically recommend that those who inspect helicopter
operating and maintenance companies have adequate specific experience
of helicopters (paragraph 18).
(g) We recommend that the Department of the
Environment, Transport and the Regions seek to reassure the General
Aviation community that the changes proposed to the status of
NATS will have no effect on its activities (paragraph 20).
(h) We are extremely disappointed, and very
concerned, by the reports of increased numbers of overloads of
air traffic controllers at LATCC. We believe that they are evidence
of the risk to safety posed by continued delays of NERC at Swanwick.
Once again, we strongly recommend that whatever steps are necessary
be taken to ensure that NERC is opened as soon as possible: in
the interim, we recommend that all available measures, including
limiting the number of flights entering the airspace sectors concerned,
be taken to eliminate overloads at LATCC (paragraph 23).
(i) We recommend that the Safety Regulation
Group should in due course be transferred to a new independent
Transport Safety Authority. The remaining functions of the CAA
should either continue to be the responsibility of the Authority,
or absorbed within another, existing, body or Government department
(paragraph 26).
(j) We do not at this stage recommend any
alteration to the means by which the Safety Regulation Group is
funded. That said, when our recommendation that the Group should
be transferred to an independent Transport Safety Authority is
implemented the whole question of funding should be revisited
(paragraph 28).
(k) We view both the existing Joint Aviation
Authorities and the proposed European Aviation Safety Authority
with some concern. The United Kingdom's aviation industry has
a proud safety record and very high standards of regulation: both
have at least the potential to be undermined by membership of
these organisations. Accordingly we recommend that the Government
should clarify whether the European Aviation Safety Authority
would have legal power to impose the standards it proposes, and
the Government should seek an undertaking before joining the Authority
that the safety standards of the United Kingdom will not be adversely
affected (paragraph 35).
(l) We recommend that the Department of the
Environment, Transport and the Regions reviews its policy towards
ramp checks of foreign-registered aircraft, with a view to carrying
out a greater number, some on a random basis. We further recommend
that airlines which do not meet good standards of airworthiness
be dealt with rigorously, by preventing them operating into this
country (paragraph 37).
(m) We recommend that the Department of the
Environment, Transport and the Regions and the Civil Aviation
Authority should re-examine whether aircraft in difficulty, and
particularly twin-engined aircraft with one engine inoperative,
should land at Heathrow if to do so requires them to approach
the airport over central London (paragraph 38).
(n) We commend British airlines for the steps
they have taken to address the anticipated increase in the number
of pilots who have reached or will shortly reach retirement age.
Nevertheless, we regard the situation with some concern since
we believe that it is potentially a safety critical matter. Therefore,
we recommend that the Safety Regulation Group should conduct regular
reviews of the training and recruitment regimes put in place by
the airlines to deal with the problem, and should publish the
results of the reviews in its Annual Report (paragraph 46).
(o) We are concerned that the projected shortage
of pilots will adversely affect safety standards by leading airlines
to seek to employ pilots from states whose standards are not equivalent
to those of the United Kingdom. The Government and the Safety
Regulation Group should ensure that the safety standards of British
airlines are not compromised by their employment of pilots who
have qualified abroad, regardless of our membership of the JAA,
and in future the European Aviation Safety Authority (paragraph
47).
(p) We recommend that the Government should
take steps to ensure that access to training and practice for
General Aviation pilots is not unduly limited, either by cost
or by planning constraints. We believe that all pilots should
be given incentives to undergo training and, accordingly, recommend
that VAT should not be charged for appropriate training courses.
We recommend that the Safety Regulation Group should re-examine
the regulatory burden it places on General Aviation pilots and
others, to ensure that the cost of meeting regulations does not
inhibit pilots from keeping in current practice (paragraph 54).
(q) We are extremely concerned about the shortage
of aircraft maintenance engineers, both in the commercial and
the General Aviation sectors. We recommend that in its consideration
of the matter the Government's inter-departmental group should
consider the situation in both sectors, and should urgently take
steps to address the problem. In particular, as we have already
said in relation to pilots, we believe that incentives should
be given to encourage training and, accordingly, recommend that
VAT should not be charged for appropriate training courses. Nevertheless,
primary responsibility for overcoming this problemparticularly
in the commercial sectorrests with the aviation industry,
and we strongly recommend that it follows the proposals made in
the Royal Aeronautical Society's report into aircraft maintenance
engineers. Since it is a source of engineers for the future, the
commercial industry should take some responsibility for the General
Aviation sector, and should offer appropriate assistance to bolster
aircraft maintenance engineering in the General Aviation sector
(paragraph 60).
(r) We recommend that the Safety Regulation
Group, in its regular audits of airlines' safety strategies, actively
addresses the possibility that commercial pressures have been
brought to bear on pilots and others at the expense of safety,
particularly in relation to slot times. If it finds any evidence
that such incidents have occurred, it should impose rigorous sanctions
on the companies concerned (paragraph 64).
(s) We recommend that the Safety Regulation
Group re-iterates its advice to airlines that the priority in
certain emergencies, such as in-flight fires, is to land, rather
than to seek to dump fuel in order to avoid an overweight landing.
It should ensure through its inspections that airlines are passing
on that information to aircrews. Furthermore, we recommend that
air traffic controllers be given similar advice, so that they
are able to respond appropriately to such emergencies (paragraph
69).
(t) We recommend that any further recommendations
that arise from investigations into the accidents involving Boeing
737s are rapidly implemented by British airlines. We further recommend
that the Safety Regulation Group should closely monitor the situation,
to ensure that all necessary steps to deal with the problem with
the aircraft's rudder are taken (paragraph 75).
(u) We recognise that this is a delicate matter.
We do not suggest that the rights of injured passengers, or the
relatives of those who have died, to seek compensation should
be overly curtailed: nor do we wish to create a situation where
disreputable or negligent manufacturers or airlines get away scot-free.
Nevertheless, we believe that an appropriate balance can be struck.
We recommend that the Government should open a dialogue with interested
parties, both within the industry and outside, to consider limiting
to a sensible level the liability of manufacturers and operators
in the event of aviation accidents. It should explore such matters
within relevant international fora, with the objective of limiting
liability worldwide. We believe that such a step may help to encourage
greater openness about safety matters in the aftermath of accidents
(paragraph 79).
(v) We are extremely concerned about the delay
in implementing the Transport Committee's recommendation to increase
the width of the aisle through the forward bulkhead of the Boeing
737 in particular, following the accident at Manchester airport.
We recommend that the Safety Regulation Group take steps to expedite
the matter, and reports to us what steps it intends to take (paragraph
82).
(w) We recommend that further research be
conducted by the Safety Regulation Group into the benefits and
dangers of rearward-facing seats, and by the Civil Aviation Authority
generally into passengers' views of them, particularly passengers
fully informed of the benefits they might bring in the event of
an accident. The results of that research should form the basis
of the Safety Regulation Group's approach, through the JAA, to
the issue (paragraph 84).
(x) We recommend that the Safety Regulation
Group should again conduct research into smokehoods, and the benefit
which they might bring to evacuations of aircraft during fires.
They should publish the results of their research within a limited
timescale, and, unless there are compelling safety reasons why
they should not be carried, the Safety Regulation Group should
seek to make the provision of smokehoods on commercial aircraft
a mandatory requirement (paragraph 86).
(y) We recommend that before further steps
are taken to address the problem of disruptive passenger behaviour
or air rage, the Safety Regulation Group, together with the British
airlines, should urgently commission research to investigate its
cause (paragraph 90).
(z) We are convinced that if English is not
firmly established as 'the language of the air' then safety will
be put at risk. We therefore recommend that the Safety Regulation
Group, through the JAA, seek to ensure that English becomes mandatory
for all communication between aircraft and air traffic control
(paragraph 92).
(aa) We are concerned about the activities
of military aircraft in uncontrolled airspace, and we recommend
that the Ministry of Defence install collision warning systems
in aircraft involved in high-speed, low-altitude flights (paragraph
93).
(bb) All involved in aviation should remember
that openness and criticism aid safety, and that the maintenance
of safety standards is the most important factor in building a
successful aviation industry. We recommend that the Department
of the Environment, Transport and the Regions maintain a careful
eye on the relationship between the Safety Regulation Group and
the industry it regulates, and act firmly to ensure that the Regulation
Group remains independent and critical of the industry. As we
have said, splitting the Safety Regulation Group from the Economic
Regulation Group, through the creation of an independent Transport
Safety Authority, would help to ensure that the safety regulator
maintained an appropriate distance from the industry (paragraph
96).
(cc) Safety cannot be addressed in a vacuum.
Some of the difficulties we have discussed in this Report, such
as the shortage of pilots and aircraft maintenance engineers,
are not simple matters which can be resolved by the Safety Regulation
Group alone. Above all, the dramatic growth of the aviation industry
in recent years, partly as a result of deregulation, has resulted
in greater overcrowding in the airspace of the southeast of England,
and at the airports in that area. There are strong arguments on
safety grounds in favour of increasing runway capacity. Such matters
can only be dealt with in the context of an overall aviation policy,
and we look forward to the publication of the Government's aviation
daughter document (paragraph 97).
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