- Before
- “Seventy-odd reports a week, three people at the table and two hours. I spend Monday and half of Tuesday making packets.”
- Now
- Opens a docket the agents built and checked over the weekend, reviews what they flag, and runs the meeting with the minutes writing themselves.
One aviation safety action program meeting, from the agents' briefing to signed minutes
Corvane Airways runs a pilot ASAP under its MOU with the Corvane Pilots Association and the FAA. It is Tuesday 20 October, 07:40 Mountain time, and the Event Review Committee meets at 09:00 (meeting ERC-26-42). First on the agenda is CV 1280, San Francisco to Denver, an A321neo that crossed a fix 1,100 feet low. Here is the morning, screen by screen, in the working solution.
- 0107:40, Tuesday
The agents’ briefing, before the meeting
Paul Kessler · ASAP Program ManagerPaul opens Today. Since the last docket closed, the agents read 76 reports, removed every name, paired crewmates into 61 events and checked each against the agreement; the docket went to the three seats on Sunday at 09:00, 48 hours ahead. Beside it, the agents talk to him in plain words: the Eligibility checker found one possible exclusion that needs the FAA member in the room, and the Pattern finder says CV 1280 is the fourth report in 37 days about the same chart note. Below, what needs him: a late first officer's report to pair, two consent items the Packet checker disagrees with, two overdue actions.
Packet checker: “I re-checked every packet: no identifying details. I disagree with two consent items; they need the committee.”
- 02The docket
12 to discuss, 43 consent, 6 waiting for information
Paul Kessler · ASAP Program ManagerThe Event Review Committee docket is sorted for the two hours the committee has: 12 events that need debate, 43 routine ones to accept together, 6 waiting for evidence. Each event shows the eligibility verdict and its confidence, a plain de-identified summary, the likely cause, the proposed action and three seat markers. The seats' reading shows at the top: company 58 of 61, union 61 of 61, FAA 49 of 61. Paul asks why CV 1280 is first.
Pattern finder: “It is the fourth report in 37 days about the same chart note at VELLO, and the counts agree. One decision can fix it for every crew.”
- 03Step 1 of 6
Meets the acceptance criteria, every criterion cited
Eligibility checkerThe packet opens as a six-step review. Eligibility comes first: within the scope of the program; filed within 24 hours of duty end (captain 4 h 05 min after, first officer 13 h 20 min after, read from duty times inside the vault); not a sole-source report, because approach control advised a possible pilot deviation; none of the five exclusions; no reckless or intentional conduct; no repeat noncompliance, checked by the ASAP Program Manager in the vault. Apparent regulation: 14 CFR 91.123(a). Verdict: meets the criteria, 97%, and the Packet checker agrees.
The Eligibility checker flags a possible exclusion; it never excludes. Doubt goes to the ERC.
- 04Steps 2 and 3
What happened, and why — not who
Event investigator · Pattern finderDenver changed to north flow at 17:20 and runway 34L was assigned, leaving 22 minutes to re-brief the ZARPS 3 arrival. In managed descent the A321neo crossed VELLO at 15,900 ft: the plan view of the chart says at or above 15,000, but a note in the notes box says at or above 17,000 when landing north. Approach control called; no loss of separation, nearest traffic 6.2 nm and 1,000 ft above. Likely causes: the restriction is only in the notes box (88%), the navigation database codes only the plan-view altitude (81%), the late flow change (64%). Three earlier reports — ASAP-26-0988, -1031 and -1102 — describe the same note, with no names and no crews.
The Event investigator states what the evidence shows; it never assigns blame or guesses intent.
- 05One hazard, not four
The counts agree, through the FOQA gatekeeper
Pattern finder · for Joanne Mercer, Director of Flight SafetyOn Patterns, P-26-07 groups the four reports in 37 days at DEN, across all fleets, and names the hazard they point to: an arrival chart restriction not where pilots look for it. The flight data comes only as counts, through the FOQA gatekeeper: 6 of 212 north-flow arrivals below 17,000 at VELLO (2.8%), against 1 of 488 in south flow (0.2%). A person confirms the links and sends the pattern to the hazard register in the safety management system.
Links are proposals until a person confirms them. Flight data arrives as counts only — no flights, no crews.
- 06Step 4
What this committee decided before, and whether it worked
Precedent finderThe Precedent finder brings the committee's own decisions, with their effect 90 days later. ERC-25-311, a PHX arrival with a crossing restriction only in a chart note: the note moved into the plan view, a bulletin and recurrent training — 0 recurrences in 90 days. ERC-24-188, a SEA arrival crossing missed by three crews: individual retraining for each crew only — 3 recurrences in 90 days, fixed later by a chart request.
“A chart fix stopped the PHX recurrences; retraining each crew did not stop the SEA ones. So no individual retraining is proposed here.”
- 07Step 5
Fix the chart, not the crew — and add training on request
Action drafterThe Action drafter proposes systemic actions first, each with an owner, a due date and how the committee will know it worked: CA-26-412, a chart change request to put the landing-north restriction in the plan view and code it in the navigation database (Greg Holloway, due Fri 13 Nov); CA-26-413, Flight Operations Bulletin FOB 26-19 to all pilots (Capt. Tom Brandt, due Fri 23 Oct); CA-26-414, feedback letters to both reporters, through the vault. Paul asks the agents in the conversation to “Add a recurrent training item”, and CA-26-415 appears.
Action drafter: “Drafted CA-26-415: a recurrent training scenario ‘ZARPS 3 north flow’ for DEN-based crews… It is a proposal until the ERC decides.”
- 0809:00, in session
Three seats, three positions, one signature
Paul Kessler · ASAP Program ManagerPaul starts the meeting from the docket: a meeting bar with the clock, item 1 of 12 and the minutes one click away. On the decision step he records what each seat says in the room, with a reason code. Company seat, Capt. Rachel Ibarra: A2, accept with an added action — a recurrent training scenario for crews who fly the arrival before the chart changes. Union seat, Capt. Neil Sorensen: A1, accept — fix the chart, no individual training. FAA seat, Linda Tran: A1, accept — no enforcement action, ASAP corrective action. Paul signs that he recorded the positions as stated.
If all three agree, it is consensus; if not, the FAA member decides acceptance.
- 09Consensus
Accepted, and four actions go to their owners
Action trackerThe packet reads “Accepted · consensus”, recorded by Paul Kessler, in the minutes of ERC-26-42. The three positions sit under it with their reasons, and the actions are now with their owners: the chart change request, the bulletin, the feedback letters and the recurrent training scenario with Capt. Amy Chen, due Fri 29 Jan 2027. The Action tracker will remind each owner 7 days before the due date and measure the effect 90 days after.
Corrective actions never reach a pilot's training or personnel record; the learning system gets a de-identified completion token.
- 10As the committee decides
Minutes written live, signed by each seat
Action trackerThe Action tracker writes the minutes as the meeting runs: each item, each seat's position and reason, the decision and the actions — for E-26-1147, the three positions and CA-26-412 to 415. The minutes show 0 of 3 signatures until each seat signs in its own name. Earlier meetings sit beside them: ERC-26-41, 58 events, 11 discussed, 2 FAA decisions, signed by all three seats the next day.
“Each seat signs in its own name; you cannot sign for them.”