Aviation Safety
Oversight of Foreign Code-Share Safety Program Should Be Strengthened
Gao ID: GAO-05-930 August 5, 2005
U.S. airlines are increasingly relying on code-share partnerships with foreign carriers to provide additional sources of revenue. Code-sharing is a marketing arrangement in which an airline places its designator code on a flight operated by another airline and sells and issues tickets for that flight. To determine whether the foreign code-share partners of U.S. airlines meet an acceptable level of safety, in 2000, the Department of Transportation (DOT) established the Code-Share Safety Program, which requires U.S. airlines to conduct safety audits of their foreign code-share partners as a condition of code-share authorization. GAO's objective was to assess the federal government's efforts to provide reasonable assurance of safety and security on foreign code-share flights. GAO reviewed (1) the extent to which DOT's code-share authorization process is designed to consider safety and security, (2) the Federal Aviation Administration's (FAA) management of the Code-Share Safety Program, and (3) the implementation of the program by airlines and the results.
In considering U.S. airlines' requests to establish code-share arrangements with foreign carriers, DOT's Office of International Aviation reviews, among other things, any safety and security objections from FAA and TSA. FAA assesses the safety of foreign civil aviation authorities and reviews reports of the safety audits that U.S. carriers have conducted of their foreign airline partners. From fiscal years 2000 through 2004, DOT (1) authorized U.S. airlines to establish or maintain code-share arrangements with foreign carriers 270 times and (2) did not suspend any arrangements because of known safety concerns. According to FAA, however, U.S. airlines occasionally have decided not to pursue code-share arrangements with foreign carriers because they expected FAA would object, and FAA sometimes puts its reviews of proposed code-share arrangements on hold if the agency has safety concerns. FAA and TSA did not object to any of the authorizations during that period for safety or security reasons. Although not involved in the code-share authorization process, the Department of Defense (DOD) reviews the safety of foreign airlines that transport DOD personnel. For their separate programs, FAA and DOD are reviewing many of the same safety audit reports on foreign carriers. The Code-Share Safety Program, which calls for U.S. airlines to conduct periodic safety audits of their foreign code-share partners, incorporates selected government auditing standards involving independence, professional judgment, and competence. However, FAA's reviews of the safety audit reports lacked management controls for reviewers' qualifications, documenting the closure of safety audit findings, verifying corrective actions taken in response to findings, and documenting reviews. Eight U.S. airlines with foreign code-share partners have implemented the DOT program by conducting safety audits of their foreign partners. According to our review of a random sample of audit reports that FAA reviewed from fiscal years 2000 through 2004, the largest numbers of safety findings identified were in the categories of (1) flight operations and (2) maintenance and engineering. GAO estimates that for 68 percent of the findings, the documentation was insufficient to demonstrate that the findings were closed or were resolved. Airlines are beginning to adopt a new safety audit program that requires the documentation of findings and corrective actions.
Recommendations
Our recommendations from this work are listed below with a Contact for more information. Status will change from "In process" to "Open," "Closed - implemented," or "Closed - not implemented" based on our follow up work.
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GAO-05-930, Aviation Safety: Oversight of Foreign Code-Share Safety Program Should Be Strengthened
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Report to the Ranking Democratic Member, Committee on Transportation
and Infrastructure, House of Representatives:
August 2005:
Aviation Safety:
Oversight of Foreign Code-Share Safety Program Should Be Strengthened:
GAO-05-930:
GAO Highlights:
Highlights of GAO-05-930, a report to the Ranking Democratic Member,
Committee on Transportation and Infrastructure, House of
Representatives:
Why GAO Did This Study:
U.S. airlines are increasingly relying on code-share partnerships with
foreign carriers to provide additional sources of revenue. Code-sharing
is a marketing arrangement in which an airline places its designator
code on a flight operated by another airline and sells and issues
tickets for that flight. To determine whether the foreign code-share
partners of U.S. airlines meet an acceptable level of safety, in 2000,
the Department of Transportation (DOT) established the Code-Share
Safety Program, which requires U.S. airlines to conduct safety audits
of their foreign code-share partners as a condition of code-share
authorization.
GAO's objective was to assess the federal government‘s efforts to
provide reasonable assurance of safety and security on foreign code-
share flights. GAO reviewed (1) the extent to which DOT's code-share
authorization process is designed to consider safety and security, (2)
the Federal Aviation Administration‘s (FAA) management of the Code-
Share Safety Program, and (3) the implementation of the program by
airlines and the results.
What GAO Found:
In considering U.S. airlines‘ requests to establish code-share
arrangements with foreign carriers, DOT‘s Office of International
Aviation reviews, among other things, any safety and security
objections from FAA and TSA. FAA assesses the safety of foreign civil
aviation authorities and reviews reports of the safety audits that U.S.
carriers have conducted of their foreign airline partners. From fiscal
years 2000 through 2004, DOT (1) authorized U.S. airlines to establish
or maintain code-share arrangements with foreign carriers 270 times and
(2) did not suspend any arrangements because of known safety concerns.
According to FAA, however, U.S. airlines occasionally have decided not
to pursue code-share arrangements with foreign carriers because they
expected FAA would object, and FAA sometimes puts its reviews of
proposed code-share arrangements on hold if the agency has safety
concerns. FAA and TSA did not object to any of the authorizations
during that period for safety or security reasons. Although not
involved in the code-share authorization process, the Department of
Defense (DOD) reviews the safety of foreign airlines that transport DOD
personnel. For their separate programs, FAA and DOD are reviewing many
of the same safety audit reports on foreign carriers.
The Code-Share Safety Program, which calls for U.S. airlines to conduct
periodic safety audits of their foreign code-share partners,
incorporates selected government auditing standards involving
independence, professional judgment, and competence. However, FAA‘s
reviews of the safety audit reports lacked management controls for
reviewers‘ qualifications, documenting the closure of safety audit
findings, verifying corrective actions taken in response to findings,
and documenting reviews.
Eight U.S. airlines with foreign code-share partners have implemented
the DOT program by conducting safety audits of their foreign partners.
According to our review of a random sample of audit reports that FAA
reviewed from fiscal years 2000 through 2004, the largest numbers of
safety findings identified were in the categories of (1) flight
operations and (2) maintenance and engineering. GAO estimates that for
68 percent of the findings, the documentation was insufficient to
demonstrate that the findings were closed or were resolved. Airlines
are beginning to adopt a new safety audit program that requires the
documentation of findings and corrective actions.
Aircraft Safety Inspection:
[See PDF for image]
[End of figure]
What GAO Recommends:
GAO recommends that DOT clarify procedures for airlines to follow in
documenting corrective actions and improve management controls over
FAA‘s reviews of safety audit reports. DOT agreed to consider the
recommendations.
www.gao.gov/cgi-bin/getrpt?GAO-05-930.
To view the full product, including the scope and methodology, click on
the link above. For more information, contact Gerald Dillingham at
(202) 512-2834 or dillinghamg@gao.gov.
[End of section]
Contents:
Letter:
Results in Brief:
Background:
DOT's Office of International Aviation Relies on FAA for Safety
Assessments and TSA for Security Assessments to Authorize Code-Share
Arrangements:
Code-Share Safety Program Incorporates Auditing Standards, but FAA's
Oversight of the Program Lacks Certain Management Controls:
U.S. Airlines Are Auditing Foreign Partners' Safety, and Partners Are
Taking Corrective Action, but Documentation of Corrective Actions Is
Often Lacking:
Conclusions:
Recommendations:
Agency Comments:
Appendixes:
Appendix I: Objectives, Scope, and Methodology:
Appendix II: U.S. Carriers and Their Foreign Code-Share Partners:
Appendix III: Comments from DHS:
Appendix IV: GAO Contacts and Staff Acknowledgments:
GAO Contacts:
Staff Acknowledgments:
Table:
Table 1: Selected Government Auditing Standards Incorporated in the
Code-Share Safety Program:
Figures:
Figure 1: Percentage of U.S. Carriers' Active Code-Share Partnerships,
by World Region, as of May 2005:
Figure 2: Aviation Accident Rates by World Region during 2004:
Figure 3: Code-Share Authorization Process:
Figure 4: FAA's Process for Responding to DOT's Office of International
Aviation:
Figure 5: Percentage of Findings by Audit Category:
Abbreviations:
DHS: Department of Homeland Security:
DOD: Department of Defense::
DOJ: Department of Justice::
DOT: Department of Transportation::
FAA: Federal Aviation Administration::
GSA: General Services Administration::
IASA: International Aviation Safety Assessment:
IATA: International Air Transport Association::
ICAO: International Civil Aviation Organization::
IOSA: IATA Operational Safety Audit::
SARS: Severe Acute Respiratory Syndrome::
TSA: Transportation Security Administration:
Letter August 5, 2005:
The Honorable James L. Oberstar:
Ranking Democratic Member:
Committee on Transportation and Infrastructure:
House of Representatives:
Dear Mr. Oberstar:
As the U.S. airline industry strives to improve its financial
condition, many carriers are increasing their focus on international
service to provide needed sources of revenue. To help expand their
global market reach, U.S. airlines have established an increasing
number of code-share arrangements with foreign airlines, and, as of May
2005, eight U.S. airlines had established foreign code-share
partnerships. Code-sharing is a marketing arrangement in which an
airline places its designator code[Footnote 1] on a flight operated by
another airline and sells and issues tickets for that flight. U.S.
carriers must obtain authorization for foreign code-share operations
from the Department of Transportation (DOT).
In 2000, DOT's Office of the Secretary and Federal Aviation
Administration (FAA) established the Code-Share Safety Program to
ensure that the foreign code-share partners of U.S. airlines meet an
acceptable level of safety. The program was established in response to
safety concerns that arose after SwissAir Flight 111 crashed off the
shores of Nova Scotia in 1998, killing 229 passengers and crewmembers,
including 53 Americans. At that time, SwissAir was a foreign partner of
U.S.-based Delta Air Lines. Before the Code-Share Safety Program was
established, DOT reviewed the potential competitive and economic impact
of U.S. airlines' code-share arrangements with foreign airlines, but
regarding safety considerations, relied on the oversight by the home
country. Now, under the Code-Share Safety Program, U.S. airlines must
conduct periodic safety audits of their foreign code-share partners as
a condition of code-share authorization. DOT designed the Code-Share
Safety Program to rely on U.S. airlines to audit the safety of their
foreign code-share partners because FAA does not have the authority to
inspect foreign aircraft that do not enter the United States. The DOT
program is similar to a safety audit program that the Department of
Defense (DOD) created in 1999 for foreign carriers that transport DOD
personnel.
You asked that we review the measures that the federal government is
taking to provide reasonable assurance of safety and security when
passengers travel on flights operated by foreign code-share partners of
U.S. airlines. To do so, we addressed the following questions:
* To what extent is DOT's authorization of U.S. airlines' code-share
arrangements with foreign airlines designed to consider safety and
security?
* How well has FAA managed the Code-Share Safety Program?
* To what extent have U.S. airlines implemented the Code-Share Safety
Program, and what have been the results of their efforts?
To determine how safety and security are considered in DOT's
authorization of U.S. airlines' code-share arrangements with foreign
airlines,[Footnote 2] we reviewed the process that DOT follows in
authorizing code-share arrangements, Code-Share Safety Program
guidelines, applicable aviation safety standards, and related legal
authorities. Our review covered safety audit reports on foreign
carriers that FAA reviewed and U.S. airlines' code-share partnerships
with foreign carriers that DOT has authorized since February 2000, when
the Code-Share Safety Program was established, through the end of
fiscal year 2004. We also examined how FAA's assessments of foreign
civil aviation authorities are used in the code-share approval process.
During our review of the Code-Share Safety Program, we found that DOD
had a similar program designed to ensure the safety of foreign airlines
that transport DOD personnel. Because our objective was to determine
how the federal government is providing safety oversight of foreign
airlines, we included DOD in our review. However, because DOD does not
play a direct role in the authorization of foreign code-share
arrangements, this report focuses on the DOT Code-Share Safety Program.
Moreover, because security is a component of assessing airline safety,
we determined what the Transportation Security Administration (TSA),
the Department of Homeland Security agency responsible for aviation
security, has done to provide security information to FAA and DOD for
their safety reviews of foreign airlines.
Because the Code-Share Safety Program establishes an audit program, to
assess how well FAA has managed the program, we reviewed whether the
program's design conformed with selected standards identified in
Government Auditing Standards.[Footnote 3] In addition, because we were
evaluating the management of a government program, we examined how FAA
applied certain management controls in its reviews of the safety audit
reports for the Code-Share Safety Program using Standards for Internal
Control in the Federal Government.[Footnote 4] We discussed with FAA
officials how they conducted the assessments of foreign civil aviation
authorities and with TSA officials how they assessed the security of
certain foreign carriers and airports.
Finally, to determine the extent to which U.S. airlines have
implemented the Code-Share Safety Program and the results, we
interviewed safety officials at the eight U.S. airlines that were
participating in the Code-Share Safety Program[Footnote 5] and reviewed
a random sample of reports of safety audits the airlines had conducted
of their foreign code-share partners. We did not determine whether the
airlines complied with international aviation safety standards but
reviewed the safety audit reports to determine what types of findings
were identified and whether corrective actions were documented. We also
interviewed officials from the International Air Transport Association
(IATA), the trade association that represents air carriers worldwide,
to determine how IATA's recent introduction of a new safety audit
program for its members may affect the Code-Share Safety Program. We
conducted our review in Arlington, Virginia; Atlanta; Denver; Eagan,
Minnesota; Ft. Worth; Houston; Phoenix; Pittsburgh; Seattle;
Washington, D.C; and Montreal, Canada; from August 2004 through August
2005 in accordance with generally accepted government auditing
standards. Appendix I provides additional information on our
methodology.
Results in Brief:
In considering U.S. airlines' requests to establish code-share
arrangements with foreign carriers, DOT's Office of International
Aviation reviews, among other things, any safety and security
objections from FAA and TSA. FAA assesses the safety of foreign civil
aviation authorities and reviews reports of the safety audits that U.S.
carriers have conducted of their foreign airline partners. According to
DOT officials, on 270 occasions from February 2000--when the Code-Share
Safety Program was established--through the end of fiscal year 2004,
DOT authorized or reauthorized U.S. airlines to establish or maintain
code-share arrangements with foreign carriers and did not suspend any
arrangements because of known safety concerns. However, according to
FAA, U.S. airlines occasionally have decided not to pursue code-share
arrangements with foreign carriers because they expected FAA would
object, and on four occasions during that period, U.S. airlines
suspended their code-share arrangements with foreign carriers because
FAA was questioning the capabilities of the civil aviation authorities
under which the foreign carriers were operating. In addition, FAA
sometimes puts its reviews of proposed code-share arrangements on hold
if the agency has safety concerns. Code-share arrangements may be
periodically reauthorized, based on the terms of the initial
authorization. To maintain code-share authorization, U.S. airlines are
to conduct safety audits of their foreign code-share partners every 2
years. FAA provided DOT's Office of International Aviation with
memorandums indicating that it did not object to any of the proposed
arrangements from February 2000 through the end of fiscal year 2004.
DOT's Office of International Aviation also receives security
information from TSA, which assesses the security of foreign airlines
that provide direct service to the United States and its territories
and certain foreign airports. TSA provided security clearances for all
proposed code-share arrangements from fiscal years 2000 through 2004
for which it had information on the foreign carriers. TSA does not
assess the security of foreign carriers that do not provide direct
service to the United States and its territories because it lacks that
authority. Twenty-nine of U.S. airlines' foreign code-share partners,
or about one-third, do not provide direct service to the United States
and its territories and therefore have not been assessed for security
by TSA. DOD does not authorize code-share arrangements, but like FAA,
it reviews the U.S. airlines' safety audit reports of their foreign
code-share partners. We found that DOD and FAA are reviewing many of
the same audit reports and that TSA was not providing its foreign
airport security assessments to DOD.
The Code-Share Safety Program incorporates selected government auditing
standards involving auditors' independence, professional judgment, and
competence. However, FAA's management of the program did not
incorporate certain controls relating to establishing reviewers'
qualifications, documenting the closure of safety audit findings,
verifying corrective actions taken in response to the findings, and
documenting its reviews. For example, FAA has not established the
qualifications needed for agency staff who review the safety audit
reports. In addition, FAA has not provided its reviewers or the
airlines with definitions of "safety-critical" findings that the
airlines must resolve immediately or "nonsafety-critical findings" that
can be resolved after the audit is closed. Some airline officials told
us they would like FAA to provide a definition of "safety-critical"
findings that must be resolved immediately. Furthermore, in reviewing
the safety audit reports, FAA frequently is not documenting its
reviews. As a result, it cannot be determined which corrective actions
that FAA verified were implemented by the foreign carriers. FAA's lack
of documentation about its reviews of the audit reports could impede
trend analyses and comparisons of findings and prevents determining
whether FAA reviewed those findings.
The eight U.S. airlines have implemented the Code-Share Safety Program
by conducting safety audits of their foreign code-share partners to
determine whether the partners comply with international aviation
safety standards. According to our review of a random sample of 149
audit reports, the largest numbers of safety findings that the U.S.
airlines identified in auditing their foreign partners during fiscal
years 2000 through 2004 were in the categories of (1) flight
operations, which govern the activities of the pilots, including
training, and (2) maintenance and engineering, which involves the
oversight of activities to maintain, repair, and overhaul aircraft,
aircraft engines, and parts. The U.S. airlines followed the program's
guidelines by submitting written statements from their safety directors
to FAA affirming that their foreign airline partners had complied with
international aviation safety standards. However, we estimate that 68
percent of the audit findings lacked complete documentation that
corrective action had been taken. Without such documentation, FAA lacks
evidence that the identified safety issues have been corrected.
Furthermore, because FAA has not developed a definition of "safety-
critical" findings, which FAA requires the airlines to resolve
immediately, we could not identify those findings and, thus, were not
able to determine if corrective action was documented. Increasingly,
the airlines are adopting a new international audit program, which
requires the documentation of identified findings and associated
corrective actions. FAA accepted this new international audit program
as a methodology that would meet the Code-Share Safety Program
guidelines. To the extent that the airlines substitute the new
international audit program for their previous audit methodologies,
they may improve their documentation of resolved findings and
associated corrective actions because this audit program requires such
documentation. Most U.S. airline officials said they believe the Code-
Share Safety Program provides reasonable assurance of safety or is
effective. One airline official, for example, said that the program has
been effective because some foreign airlines, seeking to become code-
share partners of U.S. airlines, have restructured programs, rewritten
manuals, and instituted new management techniques.
We are making three recommendations to DOT and one to TSA. To improve
the effectiveness of the program, we are recommending that DOT revise
the Code-Share Safety Program guidelines to define "safety-critical"
and "nonsafety-critical" audit findings, so that FAA reviewers and the
airlines know which types of findings must be corrected immediately and
which ones can be resolved later. In addition, we are recommending that
FAA implement controls for reviewers' qualifications, corrective action
verification, and review documentation. Furthermore, because DOD and
FAA are reviewing many of the same audit reports, we recommend that FAA
explore with DOD potential opportunities to reduce duplication of
efforts. Finally, because security is an important component of
assessing airline safety, to improve DOD's oversight of foreign
carriers that transport DOD personnel, we are recommending that TSA
develop a process for routinely coordinating with DOD regarding
information on the security of foreign airports.
In commenting on a draft of this report, overall, DOT generally
concurred with our findings and agreed to consider our recommendations.
DHS agreed with our recommendation regarding TSA. DOD and DOT provided
some technical clarifications, which we incorporated into this report
as appropriate. In addition, FAA provided general comments on the Code-
Share Safety Program.
Background:
Each year, several million passengers travel on foreign airlines that
have established code-share arrangements with U.S. air
carriers.[Footnote 6] Code-sharing is a marketing arrangement in which
an airline places its designator code on a flight operated by another
airline and sells and issues tickets for that flight. On foreign code-
share routes, U.S. airlines and their foreign partners each place their
respective designator code on flights operated by the other airline.
Passengers can purchase one ticket from a U.S. airline that can include
flight segments covered by one or more foreign partner
airlines.[Footnote 7] Air carriers throughout the world form code-share
alliances to strengthen or expand their market presence or ability to
compete. Through code-sharing, U.S. airlines can offer seamless service
to additional international destinations without incurring the expense
of establishing their own operations to those locations. Moreover,
airline officials said that code-share arrangements with foreign
airlines have become important sources of revenue.[Footnote 8]
According to FAA, international markets are viewed as more attractive
growth markets by mainline carriers because of more limited competition
from low-cost carriers and greater profitability.
In recent years, U.S. airlines have established an increasing number of
code-share arrangements with foreign carriers to expand their service
markets.[Footnote 9] As of May 2005, eight U.S. airlines had
established 108 arrangements to place their designator codes on 85
different foreign carriers, up from six U.S. airlines that had
established 39 arrangements to place their designator codes on 38
different foreign carriers in fiscal year 2000.[Footnote 10] As shown
in figure 1, the majority of U.S. airlines' code-share arrangements are
with European airlines, representing over half, followed by airlines
from Asia and the Pacific, accounting for nearly a quarter of the
arrangements. Appendix II lists the U.S. carriers and their foreign
code-share partners.
Figure 1: Percentage of U.S. Carriers' Active Code-Share Partnerships,
by World Region, as of May 2005:
[See PDF for image]
Note: Percentages do not total to 100 because of rounding.
[End of figure]
In 1998, SwissAir Flight 111, which was a code-share flight with U.S.-
based Delta Air Lines, crashed off the shores of Nova Scotia, killing
229 passengers, including 53 Americans. Following that accident, the
DOT Inspector General reviewed aviation safety under international code-
share agreements and issued a report in 1999 recommending, among other
things, that DOT develop and implement procedures requiring U.S.
airlines to conduct safety audits of foreign carriers as a condition of
authorization of code-share passenger services.[Footnote 11] Also in
1999, legislation was introduced in the House of Representatives that
would have statutorily required U.S. airlines to audit the safety of
their foreign code-share partners.[Footnote 12] Although that
legislation was not enacted, in 2000, DOT's Office of the Secretary and
FAA established the Code-Share Safety Program, which included the
development of guidelines for U.S. carriers to follow in auditing the
safety of their foreign code-share partners as a condition of DOT's
authorization of code-share passenger services.
DOD's safety audit program, called the Commercial Air Transportation
Quality and Safety Review Program, expanded another program that DOD
established in 1986 to check the safety of charter aircraft
transporting its personnel, after an Arrow Air charter airplane
transporting U.S. military personnel crashed in 1985, killing 256
passengers and crew. In 1986, Congress passed Public Law 99-661, which
created a Commercial Airlift Review Board and prohibits DOD from
contracting with an air carrier unless it meets certain safety
standards and submits to a technical safety evaluation. A 1999
memorandum of understanding between DOD and the Air Transport
Association, a U.S. airline industry association, allows DOD to review
the safety audits that U.S. airlines have conducted of their foreign
airline partners.
DOD is a major customer of airlines that have established code-share
arrangements through its participation in the General Services
Administration's (GSA) city-pairs program, under which the government
negotiates service contracts for all federal government employees,
including military personnel, to save the government money on air
travel. The program requires federal employees and military personnel
to fly with carriers under such contracts when they travel on
government business. DOD is required to review the safety of all
airlines that provide scheduled service to its personnel under the GSA
city-pairs program, which include U.S. airlines' foreign code-share
partners. DOD's program also has the effect of having the airlines
comply with DOD requirements if they want to maintain the GSA
contracts.
The safety of foreign carriers is also a concern because aviation
accident rates vary considerably from one region of the world to
another. According to data compiled by IATA, an international airline
association, during 2004, the North American region had the lowest
aviation accident rate (0.29 hull losses[Footnote 13] per million
flight segments), while the Middle East had the highest (5.32 hull
losses per million flight segments).[Footnote 14] Africa had the second
highest rate, followed by South America, the Asia-Pacific region, and
Europe. These accident rates are shown in figure 2.
Figure 2: Aviation Accident Rates by World Region during 2004:
[See PDF for image]
[End of figure]
DOT's Office of International Aviation Relies on FAA for Safety
Assessments and TSA for Security Assessments to Authorize Code-Share
Arrangements:
DOT's Office of International Aviation within the Office of the
Secretary of Transportation authorizes U.S. airlines' code-share
arrangements with foreign airlines after considering, among other
things, safety and security information from FAA and TSA. FAA provides
DOT's Office of International Aviation with a memorandum recording its
"objection" or "no objection" to the foreign code-share partners of
U.S. airlines. This memorandum is based on FAA's assessments of foreign
civil aviation authorities and reviews of safety audits conducted by
U.S. airlines of foreign carriers. TSA assesses the security of foreign
airlines that provide service to the United States and its territories
and certain foreign airports. DOT also considers the competitive and
antitrust implications of code-share arrangements. For its program, DOD
reviews many of the same safety audit reports on foreign airlines that
FAA reviews for the Code-Share Safety Program.
DOT Considers Information from Several Sources to Authorize Code-Share
Arrangements:
To authorize a code-share arrangement between a U.S. and a foreign
airline, DOT must find that the arrangement is in the public
interest.[Footnote 15] Under the DOT guidelines, this public interest
finding includes a determination of the foreign carrier's level of
safety and the economic impact of the arrangement. Before authorizing a
code-share arrangement, DOT's Office of International Aviation obtains
(1) a memorandum of "no objection" from FAA, based on its review of the
safety audits and other safety information available to FAA; (2) a
clearance from DOT's Office of Policy on aspects of security involving
the foreign carrier, including information from TSA; and (3) a
clearance from DOT's Office of Aviation Analysis and Office of the
General Counsel concerning the code-share arrangement's competitive
impact on the airline industry.[Footnote 16] The Office of
International Aviation also obtains advice from the Department of
Justice on potential antitrust issues.[Footnote 17] According to DOT
officials, on 270 occasions, from February 2000 through the end of
fiscal year 2004, DOT authorized or reauthorized U.S. airlines to
establish or maintain code-share arrangements with foreign carriers and
did not suspend any arrangements during that time.[Footnote 18]
However, FAA officials also said that U.S. airlines have occasionally
decided not to pursue code-share arrangements with foreign airlines
because they expected FAA would object. Code-share arrangements may be
periodically reauthorized based on the terms of the initial
authorization. Figure 3 shows the DOT code- share authorization
process.
Figure 3: Code-Share Authorization Process:
[See PDF for image]
[End of figure]
FAA Response Reflects Assessments of Foreign Civil Aviation Authorities
and Safety Audit Reviews:
DOT's Office of International Aviation solicits the views of FAA on the
safety aspect of its code-share authorization decision because of FAA's
technical expertise in that area. FAA reviews reports of the safety
audits that U.S. carriers have conducted on the foreign carriers and
other safety information available to FAA, including its assessments of
the capabilities of the relevant foreign civil aviation authorities.
FAA provided DOT's Office of International Aviation with memorandums of
"no objection" on all foreign airlines being considered for code-share
authorization during fiscal years 2000 through 2004. According to FAA
officials, if FAA has safety concerns, it puts a hold on its review of
the proposed code-share arrangement, allowing time for the safety
issues to be resolved; and on four occasions, from February 2000
through September 2004, U.S. airlines suspended their code-share
arrangements with foreign carriers because FAA was questioning the
capabilities of the civil aviation authorities under which the foreign
carriers were operating. Figure 4 shows FAA's process for providing
information to DOT's Office of International Aviation on U.S. airlines'
applications to establish code-share arrangements with foreign
carriers.
Figure 4: FAA's Process for Responding to DOT's Office of International
Aviation:
[See PDF for image]
[End of figure]
Under the Code-Share Safety Program guidelines, DOT authorizes a U.S.
airline's code-share arrangement with a foreign carrier only if the
foreign airline is from a country that is compliant with applicable
international aviation safety standards under FAA's International
Aviation Safety Assessment (IASA) program.[Footnote 19] Under IASA, FAA
reviews the capabilities of foreign civil aviation authorities by
checking their compliance with standards established by the
International Civil Aviation Organization (ICAO), a United Nations
aviation organization.[Footnote 20] Under IASA, FAA assigns countries'
civil aviation authorities either a category 1 rating--meets ICAO
standards--or a category 2 rating--does not meet ICAO
standards.[Footnote 21] During the IASA process, FAA personnel,
typically from various international field offices, conduct on-site
assessments of civil aviation authorities for compliance with ICAO
standards in eight areas: (1) primary aviation legislation, (2)
aviation regulations, (3) organization of the civil aviation authority,
(4) adequacy of the technical personnel, (5) technical guidance, (6)
licensing and certification, (7) records of continuing inspection and
surveillance, and (8) resolution of safety issues. Each country with
carriers serving, or wishing to serve, the United States in their own
right or as part of a code-share arrangement with a U.S. airline must
first have an assessment under the IASA program.
Although FAA's plan is to reassess the category for each foreign civil
aviation authority every 2 years, FAA officials said that this activity
occurred less frequently because of a larger-than-anticipated number of
reassessments and constraints on the agency's resources. FAA data
indicate that 67 of the 100 foreign civil aviation authorities in the
IASA program, or about two-thirds, have not been assessed within the
last 4 years. According to FAA, some countries were not assessed within
the last 4 years because available data indicated that their rating
categorization remained valid. FAA data also show that from January 1,
2000, through May 1, 2005, FAA assessed or reassessed--because of
safety oversight concerns--the capabilities of 33 foreign civil
aviation authorities, 6 of which were assessed more than once.[Footnote
22] Of the 42 countries' civil aviation authorities under which the
foreign code-share partners of U.S. airlines are operating, 16 have
required an IASA assessment or reassessment since 2000 and 26 have not.
IASA results, along with the safety audits that U.S. airlines conduct
of their foreign code-share partners, are FAA's principle measures of
the level of safety of the foreign carriers. According to the
guidelines, the level of oversight and regulation that an airline
receives from its regulatory authority is an important factor in
assessing its safety. For this reason, DOT authorizes U.S. airlines'
code-share arrangements only with foreign airlines that are from IASA
category 1 countries. As of May 2005, FAA had assigned IASA category 1
ratings to 71 countries' civil aviation authorities and IASA category 2
ratings to 28; 94 other countries had not yet been categorized,
generally because no carriers from those countries had applied to
provide direct service to the United States.
DOT's Office of International Aviation will not authorize a code-share
application, and FAA will not review the safety audit report if flights
that are intended to carry a U.S. carrier's designator code would be
operated by a foreign carrier from a country with an IASA category 2
rating. If a U.S. airline is seeking to establish a code-share
arrangement with a foreign carrier that is from a country that does not
have an IASA rating, FAA normally conducts the assessment before DOT's
Office of International Aviation considers the application. When FAA
lowers a country's IASA rating from category 1 to category 2, DOT's
Office of International Aviation contacts any U.S. airline that has a
code-share partnership with an airline from that country to advise the
U.S. airline of the lowered IASA rating so that the U.S. carrier can
promptly remove its code from any passenger flights operated by that
airline, according to agency officials. While DOT indicated that it
could, at its option, order the removal of U.S. airlines' designator
codes under these circumstances, in practice, DOT has not needed to
pursue that option because, when the airlines have learned about an
IASA category change affecting their service, they have removed their
operating codes from the foreign carrier. On four occasions since 2000,
U.S. airlines have suspended their code-share arrangements with foreign
airlines because FAA was questioning the capabilities of the civil
aviation authorities under which the foreign airlines were
operating.[Footnote 23] The program guidelines allow DOT to consider,
on a case-by-case basis, continuing to authorize a U.S. airline's code-
share arrangement with a foreign carrier that is from a country with an
IASA rating that has been lowered from category 1 to category 2.
According to FAA, this case-by-case language was included to enable
DOT's Office of International Aviation to accord U.S. airlines a
limited degree of flexibility needed to effectuate an orderly shutdown
of their code-share services. However, DOT officials told us that they
will not authorize the continuation of a code-share arrangement beyond
the needs of such an orderly shutdown.
FAA Reviews U.S. Airlines' Methodologies for Auditing Their Foreign
Code-Share Partners:
FAA will not review a U.S. airline's safety audit report on a foreign
carrier until FAA has reviewed and accepted the airline's audit
methodology. According to the program guidelines, the U.S. airlines'
safety audit methodologies should incorporate ICAO standards on
personnel licensing, aircraft operations, aircraft airworthiness, and
security.[Footnote 24] The guidelines also describe how the U.S.
airlines should conduct their safety audits, including what
qualifications the auditors should possess, how the system for
reporting and correcting findings should be devised, what audit results
are satisfactory, how a safety monitoring system should be established,
and how frequently audits should be conducted. At the same time, FAA
officials said they provide the airlines with some flexibility in
designing their audit programs, as long as the programs address all of
the relevant ICAO standards. FAA reviewed and accepted an audit program
for each of the eight U.S. airlines to participate in the Code-Share
Safety Program. In designing their audit methodologies, some U.S.
airlines include other standards and best practices, such as ones
developed by DOD, in addition to the ICAO standards and recommended
practices in the DOT program guidelines. Moreover, to audit the safety
of their foreign code-share partners, six U.S. airlines have begun
using standards from a new international safety audit program developed
by IATA called the IATA Operational Safety Audit (IOSA), which
incorporates the ICAO standards, plus many additional industry best
practices. IOSA was developed by IATA to improve global airline safety
and promote audit efficiency by reducing redundant audits. In 2004, FAA
accepted the IOSA program as a methodology that would meet the Code-
Share Safety Program guidelines.
Under the Code-Share Safety Program guidelines, after the U.S. airlines
have completed the audits and the foreign airlines have taken all
corrective actions, the U.S. airlines' safety directors (or similar
officials) should provide written statements to FAA, known as
compliance statements, affirming that the audits were conducted in
accordance with the guidelines and that the foreign carriers meet the
applicable ICAO standards. According to an FAA official, U.S. airlines
filed compliance statements for all of the audit reports that FAA
reviewed on foreign carriers.[Footnote 25] The guidelines also indicate
that to maintain their continued code-share authorizations, U.S.
airlines should audit the safety of their foreign code-share partners
and submit compliance statements to FAA every 2 years. We found that,
for 12 out of 256 audit reports that FAA reviewed from February 2000
through the end of fiscal year 2004, FAA granted the U.S. airlines
extensions of time to submit compliance statements because delays had
resulted from the outbreak of Severe Acute Respiratory Syndrome (SARS),
the U.S. airline planned to cancel the code-share arrangement, or the
foreign carrier needed more time to implement corrective actions. FAA
generally granted the extensions for between 1 and 3 months, during
which time the code-share arrangements continued.
TSA Clearances Reflect Security Assessments of Foreign Airlines That
Provide Direct Service to the United States, Its Territories, and
Certain Foreign Airports:
Since 2000, DOT's Office of Intelligence and Security and Office of
Policy[Footnote 26] have provided security clearances to DOT's Office
of International Aviation for all U.S. airlines' proposed code-share
arrangements with foreign airlines. DOT's Office of Policy receives
security information on certain foreign carriers and foreign airports
from TSA,[Footnote 27] which assesses the security of foreign airlines
that provide direct service to the United States and its territories,
as well as to certain foreign airports. TSA provided security
clearances for all proposed code-share arrangements, from fiscal years
2000 through 2004, for which it had information on the foreign
carriers. Because it lacks the authority,[Footnote 28] TSA does not
assess the security of other foreign carriers that do not provide
direct service to the United States and its territories. Twenty-nine,
or about one-third, of the 85 foreign code-share partners of U.S.
airlines do not provide service to the United States and its
territories and therefore have not been assessed for security by TSA.
DOT has also authorized U.S. airlines' code-share arrangements with
foreign airlines that serve many foreign airports that TSA has not
assessed for security. As a result, passengers traveling on foreign
code-share partners of U.S. airlines may be traveling to certain
foreign airports that could have security risks. TSA has the authority
to assess the security of a foreign airport (1) served by U.S.
airlines, (2) from which a foreign carrier serves the United States and
its territories, or (3) that "poses a high risk of introducing danger
to international air travel." Also, TSA can assess "other foreign
airports the Secretary of Homeland Security considers appropriate." TSA
has assessed the security of the foreign airports from which domestic
and foreign airlines provide direct service to the United States and
its territories. However, in addition to the foreign airports that
provide direct service to the United States and its territories, the
foreign code-share partners of U.S. airlines serve other foreign
airports. TSA officials indicated they have begun to assess the
security of other foreign airports. DOT has not always had
comprehensive data on which foreign airports are being served by the
foreign code-share partners, so we were unable to determine how many
foreign airports have not undergone TSA security assessments.[Footnote
29] For one U.S. airline for which we had complete foreign code-share
route information,[Footnote 30] we determined that the foreign partners
served 128 foreign airports that did not provide direct service to the
United States and its territories, and some of these 128 had yet to
undergo TSA security assessments.
In assessing the security of foreign airports,[Footnote 31] TSA rates
them in categories and assesses airports in those categories as
appropriate. DOT's Office of International Aviation, which receives
TSA's security ratings through DOT's Office of Policy, authorizes code-
share arrangements for U.S. airlines with foreign carriers that serve
foreign airports. According to DOT security officials, it is not a
problem to authorize code-share arrangements with foreign airlines
regardless of category because all airports must meet ICAO security
standards[Footnote 32] and are assessed appropriately.[Footnote 33]
Moreover, officials from TSA and DOT noted that both U.S. and foreign
airlines can be required to implement additional security measures at
those airports. For example, the TSA officials described an instance in
which a bombing in a Middle Eastern country resulted in the
implementation of additional security measures at an airport in that
country. TSA officials said that because that airport met ICAO security
standards, TSA had to rely on increased security measures voluntarily
implemented by the carriers to help mitigate the threat in that area.
DOD Provides Additional Safety Oversight of Foreign Airlines:
While not involved in DOT's code-share authorization process, DOD
reviews the safety of certain foreign airlines, thereby providing an
additional layer of federal oversight. The DOD Commercial Air
Transportation Quality and Safety Review Program is focused on ensuring
that the airlines DOD contracts with--to transport DOD personnel--meet
applicable safety standards. DOD requires U.S. airlines to audit the
safety of their foreign code-share partners every 2 years, on the basis
of ICAO standards, and monitor the safety of their foreign partners
between safety audits. In addition, DOD considers FAA's IASA ratings of
foreign civil aviation authorities in determining whether to allow
foreign carriers to fly on GSA city-pair routes.
DOD requires that foreign airlines be assessed on the basis of
standards that DOD developed called Quality and Safety Requirements,
which are focused on system safety processes.[Footnote 34] According to
a DOD official, these DOD standards include safety processes that are
not ICAO requirements, which form the basis of the DOT program. A DOD
official said, for example, that DOD requires airlines to have a safety
audit program that analyzes and assesses trends of safety information,
including feedback from crew members, for the purpose of enhancing
safety, which is not an ICAO standard. Although DOT can suspend code-
share authorizations for safety reasons, DOD can cancel, at any time,
contracts with airlines that transport DOD personnel if it determines
that they are not sufficiently safe. Between audits, DOD takes certain
steps to monitor the safety of foreign carriers that FAA does not take,
such as conducting semi-annual evaluations that include requiring
foreign carriers that DOD contracts with to complete questionnaires
about their safety. DOD does not consider TSA's security assessments of
foreign airports in its review. DOD officials said that they were
unaware of TSA's foreign airport assessments and would like TSA to
provide the information for DOD to consider as part of its reviews.
We found that DOD and FAA review many of the same safety audit reports
on foreign airlines. During fiscal years 2001 through 2004,[Footnote
35] DOD and FAA reviewed 203 of the same reports of safety audits that
U.S. airlines had conducted of their foreign code-share partners. In
reviewing these same reports, DOD and FAA reached the same conclusions
about the safety of the foreign carriers involved. Because DOD and FAA
are reviewing many of the same audit reports, the DOT and DOD safety
programs are duplicating some efforts. In its 1999 report, the DOT
Inspector General recommended that, in establishing a safety program on
foreign code-share partners of U.S. airlines, FAA and DOT's Office of
the Secretary work closely with DOD to maximize the use of limited
resources, avoid duplication, and establish protocols for exchanging
information about the carriers' safety assessments. A DOD official said
that he communicates frequently with FAA Code-Share Safety Program
officials, and that DOD has a full-time liaison in FAA's Flight
Standards Service, who meets weekly with FAA officials.[Footnote 36]
However, FAA officials said that although DOD requests IASA reports on
certain countries, FAA does not routinely communicate with DOD on its
safety audit reviews of foreign carriers, and no set criteria spell out
the circumstances under which FAA and DOD should communicate
information on the safety of U.S. airlines' foreign code-share
partners.
When we discussed the possibility of reducing duplicative safety
reviews with FAA and DOD officials, an FAA official said he did not
consider their reviews to be duplicative because FAA and DOD have
different objectives. The FAA official said that FAA is reviewing the
reports from the perspective of a regulator, focusing on the carriers'
compliance with ICAO standards. Furthermore, the FAA official
questioned whether FAA or DOD could assume each others'
responsibilities and report to different departments. A DOD official
also said the potential for duplication should be considered from the
perspective of DOD's and FAA's different objectives in conducting their
reviews. The DOD official said that DOD's objective is to ensure that
its requirements for transporting DOD personnel are being met. Another
DOD official said that FAA and DOD are not duplicating their efforts
because neither agency has the expertise to conduct its reviews from
the other agency's perspective.
Code-Share Safety Program Incorporates Auditing Standards, but FAA's
Oversight of the Program Lacks Certain Management Controls:
The Code-Share Safety Program incorporates selected government auditing
standards involving independence, professional judgment, and
competence. According to FAA officials, FAA and DOT's Office of the
Secretary worked with the airline industry to recommend that the Code-
Share Safety Program guidelines incorporate these standards. Government
auditing standards provide an overall framework for ensuring that
auditors be independent and exercise judgment, competence, and quality
control and assurance in planning, conducting, and reporting on their
work.[Footnote 37] However, FAA's management of the program did not
incorporate certain internal controls,[Footnote 38] which the Office of
Management and Budget requires federal managers to use in assessing the
effectiveness and efficiency of operations.[Footnote 39] These controls
are related to establishing reviewers' qualifications, documenting the
closure of safety audit findings, verifying corrective actions taken in
response to the findings, and documenting reviews.
Code-Share Safety Program Incorporates Selected Government Auditing
Standards:
The Code-Share Safety Program guidelines recommend that the airlines
incorporate certain government auditing standards in their safety audit
reviews. FAA has reviewed the methodologies that the U.S. airlines
follow in auditing the safety of their foreign code-share partners,
which incorporate these auditing standards. Ensuring independence is
critical, for example, because the U.S. airlines generally audit the
safety of their foreign code-share partners themselves. Although we did
not assess the airlines' compliance with the independence standard,
U.S. airline officials told us that they ensure independence by
separating their safety and marketing departments organizationally to
prevent any possible influence from the marketing staff on the safety
audit results. In addition, safety officials at the U.S. airlines
participating in the Code-Share Safety Program indicated that other
airline departments do not have any input into their safety audit
results. Moreover, some airline safety officials said they were not
aware of the specific financial arrangements involved in their
airlines' code-share partnerships. The program guidelines allow the
U.S. airlines to employ personnel or hire outside experts as
consultants (contractors) to conduct the safety audits. FAA officials
said they are not concerned about allowing the U.S. airlines to use
their own employees to conduct the safety audits because of the
importance to the airlines of conducting sound safety audits to limit
the liability associated with establishing code-share arrangements with
foreign airlines. Table 1 lists the program guidelines that incorporate
the auditing standards.
Table 1: Selected Government Auditing Standards Incorporated in the
Code-Share Safety Program:
Auditing standard: Independence: The audit organization and auditor
should be free from personal, external, and organizational impairments
to independence;
Program guidelines: The guidelines indicate that the U.S. airlines'
safety auditors should have organizational independence to perform the
audits and be free to objectively report to the airlines' senior
management; The guidelines indicate that U.S. airline safety directors
(or similar officials) should submit compliance statements to FAA
affirming that their foreign code-share partners meet international
aviation safety standards; The guidelines indicate that the safety
auditors should have no financial interest in or family affiliation
with the foreign code-share partner airlines.
Auditing standard: Professional judgment: Professional judgment should
be used in planning and performing audits and in reporting the results,
including exercising reasonable diligence to maintain the highest
degree of integrity, objectivity, and independence;
Program guidelines: The guidelines indicate that the safety audit
report's content should be independent, objective, fair and
constructive, free of vagueness or ambiguity, and supported by
competent and relevant audit evidence.
Auditing standard: Competence: Auditors should have the knowledge,
skills, and experience necessary for their work, and these elements
should be addressed in the hiring process and through continuous
development;
Program guidelines: The guidelines indicate that the safety auditors
should have the qualifications needed to conduct the safety audits and
analyze the findings, including relevant training, experience in
conducting safety audits, and knowledge of international aviation
safety standards.
Source: Government Auditing Standards and Code-Share Safety Program
guidelines.
[End of table]
FAA's Reviews of the Safety Audit Reports Lacked Certain Management
Controls:
We found that FAA's reviews of the safety audit reports lacked certain
management controls--including establishing reviewers' qualifications,
verifying corrective actions, and documenting the reviews--but did
employ some management controls for monitoring and measuring
performance. Management controls are the continuous processes and
sanctions that federal agencies are required to use to provide
reasonable assurance that their goals, objectives, and missions are
being met. These controls should be an integral part of an agency's
operations and include a continuous commitment to identifying and
analyzing risks associated with achieving the agency's objectives,
establishing program goals and evaluating outcomes, and creating and
maintaining related records.
Effective management controls require that personnel possess and
maintain a level of competence that allows them to accomplish their
assigned duties. In addition, management must identify the knowledge
and skills needed for various jobs, provide needed training, and obtain
a workforce that has the skills that match those necessary to achieve
organizational goals. However, we found that FAA has not established
competence criteria and qualifications for the personnel who review the
airlines' safety audit reports. As a result, the FAA staff who are
reviewing the audit reports have different backgrounds and training,
which may lead to differing interpretations of the standards. The FAA
headquarters official who has reviewed a large number of the safety
audit reports has aviation experience as a military pilot and is
trained as an ISO 9000 auditor[Footnote 40] but is not trained as an
FAA inspector and was hired in an administrative capacity. Two other
FAA headquarters staff who review the audit reports have been trained
as aviation safety inspectors. Furthermore, five FAA field inspectors
who are conducting many of the reviews[Footnote 41] have not had
training in IOSA, which six U.S. airlines in the Code-Share Safety
Program are now using as standards to audit the safety of their foreign
code-share partners. As a result of inspectors not having this
training, this could impede FAA's review of the safety audits based on
those standards. Moreover, the Code-Share Safety Program manager was
transferred to a new position in February 2005, leaving the position
vacant since that time. As of June 2005, FAA had not authorized this
position to be filled and has denied a request for another full-time
staff position dedicated to the program. Since the program manager's
departure, other staff in FAA's International Programs and Policy
Office, which administers the Code-Share Safety Program, have reviewed
the safety audit reports in addition to performing their regular
duties. FAA program officials said that since the program manager was
transferred to another position, U.S. airlines must wait 3 to 4 weeks
for FAA to review their safety audits of foreign carriers, compared
with waiting 1 day to 2 weeks before his transfer, and that U.S.
airlines now must bring all of their safety audit reports to FAA in
Washington, D.C., for review--a change that could hinder FAA's review
of documentation, such as safety monitoring systems, that may be
located at the airlines' facilities.[Footnote 42] An FAA management
official said that because FAA's Flight Standards Service,[Footnote 43]
of which the Code-Share Safety Program is a part, imposed a hiring
freeze in January 2005 for budgetary reasons, only critical positions
are being replaced. The official said that because the vacant position
for the Code-Share Safety Program was not considered to be critical, it
was not filled.
Effective management controls also require the establishment of
policies and procedures to verify that corrective actions have been
taken in response to identified problems. According to FAA and airline
officials, FAA staff review each audit report for about 2 to 4 hours,
identifying any areas that need further clarification or resolution.
Although FAA staff review the reports of all audits that U.S. airlines
have conducted of their foreign code-share partners, normally they only
spot check whether findings that were identified during the audit were
resolved. According to an FAA safety official, FAA relies on the U.S.
airlines' compliance statements, signed by the airlines' safety
directors, which affirm that the audits were conducted in accordance
with the guidelines and that the foreign carriers met the applicable
ICAO standards, as proof that all findings have been resolved. However,
FAA's reliance on the compliance statements may not provide an
effective management control to ensure that corrective actions have
been taken in response to audit findings. For example, we found that
FAA provided a memorandum of no objection to DOT's Office of
International Aviation about a foreign code-share partner that,
according to an official from its U.S. partner, had not implemented all
of the corrective actions needed to resolve the findings. The safety
audit identified dozens of findings, many of which were also found in a
second audit 2 years later and, according to the airline, subsequently
corrected. Furthermore, because FAA has not provided its reviewers or
the airlines with a standard definition of "safety-critical" findings
that must be corrected before the audit can be closed, it is unknown
whether these open findings were safety critical. Moreover, the
reasonableness of leaving open dozens of safety audit findings is
questionable, as is FAA's reliance on the airlines' compliance
statements as proof that all corrective actions have been made.
Although the U.S. carrier temporarily suspended the code-share
arrangement with this foreign carrier, FAA officials said the
suspension occurred because of FAA's concern about the safety oversight
of that foreign airline's civil aviation authority, not because of the
number of audit findings or their lack of closure.
FAA uses compliance statements, which are based on the safety audit
results, as reasonable assurance that the foreign airlines meet ICAO
safety standards. However, FAA's reliance on compliance statements may
not provide such assurance because FAA has accepted compliance
statements as proof that the carriers met ICAO safety standards, even
in situations when it questioned the audit results. For example, FAA
provided memorandums of no objection to DOT's Office of International
Aviation that were based on safety audits conducted by one airline
contractor over a 4-year period, many of which did not identify any
findings,[Footnote 44] even though an FAA official told us that he had
discussed with the airline FAA's concern about the number of audits
that did not identify any findings.[Footnote 45]
According to the Code-Share Safety Program guidelines, U.S. airlines
should not submit compliance statements to FAA until all corrective
actions have been completed; the statements should not be predicated on
future actions that are planned to be completed. However, FAA officials
said that they allow "nonsafety-critical" findings identified during
the audit, such as deficiencies in personnel training and omissions in
manuals, to be addressed later. Because FAA has not provided the
airlines with a standard definition of "safety-critical" findings that
must be corrected before the audit can be closed, airlines could
interpret the term inconsistently in documenting and resolving
corrective actions. An FAA official indicated that developing a
definition of safety critical would be difficult and time consuming. An
aviation safety expert we consulted said that a definition of safety
critical would require considerable study and criteria development
because situations can be critical to safety in many ways. He added
that a well-trained and experienced aviation safety inspector could
identify a safety-critical situation. However, this same expert
suggested that, as a quality assurance measure, FAA select several
audits each year and check the underlying documentation in depth.
Similarly, the DOT Inspector General recommended in 1999 that FAA
conduct comprehensive audits of a sample of safety audits to confirm
that carriers have applied agreed-upon standards and procedures in
conducting the audits.[Footnote 46] However, even if FAA were to
conduct such comprehensive audits, without a definition of safety-
critical findings, the agency would still lack assurance that safety-
critical findings were identified and resolved.
FAA indicated that from August 2003 through July 2004,[Footnote 47] 18
of the 50 audit reports on foreign airlines it reviewed were returned
to U.S. carriers for further action and 4 were placed on hold pending
the outcome of IASA reviews; the other 31 foreign carriers received
memorandums of no objection. Furthermore, FAA officials said that,
according to anecdotal information from some U.S. carriers, too many
safety concerns were identified during some safety audits for the
carriers to proceed with applications for code-share authorization.
However, FAA officials said they do not know how many times the safety
audits have prevented airlines that pose safety concerns from becoming
code-share partners with U.S. airlines.
In addition, effective management controls require that documentation
be created and maintained to provide evidence of executing approvals,
authorizations, verifications, and performance reviews. FAA devised a
checklist for agency staff to complete while reviewing safety audit
reports to check for compliance with the program guidelines, record
information about findings, or report irregularities. FAA officials
said that the checklist was developed to establish and maintain
consistency in reviewing the audit reports. However, we found that the
checklist did not consistently document what actions FAA took when
reviewing the airlines' audit reports, which findings it reviewed, and
which corrective actions it verified were implemented. For example, in
some cases, the checklist provided information about the closure of
findings, but in other cases, no information was recorded about
closure. FAA officials said that portions of the checklist may be left
blank until the FAA reviewer has completed discussions with the airline
and answered all of the concerns to his or her satisfaction, at which
time the FAA reviewer will note that no irregularities were found.
Officials said that in such cases, the checklist would not capture this
process. However, not completing this information could hinder future
reviews of the same airline by impeding comparisons between audits.
Furthermore, because FAA often lacked documentation that it had
verified the closure of findings, we were unable to determine how
frequently FAA may have provided memorandums of no objection on foreign
carriers that had not implemented all corrective actions in response to
the findings, as occurred in the example discussed earlier.
Effective management controls also include monitoring to assess the
quality of performance over time. Management controls generally should
be designed to ensure ongoing monitoring during normal operations and
include regular management and supervisory activities, comparisons,
reconciliations, and other actions people take in performing their
duties. FAA officials said that the manager of the International
Programs and Policy Division, which is responsible for administering
the Code-Share Safety Program and is part of FAA's Flight Standards
Service, is briefed by the Code-Share Safety Program staff on the
results of their safety audit reviews before a recommendation is made
to the Director of Flight Standards to sign the memorandums of no
objection that are sent to DOT's Office of International Aviation. This
procedure allows the International Programs and Policy Division manager
to monitor the results and the decision-making processes involved. In
addition to reviewing the audit reports, FAA monitors the safety of
foreign carriers through other sources of information. FAA officials
said they also review any accident and incident information from
aviation safety databases, company financial histories, ICAO reports on
the countries' civil aviation authorities,[Footnote 48] media reports,
ramp inspection results,[Footnote 49] and information from FAA
international field offices about their inspections of foreign aircraft
when these aircraft enter the United States.[Footnote 50]
According to the Code-Share Safety Program guidelines, the U.S.
airlines participating in the program should have a process to monitor
the safety of their foreign code-share partners on an ongoing basis,
and FAA should review this monitoring process. FAA officials said they
have reviewed the monitoring systems at seven of the eight U.S.
airlines participating in the program.[Footnote 51] However, FAA had
not documented its reviews of the monitoring systems, so we were unable
to verify that activity. Furthermore, safety officials at three of the
eight U.S. airlines said FAA had not reviewed their monitoring
systems.[Footnote 52] Without an FAA review, deficiencies in these
monitoring systems might not be identified.
FAA does not maintain information on the types and frequencies of audit
findings to provide a means of comparing the findings from initial and
recurrent audits of the same airline, or perform trend analysis that
could help identify problems across airlines or fleets. Trend analyses
would be useful for monitoring, on an ongoing basis, the effectiveness
of FAA's internal quality control system. FAA officials said the
checklists are not used for tracking or trend analysis and that FAA
does not formally examine either the safety problems occurring most
often or the geographic areas where problems are occurring most
frequently. However, the officials said that the FAA program manager
does want to have a general idea of the types of problems being found,
and the checklist provides this information informally. According to
one FAA official, the purpose of the checklist is to ensure that the
DOT guidelines are met, rather than to create a database of findings.
In our view, not maintaining such documentation could impede analyses
of trends and comparisons of findings, as well as limit opportunities
for assessing risks and prevents determining whether FAA reviewed those
findings.
Establishing performance measures is another component of effective
management controls. The Government Performance and Results Act of 1993
requires agencies to, among other things, set strategic and annual
performance goals, and measure and report on performance toward these
goals. Management controls play a significant role in helping managers
achieve those goals. FAA has established certain performance goals for
the Code-Share Safety Program, including reviewing at least 40 safety
audit reports during fiscal year 2004. FAA exceeded this goal by
completing 57 reviews. In addition, FAA set a performance goal of
meeting with major U.S. air carriers to request feedback on the Code-
Share Safety Program. FAA met this goal in 2004.
U.S. Airlines Are Auditing Foreign Partners' Safety, and Partners Are
Taking Corrective Action, but Documentation of Corrective Actions Is
Often Lacking:
The eight U.S. airlines participating in the Code-Share Safety Program
have conducted the safety audits of their foreign code-share partners
and have monitored the safety of their code-share partners between
audits, as specified under the guidelines. Through those audits, the
U.S. airlines have identified numerous safety issues associated with
their foreign partners' operations. After completing the audits, the
U.S. airlines have submitted written statements to FAA affirming their
foreign code-share partners' compliance with ICAO standards, as
specified under the guidelines. However, the U.S. airlines have not
always documented the implementation of actions taken in response to
the findings. Many airlines are now moving to adopt the international
safety audit program, IOSA, which contains procedures that would help
to ensure that corrective actions implemented in response to audit
findings are documented. Most U.S. airline officials said they believe
the Code-Share Safety Program provides reasonable assurance of safety
or is effective, but some officials also suggested various changes in
its administration.
U.S. Airlines' Safety Audits Primarily Identified Findings in Foreign
Partners' Flight Operations and Maintenance and Engineering:
The U.S. airlines participating in the Code-Share Safety Program have
been assessing the safety of their foreign code-share partners at least
every 2 years, as the guidelines specify.[Footnote 53] We estimate,
based on the results of our sample of 149 randomly selected safety
audit reports, that there are 2,047 findings among the audits that the
eight U.S. airlines conducted of foreign carriers, which FAA reviewed
from February 2000 through September 2004.[Footnote 54] The program
guidelines define a finding as an instance in which "the performance of
the standard does not meet the established criteria" under ICAO
standards. We estimate that 75 percent of the audits of foreign
carriers that the eight U.S. airlines conducted of foreign carriers and
that FAA reviewed from February 2000 through September 2004 contained
at least one finding. Airline officials told us that most findings
related to a lack of documentation. Documentation is important to
ensure the implementation of management controls, which should appear,
for example, in management directives and operating manuals. However,
we found that many of the safety audit findings were broader in scope
than a lack of documentation and extended to a lack of underlying
policies and procedures. We further estimate that findings related to
deficiencies in policies and procedures accounted for 23
percent[Footnote 55] of all findings.
The audits reviewed the carriers' compliance in eight major categories
(organization, flight operations, flight dispatch, maintenance and
engineering, cabin operations, cargo and dangerous goods, ground
handling, and security).[Footnote 56] As shown in figure 5, the
findings spanned all eight categories, but the largest numbers were in
two categories: (1) flight operations, which govern the activities of
the pilots, including training, and (2) maintenance and engineering,
which involves the oversight of activities to maintain, repair, and
overhaul aircraft, aircraft engines, and parts. In the flight
operations category, the findings included a lack of drug and alcohol
testing policies and a lack of documentation on flight time and rest
requirements for flight personnel. In the maintenance and engineering
category, one common type of finding related to the maintenance and
calibration of tools and supplies, which could affect safety.
Figure 5: Percentage of Findings by Audit Category:
[See PDF for image]
Note: Percentages do not total to 100 because of rounding.
[End of figure]
Airlines Submitted Compliance Statements to FAA but Did Not Always
Document the Closure of Findings:
After U.S. airlines completed their audits, their safety directors
submitted statements to FAA affirming their foreign code-share
partners' compliance with ICAO standards. FAA officials said they rely
on these compliance statements as the primary evidence that the foreign
code-share partners of U.S. airlines have resolved all safety-critical
findings. However, on the basis of our review of a sample of the audit
reports, we estimate that, for 68 percent of the identified
findings,[Footnote 57] the documentation was insufficient to
demonstrate that the findings had been closed or were resolved.
Specifically, the documentation either failed to indicate at least one
of the following three elements:[Footnote 58] (1) what corrective
action was taken, (2) who accepted the corrective action, and (3) when
the corrective action was accepted or the documentation was
insufficient to determine whether the findings were closed. An
estimated 28 percent[Footnote 59] of the audit reports that contained
findings had at least one finding that lacked all three elements
documenting corrective actions.[Footnote 60] The Code-Share Safety
Program guidelines do not indicate that U.S. airlines should have
documentation available for FAA's review to provide evidence of what
corrective action was taken, who accepted the action, and when the
action occurred in response to the findings identified in audits of
their foreign code-share partners.[Footnote 61]
We asked the eight U.S. airlines participating in the Code-Share Safety
Program what types of systems they were using to track any findings
that were not resolved when the safety audit was complete. We found
that three of the U.S. airlines were using computer systems to track
the closure of such open findings; three other airlines had computer
systems that could track the closure of findings, but their foreign
partners had no open findings; and two airlines indicated that they did
not have systems to track open findings because their foreign partners
did not have any open findings. At one U.S. airline that was using a
computer system to track open findings, officials said that a computer
malfunction resulted in the loss of 6 months of data.[Footnote 62] An
official from this airline said that before 2004, the airline
coordinated closure of any findings directly with the contractor. When
asked to produce this information, the airline did not have finding
closure documentation available for audits conducted before 2004. This
contractor said that although his firm was asked a few times by the
U.S. carrier to check on the closure of audit findings by its foreign
partner, the U.S. airline was responsible for tracking the closure of
findings.
Airlines also lacked documentation on the closure of findings in part
because an unknown number of findings were closed on-site during the
audits and not documented. The FAA program manager said he discouraged
closing out findings on-site without documentation during the audits
because it does not leave an audit trail about what findings were
identified. Documentation provides a record of the execution of
management controls which, in this situation, relate to the
implementation of corrective actions.
We estimate that 25 percent of the audits were closed with no findings
identified. According to an FAA official, audits that identify no
findings are questionable because the airlines must comply with so many
requirements under either ICAO or IOSA standards. One U.S. airline used
a contractor to conduct 31 of the audits of foreign airlines in our
sample from 1999 through 2003, over half of which identified no
findings.[Footnote 63] As described earlier, an FAA official told us
that he had discussed with the airline FAA's concern about the number
of audits conducted by the contractor that did not identify any
findings. The FAA official also said that he helped the airline revise
its approach to conducting the audits as a part of its internal
evaluation program. The contractor told us that it is common for the
safety audits not to identify findings because the airlines have
prepared for the audit, and the audit findings are sometimes resolved
on the spot. The contractor also said that his firm often recommended
best practices that the foreign carriers could implement, but these
recommendations did not relate to violations of ICAO standards and,
thus, were not considered to be findings. Furthermore, this contractor
said that a representative from the U.S. airline, who accompanied the
contractor's auditors on the audits, kept the U.S. airline informed.
U.S. Airlines Also Monitor the Safety of Their Foreign Partners between
Audits:
The eight U.S. airlines participating in the Code-Share Safety Program
have processes to monitor the safety of their foreign code-share
partners on an ongoing basis, including their accident and incident
rates, financial condition, equipment age, labor issues, and other
issues, as called for in the program guidelines. Safety officials from
the eight U.S. airlines said that, to their knowledge, no fatal
accidents had occurred on their foreign code-share routes since the
Code-Share Safety Program began in 2000. We observed the systems and
information sources that each U.S. airline used for monitoring. Airline
officials showed us, for example, safety questionnaires that they sent
to their code-share partners between formal safety audits, news
subscription services, and aviation safety Web sites. Some airline
officials also said they occasionally made on-site visits to monitor
their partners' safety. The airlines also indicated that they monitor
any accident and incident data for their code-share partners. According
to a safety official at one U.S. airline, a carrier's past accident and
incident record does not conclusively prove that a safety problem
exists, but it can be an indicator of other deficiencies, such as gaps
in training. Some officials from airlines that are part of global
alliances also said that they share safety information about their
mutual foreign code-share partners. Four U.S. airlines had created
computer databases to maintain this monitoring information while the
other four maintained paper files.
Use of International Safety Audit Program May Address Some Weaknesses
in the U.S. Safety Audit Program:
As U.S. airlines and their foreign code-share partners begin to use
IOSA--a new safety audit program developed by IATA--some of the
weaknesses that we observed in the Code-Share Safety Program may be
addressed, and U.S. airlines may receive other benefits. Increased use
of IOSAs may help to ensure that audit findings are resolved and
corrective actions implemented. IOSA requires that findings that are
identified during the audit be documented, excluding those that are
corrected immediately on-site during an audit.[Footnote 64] In
addition, IOSA requires documentation of closure for findings,
including the three elements we identified--(1) a description of the
corrective actions taken, (2) who accepted the corrective actions, and
(3) when the corrective action was accepted--as well as the reasoning
used by the auditing organization to clear the findings. As noted,
documentation of one or more of these elements was missing, or it could
not be determined if elements were missing for an estimated 68 percent
of the audit findings.
Six of the eight U.S. airlines use IOSA standards to audit the safety
of their foreign code-share partners, one may do so in the future, and
one does not plan to use the standards to audit the safety of its
foreign code-share partner.[Footnote 65] Moreover, according to some
airline officials, U.S. airlines have a financial incentive to
encourage their foreign code-share partners to undergo IOSAs because
the auditing costs[Footnote 66] are shifted from the U.S. airline to
its foreign partner. However, not all U.S. airlines plan to require
IOSAs of their foreign code-share partners.[Footnote 67] For example,
officials from one U.S. airline said that IOSAs may be too expensive
for some small foreign carriers. Similarly, officials at another U.S.
airline said that IOSAs are applicable to airlines with large fleets
and major processes but may not be practical for smaller airlines.
Officials at a third U.S. airline said they preferred to continue
conducting the safety audits themselves, rather than using an auditing
organization selected by IATA, because they wanted the assurance of
examining their partners' operations in person, rather than relying on
an external organization.
Finally, increased use of IOSAs may help standardize aviation safety
auditing and streamline FAA's review of audit reports. Under the IOSA
program, the airlines can obtain the audit results of their mutual code-
share partners. Of the eight U.S. airlines with foreign code-share
partners, six share 18 of the same foreign code-share partners. FAA
recently allowed U.S. airlines to submit for review audit reports that
other U.S. airlines had conducted on a shared foreign code-share
partner.[Footnote 68] Some U.S. airlines, as members of global airline
alliances, plan to share their audit reports of foreign partners and
reduce duplicative audits.[Footnote 69] The IOSA program should make it
easier for airlines that are not in such alliances to share audit
reports.[Footnote 70] Increased sharing of the reports could reduce the
number of safety audits that the U.S. airlines would need to conduct of
their foreign partners and could thus reduce the number of reports that
FAA would need to review.
Most U.S. Airline Officials Believe the Code-Share Safety Program
Provides a Reasonable Assurance of Safety:
Officials at most U.S. airlines participating in the Code-Share Safety
Program told us they believe that the program provides reasonable
assurance of safety concerning their foreign code-share partners or is
effective. One airline official described the program as an "ingenious
technique" that has had the effect of raising aviation safety standards
worldwide by ensuring that safety issues will be resolved. This airline
official said that some foreign airlines, seeking to become code-share
partners of U.S. airlines, have restructured programs, rewritten
manuals, and instituted new management techniques--evidence, he said,
of the program's effectiveness. Another U.S. airline official said
that, without the Code-Share Safety Program, U.S. airlines might not
conduct safety audits of their foreign code-share partners. An official
at another U.S. airline said the Code-Share Safety Program is a means
to ensure that a carrier meets minimum ICAO-based international
aviation safety standards and that the IOSA program creates a baseline
of auditing standards to be followed worldwide. However, the official
said that a safety audit, whether conducted by an auditing organization
selected by IOSA or a U.S. airline, is only a snapshot of the carrier
for the period in which the audit is conducted. The airline official
said that the carrier's actions before the audit or after the audit may
differ and cannot be adequately evaluated until additional safety
information is collected from the carrier between safety audits or
until the next safety audit.
An official at another U.S. airline participating in the Code-Share
Safety Program said that although a safety audit provides a very good
assessment of an airline's compliance with aviation safety standards,
it does not guarantee the safety of the carrier's operations. This
official added that even if a safety audit were conducted on a carrier
monthly, it would not guarantee that the carrier would never have an
accident. Furthermore, an official at another U.S. airline said that
the Code-Share Safety Program is not necessarily required to provide
reasonable assurance of safety concerning the foreign code-share
partners of U.S. airlines and that the airline does not necessarily
believe that formal, FAA-approved safety audits are the only way to
gain such assurance. This airline official said that U.S. airlines
should not be required to conduct safety audits of foreign airlines
that are operating out of countries that FAA rated as IASA category 1
and that U.S. airlines should be able to choose whether to conduct
safety audits in countries that FAA has rated as IASA category 2 or has
not rated. This airline official added that while the U.S. airline may
continue to audit its partners on its own, it does not believe that FAA
should oversee this process. However, an FAA IASA program official told
us that the IASA program focuses on the capabilities of the foreign
civil aviation authorities and does not ensure the safety of any
carriers operating in IASA category 1 countries. This FAA official also
said that inconsistencies in aviation safety oversight can exist
throughout the world, even in countries with "higher" standards, and
that some countries exceed ICAO standards, while others do not.
A safety official at one U.S. airline said he believed that the Code-
Share Safety Program guidelines should be made regulations. Although
officials from DOT's Office of International Aviation and FAA said that
making the program regulatory is not needed because it is working well,
this airline safety official said that making the program regulatory
would allow requirements to be applied more evenly to all airlines
participating in the program. This airline official added that DOT is
requiring the guidelines to be followed and therefore they are
regulations in practice. A safety official at another U.S. airline
questioned why DOT requires "guidelines" to be followed. He said that
if DOT wants "rigid compliance" with the guidelines, it should make the
program regulatory. A safety official at a third U.S. airline said the
program's requirements should be standardized, noting that, for
example, FAA was inconsistent about its requirements for reviewing
auditors' qualifications. An aviation safety expert we consulted also
said that the program should be made regulatory, observing that both
the Code-Share Safety Program and IASA suffer from a "lack of
regulatory teeth" and that making them regulatory would provide clarity
to the DOT requirements, which he said are "mere policies." At the same
time, this expert said that although the program is not regulatory, the
Code-Share Safety Program guidelines clearly lay out what is expected
of the airlines and set the standards that must be met. He added that
under the guidelines, U.S. airlines are held accountable for the safety
of their foreign code-share partners.
Finally, officials at two airlines said that they would like FAA to
provide a definition of safety critical or to define when an audit is
considered to be closed so that it would be clear which findings must
be resolved before closing an audit and submitting a compliance
statement. As noted, FAA officials said that they allow nonsafety-
critical findings identified during the audits to be addressed after
the code-share arrangement is authorized.
Conclusions:
The safety of foreign code-share partners of U.S. airlines is important
because several million people fly on those foreign carriers using
tickets purchased from U.S. airlines each year. Under the Code-Share
Safety Program, the U.S. airlines are auditing the safety of their
foreign code-share partners and identifying safety concerns, which the
foreign carriers are addressing. However, FAA's reviews of the safety
audit reports lack management controls for establishing reviewers'
qualifications, verifying corrective actions, and documenting the
reviews. FAA, for example, has not established the qualifications
needed to review safety audit reports, and FAA field inspectors, who
are reviewing many of the safety audit reports, have not been trained
in the IOSA program--potentially impeding FAA's review of audits that
were conducted using those standards. In addition, the program
guidelines do not provide clear direction to the U.S. airlines and FAA
reviewers on which concerns are critical to safety and must be
addressed before DOT's Office of International Aviation will authorize
or reauthorize a code-share arrangement. Without a definition of safety-
critical concerns and complete documentation of the closure of
findings, FAA lacks clear criteria for responding to requests from
DOT's Office of International Aviation about the safety of foreign
carriers and lacks assurance that safety-critical concerns have been
addressed. Furthermore, FAA is not using effective management controls
when it fails to document its reviews of the airlines' safety audit
reports. Without complete documentation, a determination cannot be made
of what actions FAA took when reviewing the reports, which findings it
reviewed, and which corrective actions it verified were implemented.
Because documentation on FAA's verification of the closure of findings
was often lacking, we were unable to determine how frequently FAA may
have failed to object to the authorization of code-share arrangements
with foreign carriers that had not implemented all corrective actions
in response to the findings. FAA also has not implemented a DOT
Inspector General's recommendation that it conduct a comprehensive
examination of a sample of audit reports to verify the underlying
documentation. Furthermore, FAA's not collecting and tracking safety
audit findings is an obstacle to conducting trend analysis or spotting
anomalies.
The airlines' increasing adoption of the IOSA program as a worldwide
safety auditing standard is likely to change how FAA conducts its
safety reviews of foreign code-share partners of U.S. airlines.
Moreover, IOSA requires that actions to correct all findings, except
those that are corrected during an audit, be documented--a requirement
that is lacking in FAA's program. However, the adoption of the IOSA
program is likely to be gradual, given that, as of June 2005, 66 of
IATA's 265 members had completed the program.
Finally, although DOD and FAA officials said they have different
program objectives, the two federal agencies are nevertheless
duplicating efforts by reviewing many of the same audit reports. In
addition, DOD is not receiving the foreign airport security assessment
information from TSA that DOT is receiving. TSA's information would
provide DOD with more complete data for its safety reviews.
Recommendations:
To improve the safety oversight of foreign code-share operations, we
recommend that the Secretary of Transportation direct the FAA
Administrator to implement the following three recommendations:
1. Revise the Code-Share Safety Program guidelines to improve the
effectiveness of the program and the clarity of the procedures that the
airlines should follow in documenting and closing out safety audit
findings. Because the audit guidelines indicate that the airlines
should not submit compliance statements until all corrective actions
have been completed, but FAA is allowing the airlines to resolve
"nonsafety-critical" findings later, FAA should consider either
following that guideline or defining "safety-critical" audit findings,
so that the airlines and FAA reviewers know which types of findings
must be corrected before submitting the compliance statements.
2. Develop mechanisms to enhance FAA's management controls over its
reviews of the safety audit reports. In developing the mechanisms, FAA
should consider standardizing the qualifications and training needed
for agency staff to review the airlines' safety audit reports;
identifying ways to document its reviews of the airlines' safety audit
reports; increasing the scrutiny of audit reports that have an
unusually high or low number of findings, periodically selecting a
sample of safety audits to conduct a comprehensive review of the
underlying documentation collected; and collecting and analyzing
information on the audit findings for the foreign code-share partners
of U.S. airlines so that the data can be more easily quantified and
analyzed to spot possible trends and anomalies, should FAA decide such
analyses are needed.
3. Finally, explore with DOD potential opportunities to reduce
duplication of efforts in reviewing the same safety audit reports.
Because security is an important component of assessing airline safety,
to improve DOD's oversight of foreign carriers that transport DOD
personnel, we also recommend that the Secretary of Homeland Security
direct the Assistant Secretary of Homeland Security for TSA to develop
a process of routinely coordinating with DOD regarding information on
the security of foreign airports for DOD to consider in reviewing the
safety of foreign airlines. Such a process could be documented in a
memorandum of understanding or other written procedures to ensure such
coordination.
Agency Comments:
We provided drafts of this report to the Department of Homeland
Security, (DHS), DOD, and DOT. DHS provided written comments, agreeing
with our recommendation regarding TSA. DHS's comments are reprinted in
appendix III. DOD provided no comments on our findings or
recommendations. DOD and DOT provided some technical clarifications,
which we incorporated into this report as appropriate. We received
comments from DOT officials, including FAA's Deputy Associate
Administrator for Aviation Safety. FAA generally agreed with the report
and agreed to consider our recommendations. In addition, FAA provided
comments on the Code-Share Safety Program, emphasizing that it is a
collaborative effort between DOT's Office of the Secretary, FAA, and
the air carriers. FAA officials also said that the program established
guidelines for approving international code-share operations, with the
intent of encouraging the highest possible levels of safety for
international code-share operations. According to FAA, the program
outlines the necessary steps that U.S. air carriers must follow in
seeking approval from DOT to conduct code-share operations with foreign
air carriers. The officials added that the Code-Share Safety Program
charges U.S. air carriers with the primary responsibility for ensuring
that their foreign code-share partners comply with applicable
international aviation standards.
As agreed with your office, unless you announce the contents of this
report earlier, we plan no further distribution until 30 days from the
date of this letter. At that time, we will send copies of this report
to interested congressional committees; the Secretary of
Transportation; the Administrator of FAA; the Secretary of Defense; the
Secretary of Homeland Security; and the Assistant Secretary of Homeland
Security for the Transportation Security Administration. Copies will
also be available to others upon request and at no cost on GAO's Web
site at [Hyperlink, http://www.gao.gov].
If you or your staff have any questions about this report, please call
me at (202) 512-2834 or [Hyperlink, dillinghamg@gao.gov]. Contact
points for our Offices of Congressional Relations and Public Affairs
may be found on the last page of this report. GAO staff who made major
contributions to this report are listed in appendix IV.
Sincerely yours,
Signed by:
Gerald L. Dillingham, Ph.D.
Director, Physical Infrastructure Issues:
[End of section]
Appendixes:
Appendix I: Objectives, Scope, and Methodology:
Our objective was to review the measures that the federal government is
taking to provide reasonable assurance of safety and security when
passengers travel on flights operated by the foreign code-share
partners of U.S. airlines. To accomplish this, we reviewed (1) the
extent to which the Department of Transportation's (DOT) authorization
of U.S. airlines' code-share arrangements with foreign airlines is
designed to consider safety and security, (2) how well FAA has managed
the Code-Share Safety Program, and (3) the extent to which U.S.
airlines have implemented the Code-Share Safety Program, and the
results of their efforts.
To determine how safety and security are considered in DOT's
authorization of U.S. airlines' code-share arrangements with foreign
airlines, we interviewed officials at DOT's Office of International
Aviation, Federal Aviation Administration (FAA), Transportation
Security Administration (TSA), and the Department of Justice (DOJ) and
reviewed the Code-Share Safety Program guidelines and related program
documentation, applicable international aviation safety standards, and
relevant legal authorities. Our review covered the U.S. airlines' code-
share partnerships with foreign carriers that DOT authorized from
February 2000, when the Code-Share Safety Program began, through fiscal
year 2004.[Footnote 71] At DOT, we interviewed the officials who decide
whether to authorize such partnerships about the authorization process,
their sources of information, and how often they authorize the
partnerships. To gain a better understanding of the authorization
process and the information considered, we also reviewed a sample of
code-share applications that U.S. airlines had filed to establish code-
share partnerships with foreign carriers. Our sample consisted of one
randomly selected application filed by each of the eight U.S. airlines
participating in the Code-Share Safety Program.
We also interviewed DOT security officials about how they provide
security clearances for foreign carriers and how often they have
provided those clearances for code-share authorization. Because TSA was
the source of aviation security information for DOT, we interviewed TSA
officials about how they assess the security of foreign airlines and
airports. We also reviewed data from TSA about the results and
frequency of its security assessments of foreign airports and related
legal authorities. Based on our understanding of the data through
interviews with TSA officials, we determined that the data were
sufficiently reliable for our purposes. In addition, we interviewed DOT
officials who review the competitive aspects of the code-share
arrangements about how they conduct their reviews and how often they
have provided those clearances for code-share authorization. Because
these DOT officials received advice from DOJ on potential antitrust
issues involving the code-share partnerships, we also interviewed DOJ
officials who provided that advice about their process and sources of
information.
At FAA, we interviewed officials about how they assess the capabilities
of foreign civil aviation authorities through the International
Aviation Safety Assessment (IASA) program and how those assessments
relate to the Code-Share Safety Program. We also analyzed data on the
results and frequency of IASA reviews since the Code-Share Safety
Program was initiated. Based on our understanding of the data through
interviews with FAA officials, we determined that the data were
sufficiently reliable for our purposes. We reviewed documentation that
FAA staff had prepared when they reviewed the airlines' safety audit
reports to determine how they documented their reviews. We also
discussed with FAA officials how often FAA provided memorandums of no
objection to DOT's Office of International Aviation to support U.S.
airlines' applications for code-share arrangements with foreign
carriers.
Because the Code-Share Safety Program was designed to assess foreign
airlines' compliance with aviation safety standards established by
International Civil Aviation Organization (ICAO), we interviewed ICAO
officials about the standards, related international aviation safety
issues, and the ICAO Universal Safety Oversight Audit Program, which
assesses the capabilities of countries' civil aviation authorities. In
addition, because many airlines are planning to use a new international
safety audit program--the International Air Transport Association's
(IATA) Operational Safety Assessment (IOSA) program--to assess the
safety of their foreign partners, we interviewed IATA officials about
how the program was developed, how airlines plan to implement it, and
how it could affect the Code-Share Safety Program. For background
information on how aviation safety varies internationally, we obtained
data from IATA on aviation accident rates for different world regions.
We did not review the reliability of IATA's aviation accident data
because we used this information only for background purposes. We also
interviewed officials from the Air Transport Association--a U.S.
airline association--about its involvement in establishing the DOD
safety audit program and its views on the Code-Share Safety Program and
FAA's IASA program. Finally, because we found during our review that
DOD had also established a program for reviewing the safety of foreign
carriers, we interviewed DOD officials about the design and
implementation of its program. In addition, we obtained information
about the safety audit reports that DOD had reviewed from fiscal year
2001 through fiscal year 2004 and the results, which we compared with
the results of those that FAA reviewed. We also discussed with FAA and
DOD officials the extent to which they have coordinated their efforts.
To determine how well FAA has managed the Code-Share Safety Program, we
evaluated whether DOT's Office of the Secretary and FAA incorporated
selected government auditing standards in the program's design and
whether FAA effectively used management controls in reviewing the
safety audit reports. Because the Code-Share Safety Program establishes
an audit program, we reviewed whether the program's design, as
reflected in the program guidelines, conforms to certain standards
identified in Government Auditing Standards.[Footnote 72] We reviewed
selected general standards[Footnote 73] that are contained in
Government Auditing Standards (independence, professional judgment, and
competence) to assess the program's design. Although we examined the
audit methodologies that the U.S. airlines had developed and submitted
to FAA for review, we did not review them for conformance with
government auditing standards because FAA had already conducted this
review as a condition of accepting the U.S. airlines' participation in
the program. In addition, because we were evaluating the management of
a government program, we examined FAA's application of management
controls, which is synonymous with the term "internal controls," in its
reviews of the safety audit reports using Standards for Internal
Control in the Federal Government.[Footnote 74] We selected the
management controls that were applicable to FAA's review of the audit
reports for establishing reviewers' qualifications, verifying
corrective actions, documenting the reviews, and monitoring and
measuring performance. We also reviewed the recommendations contained
in a 1999 DOT Office of the Inspector General report on aviation safety
under international code-share agreements to determine whether and to
what extent the report's recommendations--about how a code-share safety
audit program should be designed--were implemented.
To determine the extent to which U.S. airlines have implemented the
Code-Share Safety Program and the results, we interviewed officials at
the eight U.S. airlines that were participating in the program about
how they were assessing the safety of their foreign partners and
reviewed a sample of the reports. We drew a stratified random
probability sample of 153 reports of audits conducted by U.S. airlines
of their foreign code-share partners. This sample was drawn from a
population of documentation maintained by FAA for the 242 audit reports
that the agency had reviewed from February 2000 through September 2004.
Of these 153 sampled audits, 2 were out of scope because the airlines
withdrew them from consideration and 2 were in scope, but we did not
complete our reviews of these reports. We ultimately collected
information for 149 in-scope audits. With this probability sample, each
audit report in the study population had a positive probability of
being selected, and that probability could be computed for any audit.
We stratified the population into nine groups on the basis of the U.S.
airline conducting the audit, and further, for some of those airlines,
whether the foreign airlines being audited were code-share partners
with more than one U.S. airline or whether FAA's records of its reviews
of the audit reports contained comments about the findings. Each
sampled audit was subsequently weighted in the analysis to
statistically account for all of the audits in the study population,
including those that were not selected. During our audit work, three
airlines provided information about a total of 14 additional audit
reports that, according to the airlines, FAA had reviewed. These 14
audits were not included in the population from which we drew our
sample because FAA's files did not contain information about them.
Estimates generated in this report pertain only to the 242 audit
reports that, according to FAA's files, the agency reviewed.
Because we followed a probability procedure based on random selections,
our sample is only one of a large number of samples that we might have
drawn. Since each sample could have provided different estimates, we
express our confidence in the precision of our particular sample's
results in 95-percent confidence intervals. These are intervals that
would contain the actual population values for 95 percent of the
samples we could have drawn. As a result, we are 95-percent confident
that each of the confidence intervals in this report will contain the
true values in the study population. All percentage estimates from the
sample of audits have sampling margins of error of plus or minus 10
percentage points or less unless otherwise noted. All numerical
estimates other than percentages have margins of error of plus or minus
10 percent of the value of those estimates or less unless otherwise
noted.
We did not determine whether the airlines complied with international
aviation safety standards. However, we performed a content analysis of
the audit reports in our sample to determine what types of safety
findings were identified regarding the foreign carriers. We recorded
the findings and grouped them into eight categories: (1) organization,
(2) flight operations, (3) flight dispatch, (4) maintenance and
engineering, (5) cabin operations, (6) cargo and dangerous goods, (7)
ground handling, and (8) security--because the reports were generally
organized into those categories. We then further divided those eight
categories into at least six issue subcategories. Two coders
independently categorized each finding, and any coding disagreements
were resolved between the coders or by a third reviewer.
During our review of the audit reports, we also attempted to determine
whether corrective actions taken in response to the findings were
documented. To accomplish this, we looked for evidence of (1) what
corrective action was taken, (2) who accepted the corrective action,
and (3) when the corrective action was accepted. We considered these
three elements to be sufficient evidence of documentation after
observing how some airlines had documented the closure of findings and
by reviewing Government Auditing Standards, which indicate that
auditors should examine whether recommendations from previous audits
have been implemented, and from Standards for Internal Control in the
Federal Government, which require management to determine whether
proper actions have been taken in response to findings and audit
recommendations.
In addition to reviewing the audit reports at the airlines, we
interviewed safety officials (typically the safety directors) at all
eight U.S. airlines participating in the Code-Share Safety Program
about how they assess the safety of their foreign code-share partners,
including how they plan, carry out, and close the audits, as well as
monitor the safety of their foreign partners between audits.[Footnote
75] We also observed the monitoring systems that they had implemented,
as the program guidelines require, and sources of information that they
used to monitor the safety of their foreign code-share partners. In
addition, we asked the U.S. airline safety officials about their
program-related interactions with FAA and DOT's Office of International
Aviation, whether and how they believe the program could be improved,
and what they thought about the implications of the airlines' increased
adoption of IOSA by as an international aviation safety audit program.
We also obtained the views of an aviation safety expert about the Code-
Share Safety Program. We selected this expert because of his experience
in aviation safety, which included helping to design FAA's IASA
program. Because some airlines had used contractors to conduct safety
audits of their foreign code-share partners, we interviewed one
contractor who said that he had conducted or helped to conduct safety
audits for five of the eight U.S. airlines in the Code-Share Safety
Program about how his firm conducted the audits and the qualifications
of his staff.
Finally, for background information on the extent to which passengers
are traveling on foreign code-share partners of U.S. airlines, we asked
the eight U.S. airlines to provide such data from 2000 through
2004[Footnote 76] using the same methodology, which was based on the
number of tickets that the U.S. airlines sold for travel on their
foreign code-share partners. For example, if a U.S. airline sold a
single ticket for travel that included one or more foreign code-share
partner flight segments, this ticket was counted once. If a U.S.
airline sold separate tickets for travel that included more than one
foreign code-share partner flight segment, each flight segment was
counted as a separate ticket. Some airlines could not provide data for
all 4 years, but all eight U.S. airlines were able to provide data for
2004, which we reported. We did not independently verify this
information provided by the airlines because it was used only for
background purposes.
[End of section]
Appendix II: U.S. Carriers and Their Foreign Code-Share Partners:
U.S. carrier: Alaska (1 partner);
Foreign code-share partner: Helijet.
U.S. carrier: America West (1 partner);
Foreign code-share partner: Royal Jordanian Airlines.
U.S. carrier: American (24 partners);
Foreign code-share partner: Aer Lingus; Aero Caribe; Air Pacific; BA
CitiExpress; British Airways; Cathay Pacific; China Eastern; EVA
Airways; Finnair; Gulf Air; Iberia; JAL; JALways; JetConnect Limited;
LACSA; LAN Chile; Lan Express; Mexicana Airlines; Qantas; SN Brussels;
Swiss International Air Lines; TACA; TAM - Linhas Aereas; Turkish
Airlines.
U.S. carrier: Contintental (18 partners);
Foreign code-share partner: AeroLitoral; Aeromexico; Air Europa; Air
France; Alitalia; Brit Air; COPA; CSA Czech; Emirates; EVA Airways;
flybe.British European; KLM Cityhopper; KLM Exel Airlines; KLM Royal
Dutch Airlines; Korean Airlines; Maersk Air; TAP Air Portugal; Virgin
Atlantic.
U.S. carrier: Delta (21 partners);
Foreign code-share partner: AeroLitoral; Aeromexico; Air France; Air
Jamaica; Alitalia Express; Alitalia Team; Avianca; Brit Air; China
Airlines; China Southern; CityJet; CSA Czech; El Al; Emirates;
flybe.British European; KLM Royal Dutch Airlines; Korean Airlines;
Malev Hungarian Airlines; Regional; Royal Air Maroc; South African
Airways.
U.S. carrier: Northwest (11 partners);
Foreign code-share partner: Aeromexico; Air Alps; Air France; Alitalia;
CSA Czech; KLM Cityhopper; KLM Exel; KLM Royal Dutch Airlines; Korean
Airlines; Malev Express; Malev Hungarian Airlines.
U.S. carrier: United (23 partners);
Foreign code-share partner: AC Jazz; Air Canada; Air China; Air
Dolomiti; Air Japan; Air New Zealand; Air Nippon; All Nippon Airways
(ANA); Asiana; Austrian; British Midland (BMI); LOT Polish; Lufthansa;
Lufthansa Cityline; Nakanihon Airlines; PrivatAir (Switzerland);
PrivatAir (Germany); SAS; Thai Airways; The Fair, Inc; Tyrolean; Varig;
Virgin Blue.
U.S. carrier: US Airways (9 partners);
Foreign code-share partner: AeBal (Aerolineas de Baleares); Air
Dolomiti; BahamasAir; British Midland (BMI); Eurowings; Lufthansa;
Lufthansa CityLine; Spanair; Winward Island Airways.
Source: FAA.
Note: Data as of May 2005.
[End of table]
[End of section]
Appendix III: Comments from DHS:
U.S. Department of Homeland Security:
Washington, DC 20528:
July 14, 2005:
Dr. Gerald L. Dillingham:
Director, Physical Infrastructure Issues:
U.S. Government Accountability Office:
441 G Street, NW:
Washington, DC 20548:
Dear Dr. Dillingham:
RE: Draft Report GAO-05-930, Aviation Safety: Oversight of Foreign Code-
Share Safety Program Should be Strengthened (GAO Job Code 540108):
The Department of Homeland Security (DHS) appreciates the opportunity
to review and comment on the Government Accountability Office's draft
report as it relates to the Transportation Security Administration
(TSA).
The draft report includes three recommendations to the Department of
Transportation and one to DHS' Transportation Security Administration.
We agree with your proposed revised recommendation:
"that the Secretary of Homeland Security direct the Assistant Secretary
of Homeland Security for TSA to develop a process of routinely
coordinating with DOD regarding information on the security of foreign
airports for DOD to consider in reviewing the safety of foreign
airlines. Such a process could be documented in a memorandum of
understanding or other written procedures to ensure such coordination."
Sincerely,
Signed by:
Steven Pecinovsky:
Director:
Departmental GAO/OIG Liaison Office:
[End of section]
Appendix IV: GAO Contacts and Staff Acknowledgments:
GAO Contacts:
Gerald Dillingham (202) 512-2834
Teresa Spisak (202) 512-2834:
Staff Acknowledgments:
In addition to the above individuals, Elizabeth Eisenstadt, Jessica A.
Evans, Brandon Haller, Bob Homan, David Hooper, Casey Keplinger,
Elizabeth A. Marchak, Sara Ann Moessbauer, Mark Ramage, and Sidney
Schwartz made key contributions to this report.
(540108):
FOOTNOTES
[1] Designator codes are two-letter codes assigned by the International
Air Transport Association, the international airline association, to
the world's airlines.
[2] This report pertains only to U.S. airlines' code-share arrangements
with foreign airlines for scheduled air service and not for charter or
cargo air service.
[3] GAO, Government Auditing Standards, GAO-03-673G (Washington, D.C.:
June 2003).
[4] GAO, Standards for Internal Control in the Federal Government, GAO/
AIMD-00-21.3.1 (Washington, D.C.: November 1999) and GAO, Internal
Control Management and Evaluation Tool, GAO-01-1008G (Washington, D.C.:
August 2001).
[5] Those airlines are Alaska Airlines, America West Airlines, American
Airlines, Continental Airlines, Delta Air Lines, Northwest Airlines,
United Airlines, and US Airways.
[6] According to information provided by the eight U.S. airlines
participating in the Code-Share Safety Program, about 6.5 million
tickets were purchased from them in 2004 for travel on flights operated
by their foreign code-share partners. (See app. I for more information
on how this information was compiled.)
[7] U.S. and foreign airlines have established three main types of code-
share arrangements: (1) the U.S. airline places its designator code on
the foreign carrier's flight, (2) the foreign airline places its
designator code on the U.S. carrier's flight, and (3) the U.S. and the
foreign airline each place their designator code on the other's
flights.
[8] U.S. airline officials said that their reimbursement agreements
with foreign carriers were based on route mileage, fare class, and
selling commissions.
[9] Some U.S. airlines code-share with foreign airlines on selected
routes only, while others code-share with foreign airlines on all of
their routes.
[10] DOT provided information on the number of U.S. airlines that had
placed their designator codes on foreign carriers' flights in fiscal
year 2000 but indicated that the information was compiled informally
and was not official.
[11] DOT Office of the Inspector General, Aviation Safety Under
International Code-Share Agreements, Report No. AV-1999-138
(Washington, D.C.: Sept. 30, 1999).
[12] Aviation Codeshare Safety Act, H.R. 2024, 106TH Congress (1999),
introduced by Representative James Oberstar.
[13] According to Aviation Safety Network, a database devoted to
aviation accident and safety information and used by FAA in monitoring
accident histories, a hull loss occurs when airplane damage is beyond
economic repair and may include events in which (1) the airplane is
missing, (2) the search for the wreckage has been terminated without
success, or (3) the airplane is substantially damaged and inaccessible.
IATA's data on hull losses are for western-built jet aircraft. The 2004
world aggregate aviation accident rate compiled by IATA was 0.78 hull
losses per million flight segments.
[14] IATA's regional boundaries for this information are not
necessarily geographic. For example, Mexico is included in the South
American region.
[15] DOT is required to consider the public interest in authorizing
code-share arrangements under 49 U.S.C. 41309. Although the law does
not provide a specific definition of public interest in this regard,
leaving the determination to the discretion of the Secretary of
Transportation, the determination is guided by the public interest
standards of 49 U.S.C. 40101 as well as by the department's precedents
in this area.
[16] According to DOT's Office of Aviation Analysis, since 2000, it has
cleared the competitive aspects of all U.S. airlines' code-share
arrangements with foreign airlines. Before providing a clearance, this
office reviews code-share applications for the degree of competition
involved, the terms of the financial agreements between the U.S.
airlines and their foreign partners, and the competitive impact on the
carriers involved and the region affected.
[17] According to the Justice Department's Antitrust Division, since
2000, it has not advised DOT against approving any U.S. airlines'
unimmunized code-share arrangements with foreign carriers because of
antitrust concerns (unimmunized code-share arrangements are those for
which the Department of Justice has not provided immunity from
antitrust actions).
[18] According to a DOT official, in some cases, the same code-share
partners requested and received multiple approvals during this period
(adding routings, for example), so the total number of authorizations
granted by the Office of International Aviation exceeds the total
number of safety audit reports that FAA reviewed.
[19] FAA's authority to conduct the IASA program is facilitated through
the requirements of 14 C.F.R. part 129.11 (a), which require in part
that operations within the United States be in compliance with
International Civil Aviation Organization (ICAO) annex 6 part 1
(aircraft operations).
[20] The 1944 Chicago Convention on aviation safety led to the
establishment of ICAO, the United Nations organization that develops
standards and recommended practices for aviation safety and security,
and outlined the rights and responsibilities of civil aviation
authorities. ICAO's 18 annexes delineate internationally agreed-upon
standards that signatories to the Convention (i.e., civil aviation
authorities) must meet. Annex 1 (personnel licensing), annex 6
(aircraft operations), and annex 8 (aircraft airworthiness) serve as
primary sources of international aviation safety standards.
[21] The IASA program and the Code-Share Safety Program use the same
ICAO standards (annexes 1, 6, and 8) as evaluation criteria.
[22] Five of the six countries were ones that FAA had first given an
IASA category 2 rating and later upgraded to category 1.
[23] In three cases, the U.S. airlines suspended their code-share
arrangements before FAA had lowered the respective IASA ratings from
category 1 to category 2. In another case, a U.S. airline temporarily
suspended its code-share arrangement with a foreign airline after FAA
questioned the capabilities of that airline's civil aviation authority,
but FAA did not lower that country's IASA rating. After FAA resolved
its questions, the U.S. airline resumed its code-share arrangement with
that foreign carrier.
[24] The Chicago Convention provides that signatories to the Convention
(countries), and thus the airlines under their oversight, must meet all
the ICAO annexes containing international aviation safety standards.
Including the United States, 188 countries are signatories to the
Convention.
[25] We reviewed FAA's files and did not find compliance statements
that U.S. airlines had filed for 25 of the 256 safety audit reports
that FAA reviewed from February 2000 through September 2004.
[26] DOT's Office of Policy now includes security policy staff,
formerly housed within DOT's Office of Intelligence and Security, which
provided the security clearance information for foreign airlines.
[27] Before fiscal year 2002, when TSA was created and began conducting
the security assessments, FAA's Office of Civil Aviation Security was
responsible for conducting them.
[28] TSA has authority under 49 U.S.C. 44906 to regulate security
aspects of foreign air carriers that provide service to the United
States. TSA indicated that it does not have any special regulatory
authority or requirements for the code-share partners of U.S. airlines.
TSA requires foreign carriers in their operations to and from airports
in the United States to adhere to security measures that are similar to
those TSA requires of the U.S. carriers serving the same airports.
[29] In some cases, DOT's documentation on foreign code-share routes
refers to "destinations" or "points" within a foreign country without
specifying which ones.
[30] We chose this U.S. airline because it has established code-share
arrangements with one of its foreign partners for nearly all its
flights.
[31] Under 49 U.S.C. 44907, TSA is required to assess the effectiveness
of the security measures maintained at foreign airports from which a
foreign carrier serves the United States.
[32] ICAO's annex 17 covers security standards.
[33] TSA also indicated that regardless of category, airlines from ICAO
signatory countries meet ICAO security standards and are assessed as
appropriate.
[34] DOD looks at system safety as a means of reducing risk through
early identification, analysis, elimination, and control of hazards.
[35] DOD had data on the reports that it reviewed from fiscal years
2001 through 2004, so we were unable to compare which reports FAA and
DOD reviewed during fiscal year 2000.
[36] In a 2002 report on FAA and DOD responses to aviation safety
concerns, we found that FAA and DOD had gaps in their formal
communication process, which caused delays in bringing critical safety
information to the attention of key officials. GAO, Aviation Safety:
FAA and DOD Response to Similar Safety Concerns, GAO-02-77 (Washington,
D.C.: Jan. 22, 2002). In that report, we recommended that FAA and DOD
develop a memorandum of agreement for exchanging aviation safety-
related information and research. In January 2004, FAA and DOD signed a
memorandum of agreement for exchanging aviation safety-related
information and research.
[37] GAO, Government Auditing Standards, GAO-03-673G (Washington, D.C.:
June 2003).
[38] GAO, Standards for Internal Control in the Federal Government,
GAO/AIMD-00-21.3.1 (Washington, D.C.: November 1999) and GAO, Internal
Control Management and Evaluation Tool, GAO-01-1008G (Washington, D.C.:
August 2001).
[39] Office of Management and Budget, OMB Circular A-123, Management's
Responsibility for Internal Control, (Washington, D.C.: 1995).
[40] ISO 9000 is a certification process developed by the International
Organization for Standardization, which develops standards for
business, government, and technology based on quality management
principles. An FAA official said that the agency uses the ISO 9000
standards for the Code-Share Safety Program for data collection and
retention, continuous improvement efforts, customer satisfaction, and
performance measurement. This official said that, for example, the ISO
9000 standards are used to ensure consistency in how code-share
applications are processed, that the needed information is collected
and provided to management to review the applications, and that
performance goals are achieved.
[41] Although FAA program staff based in Washington, D.C., review the
majority of the audit reports, FAA field safety inspectors review some
of them, because staffing is limited for this program. FAA provided
information indicating that one full-time-equivalent (FTE) position was
dedicated for the Code-Share Safety Program during fiscal years 2000,
2002, 2003, and 2004, and two FTEs were dedicated during fiscal year
2001. In addition, FAA indicated that five inspectors helped conduct
safety audit reviews during those years on a part-time basis. FAA
estimated that the time these five inspectors spent reviewing audit
reports represented about 4 percent of an FTE's time per year. FAA also
indicated that about 2.3 FTEs were used on the IASA program per year
during fiscal years 2000 through 2004, including the time spent by
field office staff.
[42] FAA officials said that before the Code-Share Safety Program
manager was transferred to a new position, U.S. airlines brought the
safety audit reports of their foreign code-share partners to FAA in
Washington, D.C., for review 90 percent of the time.
[43] FAA's Flight Standards Service is part of the Office of Aviation
Safety.
[44] We found that over half of the contractor's audit reports had no
findings. By comparison, we estimate that 25 percent of all audits were
closed with no findings.
[45] The airline stopped using this contractor in 2003, after which the
airline conducted the safety audits itself. The airline indicated that
its decision to begin conducting the audits using its own resources was
based on the opportunity to lower costs while expanding its auditing
checklists to include elements from the IOSA program. In addition, the
airline indicated that using its resources provided an improved
opportunity to communicate with its counterparts at the code-share
airline and exchange recommended safety practices. An official from the
airline said that the airline shared FAA's concern about the relatively
low number of findings contained in the contractor's audit reports, but
explained that the airline had no basis for comparison since it was not
conducting the audits itself. The official said that now that the
airline has conducted several safety audits itself, there have been
only a few instances when findings impacting the safety of flight have
been discovered. In addition, the official said that many times
findings are identified and resolved before the audit team concludes
the audit and that most of the recent findings involve lack of
documentation for established practices.
[46] DOT Office of the Inspector General, Aviation Safety Under
International Code-Share Agreements, Report No. AV-1999-138
(Washington, D.C.: Sept. 30, 1999).
[47] FAA did not maintain data on the number of audit reports that it
reviewed and placed on hold for other years.
[48] ICAO's Universal Safety Oversight Audit Program regularly audits
countries that have signed the Chicago Convention of 1944, called ICAO
Contracting States, to determine the status of the states'
implementation of safety oversight and relevant ICAO standards and
recommended practices, associated procedures, guidance material, and
safety-related practices.
[49] FAA conducts annual ramp inspections of foreign carriers entering
the United States or monthly inspections (called the special emphasis
list) when the results of inspections are repeatedly poor or the
airline's country of operation is placed in IASA category 2.
[50] Under 14 C.F.R. 129, FAA may inspect foreign airlines when they
enter the United States, but FAA does not inspect foreign aircraft
outside the United States. The Chicago Convention limits FAA and other
civil aviation authorities to regulating or auditing foreign airlines
within their own country's airspace.
[51] An FAA official said that FAA had not observed the eighth U.S.
airline's monitoring system because it was a new participant in the
Code-Share Safety Program.
[52] An official at another U.S. airline said that FAA had observed its
system to track open safety audit findings but not its entire
monitoring system.
[53] As discussed earlier, for 12 of the 256 audit reports that FAA
reviewed from February 2000 through September 2004, FAA granted the
U.S. airlines extensions of time to submit compliance statements. In
some cases, U.S. airlines conducted safety audits of their foreign
partners more frequently than every 2 years.
[54] We are 95 percent confident that the actual number of findings
lies between 1,450 and 2,643. All percentage estimates from the sample
of audits have sampling margins of error of plus or minus 10 percentage
points or less unless otherwise noted. All numerical estimates other
than percentages have margins of error of plus or minus 10 percent of
the value of those estimates unless otherwise noted. See appendix I for
additional information on our sampling methodology.
[55] The 95 percent confidence interval surrounding this estimate
ranges from 15 to 36 percent.
[56] Most of the audit reports that we reviewed were organized into
these eight categories.
[57] These findings were not categorized as being either safety
critical or nonsafety critical. Furthermore, because FAA had not
developed a definition of safety-critical findings, which FAA requires
airlines to resolve immediately, we could not determine how many safety-
critical findings lacked complete documentation of corrective action.
[58] We identified these three elements as sufficient evidence that the
finding was resolved.
[59] The 95 percent confidence interval surrounding this estimate
ranges from 16 percent to 44 percent.
[60] An estimated 64 percent of the audit reports that contained
findings had at least one finding that lacked at least one element
documenting corrective actions.
[61] The program guidelines indicate that the U.S. carriers should
ensure that their foreign partners have processes in place that
identify "types of problems that may occur from common or special
circumstances" and that corrective action takes into account, among
other things, "the existence of documentation of the changes made to
analyze the effectiveness of the corrective action."
[62] An official from this airline said that although the electronic
data were lost, the airline still had the paper documentation of the
information that was contained in the computer system. This official
also said that the airline had implemented a new tracking system, which
he said was an improvement over the previous system.
[63] From 2000 to 2004, six of the eight U.S. airlines used contractors
to audit the safety of their foreign code-share partners, although
three used them for only one audit. U.S. airline officials said they
sometimes used contractors because of convenience (e.g., when
contractors were located near the foreign airlines' operations).
[64] According to IATA, when an airline being audited implements
immediate corrective action while the audit team is still on site, the
audit team is permitted to exclude the recording of a finding only if
it is able to verify full implementation of comprehensive and permanent
corrective action.
[65] One U.S. airline was using an auditing organization accredited by
IATA, which is an independent business unit of that U.S. airline.
[66] An IATA official said the average cost of conducting a safety
audit of a foreign airline was between $50,000 and $70,000.
[67] IATA originally set a goal of having all 265 of its members
undergo IOSAs by January 2006, but it later revised that to having 140
airlines undergo IOSAs by the end of 2005. As of June 2005, 88 IOSA
audits had been completed worldwide, including 66 IATA members. In May
2005, IATA's Board of Governors decided in principle that all IATA
members will have to undergo IOSA.
[68] FAA requires that the audit be conducted using an FAA-accepted
methodology and that the airline that is relying on the audit report
submit a compliance statement to FAA.
[69] Five of the eight U.S. airlines participating in the Code-Share
Safety Program belong to global airline alliances with other U.S.
airlines in the program. Continental, Delta, and Northwest belong to
the Sky Team Alliance, and United Airlines and US Airways belong to the
Star Alliance.
[70] According to IATA, any interested party, such as an airline or
regulator, may make a request through IATA to view the audit report of
an airline that is on the IOSA registry, which lists the airlines that
have undergone IOSA. After a requester "qualification and verification
process," which includes the signing of a nondisclosure agreement and
specific approval for release by the audited airline, the report is
made available to the requesting party. The use of IOSA audit data by
regulatory authorities was encouraged in November 2004, according to
IATA.
[71] Our review pertained only to U.S. airlines' code-share
arrangements with foreign carriers for scheduled air service, and not
for charter or cargo air service.
[72] GAO, Government Auditing Standards, GAO-03-673G (Washington, D.C.:
June 2003).
[73] We did not include the quality control and assurance general
standard because it mainly relates to the process of peer review.
[74] GAO, Standards for Internal Control in the Federal Government,
GAO/AIMD-00-21.3.1 (Washington, D.C.: November 1999) and GAO, Internal
Control Management and Evaluation Tool, GAO-01-1008G (Washington, D.C.:
August 2001).
[75] An independent business unit of one of the eight U.S. airlines
participating in the Code-Share Safety Program is an auditing
organization selected by IATA to conduct IOSAs. We had also interviewed
staff from that organization about how the audits were conducted and
their qualifications.
[76] Annual data are in calendar years unless noted otherwise.
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441 G Street NW, Room 7149
Washington, D.C. 20548: