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Safety Management Safety Management Systems Systems
S.M.S S.M.S Presented by Presented by Malcolm Rusby Malcolm Rusby European Safety Director TAG European Safety Director TAG AviationAviation
Safety ManagementSafety Management
The Safety Management The Safety Management System requirementSystem requirement : :
JAR-OPS 1.037 requires an JAR-OPS 1.037 requires an “Accident Prevention “Accident Prevention Program” Program”
Safety ManagementSafety Management
JAR-OPS 1.037 also JAR-OPS 1.037 also requiresrequires : :
The Operator shall have a The Operator shall have a program to achieve and program to achieve and maintain risk awareness by all maintain risk awareness by all persons involved in the persons involved in the Companies business,Companies business,
An occurrence reporting An occurrence reporting scheme which has a scheme which has a anonymous element. anonymous element.
Safety ManagementSafety Management
Further JAR-OPS 1.037 Further JAR-OPS 1.037 requirements :requirements :
Evaluation of relevant Evaluation of relevant information relating to information relating to Incidents and Accidents and Incidents and Accidents and the Promulgation of Safety the Promulgation of Safety related information.related information.
A Person accountable for A Person accountable for managing the Program.managing the Program.
Safety ManagementSafety Management
1999 Management of Health 1999 Management of Health and Safety at work Act which and Safety at work Act which includes :includes :
Risk Assessment and SMSRisk Assessment and SMSDriven by E.U. DirectivesDriven by E.U. DirectivesIncludes Fire Awareness and Includes Fire Awareness and
Safety Management.Safety Management.
CAP 712CAP 712Safety Management Safety Management Systems (SMS) for Systems (SMS) for Commercial Air Commercial Air Transport Operations.Transport Operations.
Introduction to Introduction to S.M.SS.M.S
A working SMS will Improve A working SMS will Improve communication across your communication across your Company“ Harmonisation “Company“ Harmonisation “
Creates / Promotes Safety Policy Creates / Promotes Safety Policy and Cultureand Culture
People orientated organisation People orientated organisation “Ownership”“Ownership”
Meets corporate objectives and Meets corporate objectives and initiativesinitiatives
S.M.S the Building S.M.S the Building BlocksBlocks
Policy
Safety Risk
Management
Communication
Safe
ty P
rom
otio
n
““Buy In”Buy In”Everybody has a Everybody has a
responsibility for their own responsibility for their own safety and the safety of safety and the safety of others ! others !
““Duty of Care”Duty of Care”Everyone needs to be part Everyone needs to be part
of the system !of the system !
S.M.S ModelS.M.S Model
Specific Business
Focus
Safety Policies and Procedures
Corrective Actions
Hazard Identification
Risk Assessment
Anonymous reporting System
Company Incident \ Accident reporting System
Safety Committee
“ Oversight”
Proactive S.M.S Proactive S.M.S ElementsElementsTraining / Policy
Oversight
Hazard
Identification
Risk
Assessment
Safety Concern
System
LikelihoodLikelihoodLikelihoodLikelihood
11 Never been known to happenNever been known to happen
22 Has been known to happenHas been known to happen
33 Happens several times a yearHappens several times a year
44 Happens several times a monthHappens several times a month
55 Happens all the timeHappens all the time
SeveritySeverityAircraftAircraft PeoplePeople EquipmeEquipme
ntntInfrastructInfrastructureure
11 No ImpactNo Impact No ImpactNo Impact No ImpactNo Impact No ImpactNo Impact
22 Superficial Superficial damage but, damage but, Aircraft still Aircraft still serviceableserviceable
Negligible injuries (cuts, Negligible injuries (cuts, bruises and or bruises and or abrasions ) abrasions )
Superficial Superficial DamageDamage
Superficial Superficial DamageDamage
33 Minor repair Minor repair required to required to make Aircraft make Aircraft ServiceableServiceable
Minor Injuries resulting Minor Injuries resulting in time off workin time off work
Repairs Repairs requiredrequired
Work required Work required to sustain to sustain operationsoperations
44 Significant Significant repair required repair required Cancellation of Cancellation of flight, and a flight, and a number of days number of days out of serviceout of service
Major Injuries including Major Injuries including damage to Limbs etc. damage to Limbs etc. Reportable to HSE Reportable to HSE RIDDOR (UK)RIDDOR (UK)
Equipment Equipment is written is written offoff
Significant Significant funds funds required to required to bring back on bring back on lineline
55 Aircraft could Aircraft could be destroyedbe destroyed
FatalityFatality Not usedNot used Not usedNot used
Combining Severity and Combining Severity and LikelihoodLikelihood 55
44
33
22
11
11 22 33 44 55
S
E
V
E
R
I
T
YLikelihood
Red – the risk is unacceptable Red – the risk is unacceptable and action must be taken and action must be taken immediately to reduce it to a immediately to reduce it to a tolerable level.tolerable level.
Amber – the risk is tolerable if Amber – the risk is tolerable if the costs are significant and the the costs are significant and the benefits gained are minimal.benefits gained are minimal.
Green – The risks are acceptable Green – The risks are acceptable and no further action is and no further action is required.required.
Reactive ElementsReactive Elements
Oversight
Incident reporting System
Training
or Policy Changes
Hazard Identification
Risk assessment
Incident Investigation
Public DisastersPublic Disasters
Space Shuttle – ChallengerSpace Shuttle – Challenger Kings Cross underground Kings Cross underground
firefire Herald of Free EnterpriseHerald of Free Enterprise Piper AlphaPiper Alpha ChernobylChernobyl PaddingtonPaddington Etc etc etc etc etcEtc etc etc etc etc
One Common One Common DenominatorDenominator“ “ A break down A break down in Safety in Safety Management “Management “
CommunicationCommunicationReporting proceduresReporting proceduresReporting Links - Internal Reporting Links - Internal
Reporting SystemReporting SystemMOR’s Mandatory MOR’s Mandatory
Reporting System Reporting System ( external )( external )
Anonymous Reporting Anonymous Reporting SystemSystem
Communication Communication ProcessProcess Management of Management of
ReportsReportsInvestigating Investigating ReportsReports
Safety ForumsSafety ForumsSafety bulletinsSafety bulletins
Safety ManagerSafety Manager
Is responsible for safety Is responsible for safety within the Company.within the Company.
Reports Directly to the Reports Directly to the C.E.O. on Safety C.E.O. on Safety matters.matters.
Monitors Trend Monitors Trend Analysis.Analysis.
Chairs Safety Chairs Safety Committee’sCommittee’s
The Safety The Safety OfficerOfficer The Safety Officer must have clear The Safety Officer must have clear responsibilities for :-responsibilities for :-
Day to Day running of the S.M.S.Day to Day running of the S.M.S. Management of the safety improvement plan.Management of the safety improvement plan. The facilitation of Hazard Management and Risk The facilitation of Hazard Management and Risk
Assessment.Assessment. Advise other managers on Safety matters.Advise other managers on Safety matters. The Emergency response Plan.The Emergency response Plan. Investigation of Accidents and Incidents.Investigation of Accidents and Incidents. Dissemination of appropriate Safety information.Dissemination of appropriate Safety information. Must be part of safety Oversight (Safety Must be part of safety Oversight (Safety
Review)Review)
The most Important The most Important aspect of any aspect of any Investigation is to Investigation is to Find :-Find :-“ “ Route Cause Route Cause ””
Reporting ProceduresReporting Procedures The Company must have very clear The Company must have very clear
Incident /Accident reporting procedures.Incident /Accident reporting procedures. Upon receiving an Incident report, prompt Upon receiving an Incident report, prompt
reply to the sender is essential to ensure reply to the sender is essential to ensure the reporter see’s that the company is the reporter see’s that the company is taking the report seriously.taking the report seriously.
The reporter should be kept in the loop The reporter should be kept in the loop during the investigation and receive the during the investigation and receive the “Closure report “ “Closure report “
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