Safety Management System at Turbomeca

Concept: ICAO SMS framework

In October 2008, ICAO recommended the setting-up of safety plans within each member State.

These safety plans had to take into account analysis of predictive or proactive safety and set performance targets.

Concept: ICAO SMS framework

Aviation units:• Airports,• ATC,• Operators,• Airworthiness management,• Maintenance organizations,• Training organizations.

Must implement measures to manage any flight safety risks associated to their activities.

ICAO definition

Safety is the state in which any risk of harm to persons or property damage is reduced to, and maintained at or below, an acceptable level through a continuing process of hazard identification and risk management.

Evolution of safety concept

TODA

Y

1960’s 1980’s 2000’s 2020’s

HUMAN FACTORS

Some safety key figures in the world of the helicopter

The 4 ICAO pilars concepts

SMSSa

fety

polic

y&

ob

ject

ives

Ris

ksm

anag

emen

t

Safe

ty a

ssur

ance

Safe

typr

omot

ion

The four pilars of ICAO

Safety policy and objectives:• 1.1 – Management commitment and responsibility,• 1.2 – Safety accountabilities,• 1.3 – Appointment of key safety personnel ,• 1.4 – Coordination of emergency response planning ,• 1.5 – SMS documentation.

Safety risk management:• 2.1 – Hazard identification,• 2.2 – Risk assessment and mitigation.

The four pilars of ICAO

Safety assurance:• 3.1 – Safety performance monitoring and measurement,• 3.2 – The management of change,• 3.3 – Continuous improvement of the SMS.

Safety promotion: • 4.1 – Training and education,• 4.2 – Safety communication.

ICAO Definitions

Hazard:Condition or object likely to cause injuries to personnel, damage to equipment or structures, loss of material or reduction of ability to perform a prescribed function.

Risk:Assessment of the consequences associated to any hazard, expressed in terms of anticipated probabilityand severity, with reference to the worst case scenario possible.

Safety model

Stable boat

Control of the situation,

functioning in “safe” zone

Phase 1

Unstable situation

Boat close to the reversal

but recoverable

“covering”zone

Phase 2

Returned boat

Accident with risk mitigation

Phase 3

Risks mitigation or cancellation principles

Risks mitigation or cancellation principles

WHAT WOULD YOU PROPOSE TO

LIMIT THE RISKS?

WHAT WOULD YOU PROPOSE TO

AVOID THE RISKS?

Risks mitigation or cancellation principles

Prevention TrainingWindow ergonomicFlowerpot locationProcedure to open the window

Mitigation

Protection measures

Avoiding

Back to an acceptable risk

Hazard identification

How do you do?First way: try to answer to the question:“In my activity, what am I the most afraid of?”Second way: use the knowledge about safety from different organisms like IHST, ANAC, or other.Example: I want to avoid:

• Tail rotor fail• Engine in Flight Shut Down• Ground Collision• FOD in air inlet

How this event could happen?Example of: engine system failure

Engine failure system

Fuel Aircraft system failure

Pollution or inadequate fuel

Improper use of engine system

Improper use of fuel system

Lack of fuelLoss of engine power

I propose to make a

focus on

How this event could happen?

Example of: engine system failure

Foreign object damage

Lack of maintenance check

Errors during maintenance task

Failure of an engine component

Engine system failure

At this stage of the analysis, we need to evaluate the Consequences and the Frequency of these events.

How to determine Severity and Frequency

The level of Severity is determined by each company depending on:• Consequence for the customer,• Consequence for my employees,• Consequence for the environment,• Financial consequence for my business,• Consequence for my brand image.

How to determine Severity and Frequency

The frequency is determined by each company depending on: • Number of events in the company,• Number of events in the same country,• Number of events in the same business,• Number of events in the world, etc.

Risk management

This will conduct to implement a risk analysis matrix.Frequency: 4 levels

Impa

ct: 4

 levels

Critical

Significant

Limited

Low

Very low Low Average High

More levels More accuratebut

More levels More difficult to manage

How can I manage the risk

Errors during maintenance task

Engine system failure

Display adequate tools

Train mechanics and qualify

Encourage to declare the event

Cancel the “hurry up syndrome”

Improve environment in the shop

Update and clear work documentation Reduce the

occurrence in my companyLimit the severity

Hazard / Risk management process

Hazard identification

Analyze the possibility of the consequences becoming reality

Equipment, procedures, organization, etc.

Identify controls for specific risks

Evaluate the severity of the consequences if they become reality

Scope of the activity

Risk analysis Severity

Risk evaluation and acceptability

Risk analysis Probability

Risk control and mitigation

Reference controls existing

Create new control

Control exists Control does not exist

How to improve SMS

If we keep the system like this:

Analyze the possibility of the consequences becoming reality

Equipment, procedures, organization, etc.

Identify controls for specific risks

Evaluate the severity of the consequences if they become reality

Scope of the activity

Reference controls existing

Create new control

Control exists Control does not exist

We have a risk!!!

We need to keep the process alive

How to improve SMS

Analyze the possibility of the consequences becoming reality

Equipment, procedures, organization, etc.

Identify controls for specific risks

Evaluate the severity of the consequences if they become reality

Reference controls existing

Create new control

Control exists Control does not exist

QA system update check‐list

Audit New control

Safety reporting and investigation

New hazard

Existing

Create new one

Safetyreport

What else to improve

Some changes in the company could introduce hazards in my previous scope of activity,

So we have to think about:• What has changed,• Which areas / activities will be affected,• Which new hazards are identified,• What actions to manage the new risk.

How to improve SMS

Analyze the possibility of the consequences becoming reality

Equipment, procedures, organization, etc.

Identify controls for specific risks

Evaluate the severity of the consequences if they become reality

Scope of the activity

Reference controls existing

Create new control

Control exists Control does not exist

Management of change process

QA system update check‐list

Audit

Safety reporting and investigation

New hazard

ExistingCreate new one

Safetyreport

New control

Use the hazard management process as a management tool

Conclusion

The implementation of SMS has several goals:

• Comply with the regulation,• Comply with customer requirements,• Reduce number and severity of accidents,

• Attract new customers,• Save money,• Make larger profit,• Improve the safety culture in the company.

Conclusion

To be efficient, SMS has to:

• Be manageable and first focus on your known areas of risk,

• Look outside for best practice in the business,

• Implement reasonable controls,

• Allow everybody to declare event in the company,

• Be alive, well known in all levels of the company,

Conclusion

To be efficient, SMS has to:

• Give added value to the company,

• Be proactive and predictive,

• Suggest modification in documentation and organization,

• Be promoted by top management of the company,

• Deliver a real benefit to the organization,

READY TO GO???

THANKS FOR YOUR ATTENTION

DO YOU HAVE ANY QUESTIONS?