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Safety Management System ( SMS ) Online Course SQM Department 1 June 17

Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

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Page 1: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

Safety Management System(SMS) Online Course

SQM Department

1June 17

Page 2: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

2June 17

AGENDA

Part I

Intro toSSP &SMS

Part IVSafety

Reporting & IAA’s Safety

Reporting System

The course should be an aid of thinking

Part II

Safetymanagement

concepts

Part III

SafetyManagement

System &

SMS Operation

Page 3: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

3June 17

State Safety Programmes (SSP)

Safety Management Systems (SMS)

Regulatory Framework and introduction to ICAO SMS

Part I

Intro toSSP &SMS

Page 4: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

4June 17

Safety Management Fundamentals

Part II

Safetymanagement

concepts

hazards

risks

Accident, Incident

Safety Concept

Safety culture

Page 5: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

5June 17

Part III

SafetyManagement

System &

SMS Operation

Safety Risk Management

Safety Risk Probability, Severity and Tolerability

Safety Risk Control / Mitigation

Management of Change(MOC)

SMS Operation

Safety Policy

Accountable Executive and Management Responsibility

Page 6: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

6June 17

Part IV Safety

Reporting & IAA Safety Reporting

System

IAA safety Communication

IAA Safety Reporting System

IAA safety forms

Page 7: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

YEAR 2014

In absolute IATA worldwide numbers more than 3 billion people flew on 32 million flights…

7June 17

Question.....

Did ALL of them fly SAFELY..?

Page 8: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

Equipment failures

Human errors

Hazards

Just ‘bad luck’

All of the above

8June 17

However… .what makes an aircraft to crash?

Page 9: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

Objectives to provide participants with all principles and concepts

derived from ICAO SMS Standards and Recommended Practices (SARPs) , ANNEX 19 and SMM Manual Doc 9859;

to assist participants in understanding the key components and elements of an SMS, including the implementation of a tailored SMS and/or Management System (SM) in compliance with relevant ICAO standards, EASA Implementing Rules (IRs) and according to their needs.

9June 17

Page 10: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

“If you keep doing what you’re doing…

you’re going to keep getting what you got!”Yogi Berra

10June 17

Insanity: doing the same thing over and over again and expecting different results.

Albert Einstein, (attributed)

Page 11: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

11June 17

State Safety Programmes (SSP)

Safety Management Systems (SMS)

Regulatory Framework and introduction to ICAO SMS

Part I

Introto SSP

&SMS

Page 12: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

ICAO safety management SARPs included in• Annex 1 — Personnel Licensing, PART I and III

• Annex 6 — Operation of Aircraft, PART I and III

• Annex 8 — Airworthiness of Aircraft,

• Annex 11 — Air Traffic Services,

• Annex 13 — Aircraft Accident and Incident Investigation

• Annex 14 — Aerodromes

are aimed at two audience groups

Member States & Service Providers

12June 17

SSP & SMS: The big picture

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13June 17

ICAO: State’s “safety programme” Definition:

An integrated set of regulations and activities aimed at improving safety.

Includes SMS requirements for aviation service providers

Islamic Republic of Iran Safety Programme: CAO IRI oversights:

Regulations, Standards & Policy

Assurance (ex; Certification, Surveillance, etc.)

Service Provider SMS Requirements

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14June 17

Islamic Republic of IRAN State Safety Program

•CAD 1019•CAD 2019•CAD 3913•CAD 6213

ICAO State Safety

Programme (SSP)

•Annex 6•ICAO Doc 9859: SafetyManagement Manual (SMM)

SSP Framework

External (Service Provider SMS)

SMS Framework

Internal (SMS)

Page 15: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

15June 17

Page 16: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

16June 17

ICAO Regulatory Framework

Regulations are not necessary sacred.However, principles are….

Franklin Roosevelt

ICAO SMM Doc 9859

Page 17: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

17June 17

An SMS is a systematic approach to managing safety (i.emaintain, monitor and regularly assess safetyperformance), including the necessary organisationalstructures, accountabilities, policies and procedures.

As a toolbox, SMS ensures thatwhen specific tools are needed forhazard identification and safety riskmanagement, the right tool isavailable for the organisation to use.

SMS Introduction

Page 18: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

18June 17

SMS features

Systematic – Safety management activities are in accordance with apre-determined plan, and applied in a consistent manner throughoutthe organization

Proactive – An approach that emphasizes hazard identification andrisk control and mitigation, before events that affect safety occur

Explicit – All safety management activities are documented, visibleand therefore defensible

SMS Introduction

Page 19: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

19June 17

Safety Management Fundamentals

hazards

risks

Accident, Incident

Safety Concept

Safety culture

Part II

Safetymanagement

concepts

Page 20: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

20June 17

Hazard – Condition , object or activity with the potential(i.e. consequence) of causing injuries to personnel, damageto equipment or structures, loss of material, or reduction ofability to perform a prescribed function

(ICAO SMM, 2009)

Example: A wind of 15 knots blowing directlyacross the runway is a hazard. A pilot may notbe able to control the aircraft during takeoff orlanding is one of the consequences (i.e. lossof control) of the hazard.

Hazard Concept – Useful Definitions

Page 21: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

21June 17

Hazard Example

Page 22: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

22June 17

What is “Exposure?”

• How close are you to the “danger zone?”

Page 23: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

23June 17

Natural

Severe weather or climatic events: Hurricanes, major winter storms,drought, tornadoes, thunderstorms lighting, and wind shears

Adverse weather conditions: Icing, freezing precipitation, heavy rain,snow, winds, and restrictions to visibility.

Geophysical events: Earthquakes, volcanoes, tsunamis, floods andlandslides.

Geographical conditions: E.g.: adverse terrain or large bodies of water.Environmental events: wildfires, wildlife activity, andinsect or pest infestation.

Public health events: epidemics of influenza or otherdiseases.

Hazard Types and Examples

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24June 17

Technical, deficiencies regarding:

Aircraft and aircraft components, systems, sub-systems and equipments. This includes Failures, inadvertent or erroneous functioning of Systems.

An organisation’s facilities, tools, and related equipment.

Facilities, systems, sub-systems and related equipment external to the organisation.

Hazard Types and Examples

Economic

Major trends related to: Growth, Recession, Cost of material or equipment, Fuel cost, Environmental issues, etc.

Diverging interests: operation vs. shareholder

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25June 17

Hazard Types and Examples

Ergonomic

Deficiencies in the environment the front line employees have to operate24-hour operation with impact on individual’s performance (circadian cycle)

Organisational

Complex organizational structures resulting in unclear responsibilities.

Re-organisation.

Page 26: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

26June 17

Hazard Examples by Aviation Organisations

Airport Operator

Worn Runway Markings

Unclear ramp marking for vehicle holding point

Fuel Spillage

Not well lit parking position

Partial failure of weather monitoring devices (e.g. anemometer)

Page 27: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

27June 17

Hazard Examples by Aviation Organisation

Aircraft Operator

Load-sheet errors

Lack of sleep during off duty

Partial failure or loss of navigation systems

Error in FMS database

Loss of radio communication

Wrong reed-back of ATC clearance

Expired Aeronautical information

Loss of transponder transmission

Page 28: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

28June 17

Hazard Examples by Aviation Organisation

Air Navigation Service Provider(ANSP)

Loss of communication

Loss of aircraft separation

Improper flight handover

Improper clearance

Use of wrong call sign

Adverse weather conditions

Diversion of multiple aircraft

Loss of transponder transmission

Page 29: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

29June 17

Hazard Examples by Aviation Organisations

Maintenance Organisation

Use of outdated procedure

Delayed implementation of AD

Use of non-OEM certified parts

Improper handover of remaining work to next shift

Improper application of paint or other chemicals

Chemical spillage

Repair of wrong system/component

Page 30: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

30June 17

Sources for Hazard Identification

1. Flight Operations Data Analysis (FODA) / Flight Data Monitoring (FDM)2. FODA-Campaigns (subject specific in-depth analysis)3. Flight Reports4. Cabin Reports5. Maintenance Reports6. Confidential Safety Reports7. Operations Control Reports8. Maintenance Reports9. Reports of the NAA10. Crew Surveys11. Crew Observation (LOSA)12. Investigations & Hearings13. Partner Airline Assessments14. Quality Assurance Programme (Quality Audits acc. EU-OPS)15. Training records (e.g. crew periodic checks, simulator checks and

training, line checks, etc.)

Page 31: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

31June 17

Sources for Hazard Identification

16. Manufacturers reports and SIE safety information exchange programs17. Safety Reporting / Accident reports /IOSA reports18. Observation of Maintenance operations (if applicable)19. Safety (& Quality) Audits / Assessments /surveys20. Safety Culture monitoring through surveys21. Internal safety investigations22. State mandatory occurrence system23. Internal safety workshops24. External safety information / Organisation’s partners25. Training records26. Company voluntary reporting system27. Flight and Duty Time Discretion Report28. Ground Handling Report29. Disruptive Passenger Report30. Flight Operations Monitoring

Page 32: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

32June 17

Hazard Detection & Identification

The following list shows the main ways to identify hazards:

Walkthrough surveys

Inspection checklists

Past records

Accident investigations

Consultation

Brainstorming,

Safety Audits

Page 33: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

33June 17

Safety EventA failure condition, causal factor, threat or precursor event which inisolation or in combination with other safety events could result in anundesirable event.

Hazard Concept – Event Definitions

Undesirable EventA stage in the escalation of an accident scenario where the accident willoccur, unless an active recovery measure is available and is successfullyused.

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34June 17

Hazard Concept – Useful Definitions

OutcomeA potential end point of an accident scenario which can be assigned aconsequence severity.

ConsequenceThe degree of injuries to personnel, damage to equipment orstructures, loss of material, or reduction of ability to perform aprescribed function arising from an outcome. Consequences have amagnitude.

Page 35: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

35June 17

Hazard Concept – Useful Definitions

Risk Controls (Barriers and Mitigation)

A system, activity, action or procedure that is put in place to reduce the risks associated with a hazard. Mitigation may include: Elimination of the hazard (preferred),

Reduction in the frequency of the hazard (barriers),

Reduction in the likelihood of the outcomes of the hazard

(outcome mitigation),

Reduction of the severity of the outcomes of the hazard

(consequence mitigation).

Page 36: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

36June 17

EASA, ECAST WG- Hazard Identification, 2009

Hazard Concept – Example’s Definitions

Page 37: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

37June 17EASA, ECAST WG- Hazard Identification, 2009

Hazard Concept – Example’s Definitions

Page 38: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

38June 17

EASA, ECAST WG- Hazard Identification, 2009With Mitigations, Probability and/or Severity and/or Exposure will be reduced.

If the risk is High….

Hazard Concept – Example’s Definitions

Page 39: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

39June 17

Safety Management Fundamentals hazards risks Accident, Incident Safety Concept Safety culture Safety investigation and SMS Emergency Response Planning (ERP)

Part II

Safetyand

Safetymanagement

concepts

Page 40: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

40June 17

Risk – The assessment, expressed in terms of predictedprobability and severity, of the consequence(s) of a hazardtaking as reference the worst foreseeable situation

(ICAO SMM, 2009)

The assessment of the consequences of thepotential loss of control of the aircraft by the pilotexpressed in terms of probability and severity is therisk

Risk = Probability X Severity

*Probability here encompass both frequency (i.e. likelihood) of an event and the exposure to a hazard

Risk Definition

Page 41: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

41June 17

Safety Management Fundamentals

hazards

risks

Accident, Incident

Safety Concept

Safety culture

Part II

Safetyand

Safetymanagement

concepts

Page 42: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

42June 17

Accident Definition

Accident. An occurrence associated with the operation of an aircraft which takes place between the time any person boards the aircraft with the intention of flight until such time as all such persons have disembarked, in which: a) a person is fatally or seriously injured as a result of:• being in the aircraft, or • direct contact with any part of the aircraft, including parts which have

become detached from the aircraft, or• direct exposure to jet blast, orb) the aircraft sustains damage or structural failure which:

• adversely affects the structural strength, performance or flight characteristics of the aircraft, and

• would normally require major repair or replacement of the affected component ;or

c) the aircraft is missing or is completely inaccessible.

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43June 17

Accident

Accident Definitions

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44June 17

An occurrence, other than anaccident, associated with theoperation of an aircraftwhich affects or could affectthe safety of operation.

June 17

Incident Definition

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45June 17

Latent conditions trajectory

Conditions present in the system before the accident, made evident by triggering factors.

System’s Factors to accident causation

Page 46: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

46June 17

Accidents and Incidents Cost!Direct costs Loss of aircraft Injuries to or death of

flight crewmembers, passengers

Insurance deductibles Costs not covered by

insurance

Indirect costs Loss of use of equipment Loss of staff

Involved in accident issues Lower productivity

Investigation & clean-up Legal claims Fines Misplaced/stranded

passengers Negative media exposure

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47June 17

Elevator Assembly$753,220

Outboard Flap Assembly $481,630

Fan Cowl$292,398

Nose Cowl$894,931

Rudder$775,850

Cabin Doors$441,320

Radome$84,958

Direct Costs

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48June 17

Indirect (Hidden) Costs : Usually 10-15 times more than Direct costs

Cost of lost use of equipment (loss of income) Passenger delay, re-booking, hotels, meals Legal fees and damage claims Increased insurance premiums Dissatisfaction by customer Technicians time to repair damage Investigation costs

Wide Body $1,000,000 Narrow Body $750,000 Old Narrow Body $ 500,000

However, 99% of event claims are below deductible..!!!

Insurance Deductibles

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50June 17

Safety Management Fundamentals

hazards

risks

Accident, Incident

Safety Concept

Safety culture

Part II

Safetyand

Safetymanagement

concepts

Page 51: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

Safety Overview

51June 17

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“Safety is the state in which the risk of harm to persons orproperty is reduced to, and maintained at or below, anacceptable level through a continuing process of hazardidentification and risk management”

ICAO Doc 9859

52June 17

Safety Definition

Page 53: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

Freedom from harm (Dictionary def’n.)

Safety is not equivalent to risk free (U.S. Supreme Court, 1980)

“Risk management” is a more practical term than “safety.” (Jerome

Lederer ~1928)

Carelessness and overconfidence are more dangerous than

deliberately accepted risk (Wilbur Wright, 1901)

Practical safety is risk management

53June 17

What is Safety?

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54June 17

Protection and Production

Bankruptcy

Catastrophe

Protection

Production

Unrocked Boat

Safety SpaceFinancial

Management

Safety Management

Life of the system

Too much protection= BankruptcyToo much production=Catastrophe

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55June 17

Safety Management Fundamentals

hazards

risks

Accident, Incident

Safety Concept

Safety culture

Part II

Safetyand

Safetymanagement

concepts

Page 56: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

56June 17

WHAT?

Traditional approach – Preventing accidentsFocus on outcomes (causes)Unsafe acts by operational personnelAttach blame/punish for failures to “perform safely”Address identified safety concern exclusively

Identifies:

WHO? WHEN?

WHY? HOW?

But not always discloses:

Page 57: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

57June 17

ICAO SMM (2013)‘Effective Safety Reporting’

Reason’s (1997)‘Safety Culture’

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58June 17

SMS and Safety Culture

Reason (1997): The components of Safety Culture

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59June 17

Safety Culture

Regulatory Framework

ICAO SMM, 2009EASA (EC) 216/2008EASA ECAST SMS Working Group, 2009

Safety Culture is the set of enduring values and attitudesregarding safety issues, shared by every member of every level ofan organization. Safety Culture refers to the extent to which everyindividual and every group of the organization is aware of therisks and unknown hazards induced by its activities;

‘how people behave when no one is watching’

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60June 17

Characteristics and Safety Culture indicators

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61June 17

Characteristics and Safety Culture indicators (cont’)

= Just culture

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62June 17

Effective Reporting and Safety Culture

‘…..the willingness of individuals to report their errors, requires an ‘atmosphere of trust’ in which people are encouraged for providing essential safety-related information (Reason, 1997).

‘atmosphere of trust’ = Just Safety culture

…..people are encouraged (even rewarded) for providing essential safety-related information……

Note: Only EASA still makes a formal use of ‘Just Culture’ expression i.e. EU Aviation Safety Plan 2013-2016

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64June 17

Effective Reporting and Safety Culture

‘…..personnel may anonymously report hazards and unsafe acts using appropriate voluntary or confidential reports’’.

Personnel who report, shall be treated ‘fairly andjustly’ without punitive action from managementexcept in the case of known reckless disregardfor regulations and standards, or repeatedsubstandard performance.

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65June 17

Part III

SafetyManagement

System &

SMS Operation

Safety Risk Management

Safety Risk Probability, Severity and Tolerability

Safety Risk Control / Mitigation

Management of Change(MOC)

SMS Operation

Safety Policy

Accountable Executive and Management Responsibility

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66June 17

Safety is the state in which the risk of harm to persons or propertydamage is reduced to, and maintained at or below, an acceptablelevel through a continuing process of hazard identification and riskmanagement.

Safety Risk Management encompasses the assessment andmitigation of the safety risks of the consequences of hazards thatthreaten the capabilities of an organization, to a level ALARP.

ALARP: As Low As Reasonably Practicable

Safety Risk Management

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67June 17

Hazard Identification

A hazard is any real or potential condition…

ICAO Doc. 9859

SystemDescription

HazardIdentification

RiskControl

RiskAssmt

RiskAnalysis

that can result in injury, illness, or death to people; damageto, or loss of, a system (hardware or software), equipment, or property; and/or damage to the operating environment.

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68June 17

Processes

Workplace Conditions:Activities

• Equipment• Information (Procedures)• Facilities• Phys. Envir.• Other Proc. (Interfaces)• Training• Supv./Mgmt. (Controls)• ….

Hazards

Deficient Conditionsimpacting activities =

ConsequencesActive Failures

VariablePerformance

e.g.

SystemFactors &Attributes

Causing… Resulting in…

SRM Hazard Identification from Workplace Conditions

Inference

SystemDescription

HazardIdentification

RiskControl

RiskAssmt

RiskAnalysis

Safety Risk Management (SRM)

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69June 17

Risk Analysis

Important to distinguish between:

Hazard – a condition

Consequence – result

Risk – Probability (likelihood) & severity of the consequence

Analyzing risk involves the consideration of both the likelihood and the severity of any adverse consequences.

ICAO Doc. 9859

SystemDescription

HazardIdentification

RiskControl

RiskAssmt

RiskAnalysis

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70June 17

Risk Analysis

Risk is the composite of the predicted likelihood or probability and the severity of each possible consequence of each identified hazard.

Adapted from ICAO Doc. 9859

Risk LevelProbability Severity

Consequence

Active Failure

Hazard Intolerable

Tolerable

Acceptable

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71June 17

Risk Control = Risk M itigation

A major component of any safety system is the defenses (controls) put in place to protect people, property or the environment.

These defenses are used to reduce the likelihood or severityof the consequences associated with any given hazard or condition.

ICAO Doc. 9859

SystemDescription

HazardIdentification

RiskControl

RiskAssmt

RiskAnalysis

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72June 17

Risk Control Order of Precedence

1. Modify the system (design hazard out)

2. Physical guards or barriers

3. Warnings or alert signal

4. Administrative controls• Procedures

• Training

SystemDescription

HazardIdentification

RiskControl

RiskAssmt

RiskAnalysis

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73June 17

Probability:

What is the probability or chance that given an exposure to a hazard an accident will result?

The probability of an event is the measure of the chance that the event will occur as a result of an experiment.

Risk Assessment-Probability

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74June 17

Risk Assessment-Probability

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75June 17

Severity:

What is the likely result or the severity of the accident or incident that could occur?

Risk Assessment-Severity

Severity:The measure of how severe the results of a hazardous condition’s outcome are predicted to be.

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76June 17

Risk Assessment-Severity

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77June 17

Risk Matrix

A risk matrix is a tool used for risk assessmentRisk assessment determines the level of risk to use in making a bottom line decision. Probability*Severity = Risk

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78June 17

Risk Assessment

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79June 17

Risk Management Process

Document the level of risk

Is the risk level acceptable?

Can the risk be eliminated?

Can the risk be mitigated?

A safety concern is perceivedIdentify hazards/consequences and

assess risksDefine the level of probability

Define the level of severity

NO

NO

Cancel the operation

YESContinue the operation

YESTake action

and continue the operation

YES

Can the residual risk be accepted? (if any)

Take action and continue the operation

YES NO

Record the hazardIdentification, risk

assessment and record the risk reduction

mitigations

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80June 17

Definition

A documented process to identify changes in the organisation thatmay have an adverse (or positive) effect on safety.

This process uses the existing hazard identification, risk assessmentand mitigation processes of SMS.

Management of Change (MOC)

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81June 17

Changes may create hazards and hazards create Safety Risks..!

The management of safety risks resulting from changes is a main element of

Management of Change (MOC) process

Management of Change (MOC)

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82June 17

Part III

SafetyManagement

System &

SMS Operation

Safety Risk Management

Safety Risk Probability, Severity and Tolerability

Safety Risk Control / Mitigation

Management of Change(MOC)

SMS Operation

Safety Policy

Accountable Executive and Management Responsibility

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83June 17

Safety Policy

Establishes management commitment and objectives –what the management wants

Sets up framework of organizational structures, accountabilities, plans, procedures, and controls to meet objectives

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84June 17

Management Responsibility

Managers should manage safety in the same way that they manage other areas of the business

Safety management involves judgment, assessing priorities, and making decisions –like all management decision making

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85June 17

Top Management Involvement

Visible, personal involvement of top

management

Setting safety goals and objectives as

policy

Allocation of resources to meet safety

goals

Clear communication

AC 120-92, App. 1

Top management stimulates a healthy safety environment

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86June 17

Objectives of the Policy Component

Top Management will:

• Implement an integrated, comprehensive SMS for entire organization

• Define a safety policy and set safety objectives

• Define roles, responsibilities, and authorities throughout the organization

• Appoint a member of management to implement and maintain the SMS

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IAA Safety Policy

وتعمیروپروازيعملیاتانجامبهمتعهدآسمانهواپیماییشرکتالزاماتواستانداردهايرویهومقرراتپایهبرهواپیماهانگهداريتااستایمنیمدیریتنظاماجرايجهتدرملیفراوملیقانونیدخومسافرانومشتریان،کارکنانبرايایمنوسالممحیطیبتواند.آوردفراهم

اصولاجرايبهمهماینبهرسیدنبرايآسمانهواپیمایی:استپایبندزیر-سازمانیفرهنگارتقايجهتالزمهايبینیپیشطریقازایمنیمدیریتنظامازحمایت

راایمنیزمینهدرموثرارتباطاتودهیگزارش.دهدترویجراایمنهايرویهکهطوريبهدرریتیمدیهاينظامدیگرنتایجبهکهمیزانیبهراایمنیفعالصورتبهونمایدتشویق.نمایدلحاظشودمیدادهاهمیتشرکتسطح

-انکارکنومدیرانکلیهمورددراصلیمسئولیتیکعنوانبهایمنیمدیریتاعمال.

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IAA Safety Policy

دنماینمیاعالمراخطرپتانسیلگزارشکهاشخاصییاشخصعلیهاقدامهرگونهعدم.ضرورتحسببرمناسباستانداردهايافزودنواستانداردهاوقانونیالزاماترعایت.اتژياستراجرايمنظوربهماهرودیدهآموزشانسانیمنابعبهدسترسیازاطمینانحصول-

.ایمنیفرآیندهايوهاوگذراندهراایمنیزمینهدرکافیهايآموزشمربوطهکارکناناینکهازاطمینانحصول

.نمایندمیوظیفهانجامیافتهاختصاصهايمهارتحوزهدرفقطایمنیعملکرداهدافواقعیهايشاخصمبنايبرایمنیعملکردسنجشواستقرار.اثربخشاقداماتومدیریتفرآیندهايبهبودطریقازایمنیعملکرددرمستمربهبود.

اجرايجهتدرمدیرانوکارکنانکلیههايمسئولیتووظایفشرحازروشنیتعریف.ایمنیمدیریتنظامعملکردوشرکتایمنیعملکرد

دهیگزارشنظامشاملریسکمدیریتوخطرشناساییهايفرآیندگذاردناجرابهوتهیه.قبولقابلومنطقیسطحتاریسککاهشیاحذفمنظوربهخطرات

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IAA Safety Policy

سایرتوسطآسمانهواپیماییدرشدهارائههاينظاموخدماتاینکهازاطمینانحصول.باشندمیبرخوردارایمنیعملکرداستانداردهايازهاسازمانوهاشرکت

ویمحیطزیستوعمومیمقرراتازشرکتپیمانکارانکلیهشدنمطلعازاطمینانحصولمقرراتوقوانینواستانداردهايدستورالعملرعایتونگهدارينیزوایمنیالزامات

.هواپیماییزاصحیحاستفادهينحوهخصوصدرپیمانکارانکلیهآگاهیوآموزشازاطمینانحصول

.هاآنکارگیريبهازقبلشرکتتجهیزاتیرغاقداماتوشرایطخطرات،شرکت،امنیتوایمنیبهمربوطحوادثکلیهگزارشضرورت-

گزارش.پرسنلکلیهتوسطغیرعمديخطايهرگونهوحادثهبروزدرنهفتهعواملایمن،قدامااعمالنوعهروسرزنشتنبیه،ازترسبدونغیرعمديیابینیپیشغیرقابلخطاهايآنکهمگر;شودمیانجامموضوعبامرتبطافرادسایریادهندهگزارشفردمورددرانضباطیپیدرراعمديزیانوضرروشدهایجادتخلفیاقانونیغیرفعالیتیدلیلبهخطاهااینگونه.باشدداشته

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90June 17

Part IV Safety

Reporting & IAA Safety Reporting

System

IAA safety Promotion and Communication

IAA Safety Reporting System

IAA safety forms

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91June 17

Safety Promotion

Safety promotion = a combination of:

• Knowledge Sharing • Training and Education• Safety Communication

Training, Education and Safety Competency consist of:

Documented Training requirementsProcess for measuring the training effectiveness Initial on-the job- safety training (OJT) Initial training on SMS & Human Factors Recurrent training

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92June 17

Safety Communication

Aims to:

1. Ensure that all staff are fully aware of the SMS2. Convey safety critical information3. Explain why particular actions are taken4. Explain why new safety procedures are introduced5. Explain why safety procedures are changed6. Convey ‘nice to know’ – generic safety information

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93June 17

Safety Communication

Safety Communication consist of:

Communication- Communication- Communication

MSM Manual

Safety Processes and procedures (SOPs, Checklists)

Safety newsletters, notices and bulletins

website or email

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94June 17

IAA safety Communication system

IAA establishes communication system to:

• Ensure all personnel are aware of the safety management activities as

appropriate for their safety responsibilities

• Convey safety critical information, especially relating to assessed risks

and analyzed hazards;

• Explain why particular actions are taken

• Explain why safety procedures are introduced or changed

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95June 17

Methods of Communication

• Email, Internet

• Communiqués (letters, bulletins)

• Publications (Operations Manuals issued in English language, Magazines issued

in English or Persian Language)

• IAA Intranet (Office Automation)

• IAA Portal

• Instructions in Persian language when required

• Periodic meetings.

IAA safety Communication system

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96June 17

IAA Safety Reporting System

Iran Aseman Airline reporting system consist of two main reactive andproactive/predictive categories include three types of reporting system:

Occurrence reporting

Hazard reporting

Voluntary or confidential hazard/occurrence reporting

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97June 17

Safety Reporting System

Reportable Occurrences Serious incidents

Incidents

Accidents

All Occurrences shall be reported immediately to the respective manager and/or DMD.

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98June 17

IAA Safety Reporting System

Serious incidents/accidents shall be reported immediately by respective manager via phone or other communication system to the;

The Accountable Manager

Safety and Quality Assurance Director followed up by a written preliminary report within 24 hours of the event.

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IAA Safety Reporting Channels

Safety and Quality Assurance Director Contact (During or outside normal working hours);

Phone: 155 (Using Aseman Internal Phone network)

021-6110 Ext: 6116, 6117, 6687

021-66076238

Email: [email protected]

Aseman safety web Page (http://www.iaa.ir)

Aseman Portal (http://aseman/portal)

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IAA Safety Reporting

Reporting documents includes; Technical Occurrence Report Form (IR.CAO Form 17)

Air Safety Report (ASR),

Ground incident/accident/damage report

Dangerous goods occurrence report

Pilot Voyage Reports

Cabin crew reports

Aircraft engineering and maintenance reports,

Defect rectification form

Engineering Orders

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When an Occurrence Report Form is not available for immediate reporting

to Safety and Quality Assurance department, the relevant information may

be passed in a formal letter form. Safety report form should be filled in by

respective department (DMD, General Director or the person he assigned)

and provided to Safety and Quality assurance Department according to

bellow time table.

IAA Safety Reporting

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For those occurrences which it is considered particularlydangerous or potentially dangerous circumstances, reportingto the CAO.IRI assurance department according to bellowtime table.Technical Occurrence Report Form (CAO.IRI Form 17)

IAA Safety Reporting

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Hazard Reporting

The Voluntary and confidential hazard/occurrence reporting system covers areas including:

Flight operations;

Line and base maintenance;

Workshop component maintenance;

Technical fleet management;

Inventory technical management;

CAMO engineering and planning;

Technical records;

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Identified Hazards/occurrences can be reported to SQA Department through following : Safety Report Form (SQM-117).

Operations Hazard Report (OHR) Boxes,

Air Safety Report (ASR),

Ground incident/accident/damage report

Dangerous goods occurrence report

Confidential flight and cabin crew operation safety reports,

Email: [email protected]

Aseman safety web Page (http://www.iaa.ir)

Aseman Portal (http://aseman/portal) Phone: 155 (Using Aseman Internal Phone network) 021-6110 Ext: 6116, 6117, 6687 021-66076238

Hazard Reporting

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گزارش ھای ایمنی درھواپیمایی آسمان

بایستمیاست،المللیبینوملیالزاماتازکهایمنیمدیریتسامانهاجرايبمنظورهمکارانتوسطمختلفهايواحددرخطرهايپتانسیلوحوادثگزارشاتکلیه

راحتیبآسمانهواپیماییهمکاران.گرددارسالکیفینظاموایمنیکلادارهبهمحترمیکیفنظاموایمنیکلادارهبهراخودایمنیگزارشاتمختلفطرقازتوانندمی

هتجوگردیدهتهیهگزارشاتایندریافتجهتفرمهاییمنظوربدین.نمایندارسالبهاقدامهکافرديهمچنین.باشندمینیزالکترونیکیبصورتتکمیلقابلسهولت،رمفازتوانندمیخودمشخصاتدرجبهتمایلعدمصورتدرکنندمیگزارشارسالنمودهادهاستفناشناسبصورتدیجیتالکتابخانهوآسمانسایتوبدرایمنیگزارش

تعبیههايصندوقازاستفادهوالکترونیکیپستبوسیلهگزارشارسالطریقازیاوOHR(شده Box(درودخنگرانیانتقالبهنسبتشرکتداخلمکانهايازبعضیدروضعفنقاطاصالحهدفکهآنجاییازاستذکربهالزم.ورزندمبادرتایمنیحوزهدهدهنگزارشفردمشخصاتحفظبهملزمراخودکلادارهاینباشد،میخطراترفع.استمتعهدبدانوداندمی

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آسمانفرم گزارش ایمنی دروب سایت هواپیمایی

:نحوه دسترسی)www.iaa.ir(مراجعه به وب سایت آسمان-الف

. کلیک بروي قسمت گزارش خطر>---بخش ایمنی>--بخش خدمات-ب

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IAA Safety Forms

Safety Report Form (Persian Version)

Page 108: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

IAA Safety Forms

Safety Report Form (English)

Page 109: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

IAA Safety Forms

Hazard Form

Page 110: Safety Management System (SMS) Online Courseportal.iaa.ir/AnnouncePDF/1c7e0b05-3203-47d4-89ce-2fbf3683f85f.pdf · June 17. 3 State Safety Programmes ( SSP) Safety Management Systems

IAA Safety Forms

Management of Change Form (MOC Form)

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Thank you..!