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8/3/2019 Sms Faast Meeting
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Airborne Law EnforcementAirborne Law EnforcementAssociationAssociation
FAA FAAST Conference Kansas City, Missouri Safety Management System
--------------------------------------------------------
Keith Johnson Safet Pro ram Mana er
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The topic of the dayThe top
ic of the day
SAFETYSAFETY
Whose job is it?
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IHSSIHSS Safety is most important Need to collect data
Collect flight hours
Collect Serious Incident Information
Expedite Accident Reporting
Increased training Scaled check-rides based upon experience
Reduce accidents by 80% over 10-years Focus on leadership
Non-punitive reporting Accountability Accidents can be eliminated
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SAFETY ManagementSAFETY Manag
ement
It holds the key to our future
It affects everything we do(SMS)
Every accident affectseveryone
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ACCIDENT ELIMINATIONACCIDENT ELIMINATION
Must be proactive Reached plateau Pilots focus on flying aircraft
Two person crews
Focus on risk management
Adverse Trends Identify and eliminate adverse trends Incidents - Investigate & disseminate
findings
Factory emergency procedures training
Dont reinvent the wheel No new causes of accidents Copy successful organizations Accreditation
Flying to higher standard
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Its insane to think that
doing the same thingover & over will have a
different result. Why do we continue tomake the samemistakes?
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IHST SMS IndustryIHST SMS IndustryWorking GroupWorking Group
Don Arendt, PhD FAA SMS Program Mgr.
Gordon Dupont CEO System Safety
J. Heffernan HAI Director of Safety
David Huntzinger PhD AeroSSQQ
Peter Gardiner PhD. CEO So. Cal. SafetyInst.
Denise Uhlin Bristow Group
Keith Johnson ALEA Safety ProgramMana er
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Why is having an SMS important?Why is having an SMS important?
1.Widely recognized as best practice
2.Reduces number of accidents3.Reduces costs4.Reduces probability of occurrences5.Reduces severity of occurrences6.Reduces exposure to risk7.Increases likelihood of completing the
mission
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IHST SMS DELIVERABLESIHST SMS DELIVERABLES
SMS Toolkit & Exemplars SMS Mentoring Program
SMS Promotion
30 Safety Industry-wide articles on SMS SMS PPT on IHST website
21 Industry-wide SMS presentations
Computer SMS Training Program
Return on Investment Training
Testified at NTSB HEMS hearing
Meetings with NTSB on accident
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SMS ProcessSMS Process Need sense of urgency at top of every
organization ICAO, FAA, IHST, HAI, ALEA, AAMS,
Operators
Everyone is in the same boat
Create the Guiding Coalition - IHST
Develop a Vision and Strategy
Communicate Change Vision Broad-Based Action
SAFETY, TRAINING, MAINTENANCEINFRASTRUCTURE
Consolidate gains to produce more
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Phase-1 SMSPhase-1 SMS
Safety & Quality Policy
Safety Planning
Organization Structure & Responsibilities
Compliance with legal & otherrequirements
Develop procedures & controls
Safety Promotion Safety Culture
Communication & Awareness
Competence
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PHASE-2 SMSPHASE-2 SMS Emergency Preparedness &
Response Documentation & Records
Management
Safety Risk Management Identify Hazards
Analyze, assess & control Safety
Risk
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Safety Assurance & InternalSafety Assurance & Internal
EvaluationEvaluation
Information Acquisition
Analysis of data System Assessment
Preventive/corrective action
Management Reviews
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Safety PromotionSafety Promotion
Safety Culture
Personnel requirements
(competence) Training
Recognition & Awards
Safety Bulletins, posters, hazardreports
Feedback
Lessons learned
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RISK MANAGEMENTRISK MANAGEMENT
MissionMissionStandardsStandardsTrainingTraining
EquipmentEquipmentSupervisionSupervisionAssessmentAssessmentAccountabilityAccountability
Open reportingOpen reportingFeedbackFeedbackJust CultureJust Culture
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JUDGMENT & ACTION ERRORSJUDGMENT & ACTION ERRORS Failure to manage known risks Mission urgency & risk taking
Will to succeed
Flight profile unsafe CrewQualifications
Aircraft Suitability Mission Requirements
Environment
Judgment errors committed
Failure to follow procedures Poor CRM Poor Aircraft Control
Over confidence
Loss of situational awareness
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What Does Having an SMSWhat Does Having an SMSGive?Give?
We will now concentrate on describing the three key
processes generically Once you understand these, the rest becomes more readily
ComprehensiveCorporate Approach to
Safety
Robust Systemsfor
Assuring SafetyEffective Organisation
forDelivering Safety
Comprehensiveapproach
to safety
Robust & effectivesafety
managementprocesses
Organizationalstructure for
ownership of &accountability for
safety
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Safety CultureSafety Culture
The essential human component oforganizations
You are rated, you are trained, but are
you COMFORTABLE? Consists of values, beliefs, norms,
legends rituals, mission goals,performance measures and a senseof responsibility to its employees,customers and the community.
You cannot turn SAFETY on & off
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Positive Safety CulturePositive Safety Culture Generated from top down (set the stage)
Words & actions
Safety in decision-making
Safety as a core value
I.D. its activities as high risk & highconsequence
Trust permeates the organization
Trust is essential ingredient in safetymanagement
Employees supported making decisions inthe interest of safet
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Positive Safety CulturePositive Safety Culture
Hazards & risks actively sought
No shooting the messenger
Everyone vigilant about activities People trained to recognize &
respond
When I.D. Investigate and mitigate Responsibility for safety is shared
High performance standards
established and monitored
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Safety Management TrainingSafety Management Training
RequirementsRequirements
Safety orientation for all new
personnel Document competency
requirements
Document training requirements Have regularly scheduled safety
meetings
Key personnel educated on safety
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TRAININGTRAINING
Training is the only substitute forexperience
SMS training is mandatory What are the consequences of lack of
training?
Lack of knowledge & skill Poor decision making
Accidents
Incidents
Loss of support and funding &
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JHSAT STUDY RESULTSJHSAT STUDY RESULTS
Three themes came from JHSATstudy:
1.2.Better training
3.Better Operational Oversight
4.Implementation Safety Management System
SP S F b P i C
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Resultsof full year 2000 dataset
SP S F r e q u e n c y b y P r im a r y C
401
173
154
112
98
87
66
26
24
24
23
20
10
1
0
5 0
1 0 0
1 5 02 0 0
2 5 0
3 0 0
3 5 0
4 0 0
4 5 0
Pilo
tjudgment&
actions
SafetyCulture
Dataissues
Maintenance
G
roundDuties
Pilotsituation
awareness
Part/system
failure
Post-crash
survival
Com
munications
MissionRisk
Regulatory
A
ircraftDesign
Infrastructure
Ground
personnel
requency
S P S & A id t C t b P i
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S P S & A c c id e n t C o u n t b y P rim a r
210
170
145
101
92
7468
53
51
48
47
44
32
30
24
17
37
27
28
12 1
613
9 8 9 6 10
6 4 4 5 3
0
50
100
150
200
250
Instructional/Training
Personal/Private
AerialApplication
Emer
gencyMedicalService
CommercialOperator
Law
Enforcement
Offshore
ExternalLoad
iness-CompanyownsA/C
Firefighting
Aer
ialObservation/Patrol
AirTou
r
Sightseeing
Elec
tronicNewsGathering
Loggin
g
litiesPatrolandConstruction
r
equency
S P SC o u n t
A c c i d e nC o u n t
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Introduction to the ToolkitIntroduction to the Toolkit
Contains SMS guidance material
Sample SMS Manual Provides a foundation for implementing
SMS
IHST needs feedback Compliant FAA AC 120-92
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Just CultureJust Culture
A blame culture undermines openreporting
A no-blame culture can undermineaccountability & responsibility
Defines clear lines of what is and is notacceptable behaviour
If other personnel could make the sameerror occasionally then we mustchange the controls not discipline thepersonnel
Holding people accountable through adisciplinary process is only relevant for:
l ro ss n e g lig e n cel -e rsiste n t su b sta n d a rd p e rfo rm a n ce
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Just Culture Process
Start
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Performance Based SMSPerformance Based SMS
Rather than specify an organizationalconfiguration or architecture, the SMS
Toolkit deals with SMS Attributes.
These attributes describe theperformance of a successful SMS.
Meeting the performance standard iswhat is critical the configuration orarchitecture is dependent on the sizeand scope of the operation.
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The Attributes of an SMSThe Attributes of an SMS
1) Safety Policy2) SMS Management Plan3) Safety Promotion4) Document and Data Information Management5) Hazard Identification and Risk Management6) Occurrence and Hazard Reporting7) Occurrence Investigation and Analysis8) Safety Assurance Oversight Programs
9) Safety Management Training Requirements10) Management of Changes11) Emergency Preparedness and Response12) Performance Measurement and Continuous
Improvement
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Promotion of SMSPromotion of SMS
Safety must be a core value Procedures, practices, training &
allocation of resources
Mechanics Websites ALEA, HAI, AAMS, PHPA,
TOPS, ICAO, AHS, FAA, TransportCanada
Benefits Reduced costs by eliminating
accidents
Insurance and performance baseddiscounts
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REWARDING SAFE BEHAVIORREWARDING SAFE BEHAVIOR
Timeliness ASAP
Recipient Focus on individuals Presentation Public presentation
Personalize Name on the award
Possession Keep and display Value - $ not important
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Success SolutionsSuccess Solutions
Reinforced bad behavior breeds continuedbad behavior
Rationalization of the gravity of the situationseems to lessen the risk in our minds, butin reality does not
Habitual rule breaking is often condoned bymanagement when they look the other way
Does complacency play a role in this issue?
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FINAL THOUGHTSFINAL THOUGHTS
Can achieve ourobjective
Industry is mobilized
Only one chance to
achieve objective Requires everyones
it t