Sms Faast Meeting

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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