Tc Sms 09
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Transport Canada Presenation for SMS roll out to industry next week. I will be presenting at the Marriot in Vancouver

Transport Canada Presenation for SMS roll out to industry next week. I will be presenting at the Marriot in Vancouver

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  • 1. “Hazard Identification, A Small Operators ......ROI.” = (ROI) Return On Investment Presented By: Robert Gallagher, ATP, IRCA. Dir. Systems Safety/CCP Skyline Helicopters Ltd. 
  • 2. Agenda  Overview of Risk and Hazard Relationship  Looking at your Risk Picture  Recognizing and Managing Risk  Hazard Register/Safety Case/Risk Assessment  Risk Value and relationship with your business (ALARP)  Risk Ownership  Evaluation against current Industry Best practices. 
  • 3. Skyline Helicopters Ltd • 5 Bell 212 HP • 2 Agusta 119 (Koala) • 30+ Employees • 4 Bases • Agusta Service Centre
  • 4. Safety Management Systems and our  understanding of what it means…..  Integrated Safety Management Systems proactively improve our resilience against  disruptions in our business while actively managing risk in all levels of the company.   Skyline focuses our business model to co manage its operations through our SMS  allowing synergy and safety performance at all levels of our company.   From operating the forklift on the hangar floor to a major flying project, risk is  managed all the way through the action plan from logistics, operations ,maintenance  to finance.   Safety is engineered into every aspect of our Risk Picture, minimizing our Hazards and  probability of a loss
  • 5. Understanding Risk and its relationship with our  business….Hazard Management • While the general business performance and continuity of our operation is subject to a range of  positive measures, Risk management is too often only measured in a negative performance  outcome such as an incident or accident • Hazard management differs from many areas measured by managers because success results in  the absence of an outcome (incident or accident) rather than a presence.  • Integrated Safety Management and the use of Hazard identification allows us to manage risk as it  applies to all of our business.  • We actively use Key Performance indicators, Risk Assessment tools, hazard registers and safety  cases which allow us to benchmark and forecast trends and affect change within our culture before  they develop into an incident or accident (LOSS).  • Hazard Management highlights high risk areas and allow us to navigate and introduce controls to  protect against losses. 
  • 6. Collective team work to Manage Hazards Management Oversight Maintenance Hazard Helicopter Flight Crew
  • 7. Risk Picture and the tendency for  DRIFT Tier 2 Escalation Hazards Real Safety Boundary (Invisible) Boundary to Hazard Register Allows you to MAP it! Economic Failure Accidents Wildcards Boundary to Unacceptable Workload Tier 1 Hazards Boundary Defined By Official Work Practices
  • 8. Where do we find the Hazards….? •People •Assets (Equipment) •Technology •Data Loss (Business continuity) •Customers •Financial (Market Saturation, effect margins) •Environmental •Wild Cards (Things do didn't think of)
  • 9. How do we identify them? • Hazard List/Registers •Identifying Critical Operations (Hydro Work) •Identify Critical positions (Pilot & Linemen) •Identify Critical tasks (Attaching spacer to the power pole)
  • 10. How do we Rank them in order of  importance….? How is it going to  effect our bottom line?
  • 11. Hazard Register  The following diagram below illustrates our hazard  register and applicable actions highlighted within our  safety case.  RA Hazardous Event Hazard Location Potential Initial Risk # Consequences 8. Inadvertent release of Aircraft in C Possible Damage 15 long line and or load. Motion (In Flight) Single Fatalities
  • 12. Hazard Register Now that we Know What the  problem is, where it is likely to  occur, who will be responsible  for it when it does occur.  We can ask our selves how do  we prevent it from happening. It Starts to look like a MAP………
  • 13. Bow‐Tie  Risk Assessment Tools
  • 14. Hazard Register  The Hazard has been identified and controls put in place, now the work begins....Training, SOP’s, Quality Assurance, Follow-up to close the loop. RA Hazardous Event Hazard Location Potential Initial Control/EOC RRS # Consequences Risk 8. Inadvertent release Aircraft in C Possible 15 Fleet 12 of long line and or Motion Damage Standardization/ Enhanced load. Single SOP/line check Fatalities and training
  • 15.  Controls are introduced to reduce the final risk value to ALARP (As Low As Reasonably Practical) to all parties who own the Risk. Risk= Probability X Severity 1 st 2nd Mitigation Mitigation control control Emergency Procedures Training ABS Bundling Procedures Operation High priority Manage Safe to Hazard 15 12 Responses 6 Urgent Action required continue
  • 16. “We Can’t solve problems by using the same  kind of thinking we used to create them”. A . Einstein  Hazard Identification  SMS  Safety Cases Some Hazards Should be obvious  Aviation Risk Assessments  LOSA (Line Oriented Safety Audits)
  • 17. ROI (Return on Investment) Forcasted hrs  Ground Crew Interface TRIF / 100000 FLT HRS Crew Interface  Incidents Total Recorded Ground  0.6  frequency / 100000 Hrs Total  0.5 Ground Crew TRIF 0.4 0.3 0.19 0.15 Hours flown 0.2 0.1 0 2008 TRIF 2007 2008 2009 2010 2009 TRIF Target 2010 TRIF Target Target YEARS As utilization is forecast to increase we see positive trends in safety  performance. This translates to an overall reduction in probability of those  Hazards developing into incidents which increases profitability.
  • 18. 1. Loss of Confidence (Reputation) 2. Accidents 3. Incidents 4. Lost Business 1. Customers 2. Staff 3. Equipment 4. Repeat Business
  • 19. The Big Picture…. Co‐Manage your Hazards Frontline Workers Identification Accountability Response management Customers Management Mitigation Controls Safe Operations Regulator
  • 20. Establishment of Industry best Practices Representing 248 Member Companies Comprising 9 Committees • Helicopter Operators • Aircraft Manufacturers • Engine Manufacturers • Support Industry Partnerships • Association Partnerships • Federal Lobbying Representation in Ottawa and Washington Industry Best Practices: Already contain focused Hazard Registries http://www.h-a-c.ca/
  • 21. KISS  (Keep it Simple Silly!) Whether you’re a One man show or a complex multi‐tiered  Organization SMS Safety Made Simple  Should always be the goal!!
  • 22. A Global effort.... IHST Stated Safety Goal Consistent with the IHST goal of reducing the current helicopter accident rate by 80%. http://www.ihst.org/Default.aspx?tabid=2663&language=en-US