Safety Management Systems - Workshop - DGCA SAG Members

2,443 views
2,343 views

Published on

The presentation was prepared for the Indonesian DGCA's SAG members from the Directorates of Airports and Air Navigation. The objective of the workshop was to increase the members knowledge of the theory and practical application of aviation safety management systems.

Published in: Education, Business, Technology
1 Comment
5 Likes
Statistics
Notes
No Downloads
Views
Total views
2,443
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
0
Comments
1
Likes
5
Embeds 0
No embeds

No notes for slide
  • Talk about sub-systems
  • Regulations can only go so far…
  • Annex 14 & Annex 11 1.5 Safety management 1.5.1 States shall establish a State safety programme in order to achieve an acceptable level of safety in civil aviation. Note.— A framework for the implementation and maintenance of a State safety programme is contained in Attachment C, and guidance on a State safety programme is contained in the Safety Management Manual (SMM) (Doc 9859). 1.5.2 The acceptable level of safety to be achieved shall be established by the State. Note.— Guidance on defining an acceptable level of safety is contained in the Safety Management Manual (SMM) (Doc 9859). 1.5.3 States shall require, as part of their State safety programme, that a certified aerodrome implement a safety management system acceptable to the State that, as a minimum: a) identifies safety hazards; b) ensures the implementation of remedial action necessary to maintain agreed safety performance; c) provides for continuous monitoring and regular assessment of the safety performance; and d) aims at a continuous improvement of the overall performance of the safety management system. Note.— Guidance on defining safety performance is contained in the Safety Management Manual (SMM) (Doc 9859). 1.5.4 A safety management system shall clearly define lines of safety accountability throughout a certified aerodrome, including a direct accountability for safety on the part of senior management. Note.— The framework for the implementation and maintenance of a safety management system is contained in Appendix 7. Guidance on safety management systems is contained in the Safety Management Manual (SMM) (Doc 9859), and in the Manual on Certification of Aerodromes (Doc 9774)
  • Why only performance outcomes?
  • No Values or Targets
  • Link to runway width study
  • Its yours for the taking
  • You can delegate responsibility (the doing) but not your accountability.
  • What is it & how does it influence us?
  • Poor Bureaucratic Positive Information Hidden Ignored Sought Messengers Shouted Tolerated Trained Responsibilities Shirked Boxed Shared Reports Discouraged Allowed Rewarded Failures Covered up Merciful Scrutinized New ideas Crushed Problematic Welcomed Resulting organization Conflicted organization Red tape organization Reliable organization
  • SIRA
  • Defences in depth & different vectors
  • Safety Management Systems - Workshop - DGCA SAG Members

    1. 1. SISTEM MANAJEMEN KESELAMATAN SAFETY MANAGEMENT SYSTEMS FOR DGCA AERODROME & AIR NAVIGATION SAG MEMBERS
    2. 2. OBJECTIVE <ul><li>To enhance the SMS knowledge of the DGCA’s Safety Action Group Members from the Directorates of Airports & Air Navigation. </li></ul>
    3. 3. FACILITATORS <ul><li>DAN PARSONS </li></ul><ul><li>Aerodrome Inspector </li></ul><ul><li>Civil Aviation Safety Authority </li></ul><ul><li>+61 7 3144 7362 </li></ul><ul><li>[email_address] </li></ul><ul><li>TIM ABBERTON </li></ul><ul><li>Research Consultant </li></ul><ul><li>Airservices Australia </li></ul><ul><li>+61 2 6268 5724 </li></ul><ul><li>Tim.Abberton@ </li></ul><ul><li>airservicesaustralia.com.au </li></ul>
    4. 4. <ul><li>TRANSLATIONS PROVIDED BY </li></ul>
    5. 5. PROGRAM Friday Thursday Wednesday Tuesday Monday Practical Exercises (in functional groups & together) Public Holiday Theory & Case Studies (together)
    6. 6. THEORY & CASE STUDIES <ul><li>Presentations on various requested topics </li></ul><ul><li>Selected topics enhanced by group discussion of case studies </li></ul>
    7. 7. PRACTICAL EXERCISE <ul><li>Group exercises based on single scenario </li></ul><ul><li>Involves planning, implementation and audit of safety management systems </li></ul>
    8. 8. CONDUCT <ul><li>Participants are encouraged to ask questions and discuss issues at any time on any subject </li></ul><ul><li>Although facilitators may steer the discussion back if we get too far off topic </li></ul>
    9. 9. SISTEM MANAJEMEN KESELAMATAN OVERVIEW
    10. 10. WHAT IS IT ABOUT ?
    11. 11. KESELAMATAN <ul><li>Safety </li></ul><ul><li>The state in which the possibility of harm … is reduced to, and maintained at or below, an acceptable level… </li></ul><ul><li>ICAO SMM </li></ul>
    12. 12. BUT WHAT IS IT REALLY ABOUT?
    13. 13. PENDEKATAN SISTEMATIK <ul><li>Systematic Approach </li></ul>
    14. 14. <ul><li>A system is an organised & highly integrated collection of parts that accomplish an overall goal </li></ul>
    15. 15. AKUNTABILITAS MANAJEMEN <ul><li>Management Accountability </li></ul>
    16. 16. MENJEMBATANI KESENJANGAN <ul><li>Bridging the Gap </li></ul>
    17. 17. HISTORY <ul><li>Disasters </li></ul><ul><li>Quality Management </li></ul>
    18. 18. <ul><li>Annex 11 – Air Traffic Services </li></ul><ul><li>Annex 14 – Aerodromes </li></ul>ICAO
    19. 19. SMS COMPONENTS KEBIJAKAN DAN SASARAN KESELAMATAN SAFETY POLICY AND OBJECTIVES MANAJEMEN RESIKO KESELAMATAN SAFETY RISK MANAGEMENT JAMINAN KESELAMATAN SAFETY ASSURANCE PROMOSI KESELAMATAN SAFETY PROMOTION
    20. 20. KEBIJAKAN DAN SASARAN KESELAMATAN MANAJEMEN KOMITMEN & TANGGUNG JAWAB MANAGEMENT COMMITMENT & RESPONSIBILITY KESELAMATAN AKUNTABILITAS SAFETY ACCOUNTABILITIES PENUNJUKAN TENAGA KESELAMATAN KUNCI APPOINTMENT OF KEY SAFETY PERSONNEL KOORDINASI PERENCANAAN TANGGAP DARURAT COORDINATION OF EMERGENCY RESPONSE PLANNING SMK DOKUMENTASI SMS DOCUMENTATION
    21. 21. MANAJEMEN RESIKO KESELAMATAN IDENTIFIKASI BAHAYA HAZARD IDENTIFICATION PENILAIAN & MITIGASI RISIKO KESELAMATAN SAFETY RISK ASSESSMENT & MITIGATION
    22. 22. JAMINAN KESELAMATAN KINERJA KESELAMATAN PEMANTAUAN & PENGUKURAN SAFETY PERFORMANCE MONITORING & MEASUREMENT PERUBAHAN MANAJEMEN THE MANAGEMENT OF CHANGE PERBAIKAN TERUS MENERUS CONTINUOUS IMPROVEMENT OF THE SMS
    23. 23. PROMOSI KESELAMATAN PELATIHAN & PENDIDIKAN TRAINING & EDUCATION KESELAMATAN KOMUNIKASI SAFETY COMMUNICATION
    24. 24. PERTANYAAN ?
    25. 25. SPECIAL TOPICS
    26. 26. TUJUAN KESELAMATAN SAFETY OBJECTIVES
    27. 27. PERINGATAN <ul><li>Warning </li></ul><ul><li>The following discussion is confusing even for native-English speakers… </li></ul><ul><li>… at least it is to me! </li></ul>
    28. 28. ACCEPTABLE LEVEL OF SAFETY <ul><li>The minimum degree of safety that must be assured by a system in actual practice </li></ul><ul><li>ICAO SMM </li></ul>
    29. 29. DEFINITIONS <ul><li>Safety Measurement </li></ul><ul><li>Measurement of </li></ul><ul><li>high-consequence events & high-level functions </li></ul><ul><li>Safety Performance </li></ul><ul><li>Measurement </li></ul><ul><li>Measurement of </li></ul><ul><li>low-consequence events & low-level functions </li></ul>
    30. 30. MORE DEFINITIONS <ul><li>Indicator – the aspect of safety being measured </li></ul><ul><li>Target – the objective of our safety actions </li></ul><ul><li>Value – the actual number assigned to the above </li></ul><ul><li>Paraphrased from ICAO SMM </li></ul>
    31. 31. ONE MORE DEFINITION <ul><li>Goal – the expression of a safety indicator with a specific target value </li></ul><ul><li>ICAO tends to express safety indicators and targets separately each with their own values. </li></ul>
    32. 32. EXAMPLE – SAFETY GOAL <ul><li>Maximum of 10 breakdowns of separation per 100,000 flight hours </li></ul><ul><li>Grey = Indicator, Red = Target , Blue = Value </li></ul>
    33. 33. INITIAL ALoS <ul><li>Outcome </li></ul><ul><li>Maximum of 5 runway excursions at certified aerodromes </li></ul><ul><li>Function </li></ul><ul><li>Minimum of 85% of aerodrome operator safety audits completed within 12 months of certification </li></ul>Selected goals relating to safety measurement
    34. 34. WHY STAGED?
    35. 35. MATURE ALoS Outcome Maximum of 25 Cat B & C runway incursions Selected goals relating to safety measurement plus Selected goals relating to safety performance measurement
    36. 36. INFLUENCES <ul><li>International </li></ul><ul><li>Political </li></ul><ul><li>Social </li></ul><ul><li>Economic </li></ul><ul><li>Historical </li></ul>
    37. 37. WHAT IS EVERYONE ELSE DOING?
    38. 38. UNITED STATES <ul><li>? </li></ul>
    39. 39. <ul><li>The UK CAA has established a range of performance indicators for monitoring safety performance…to ensure that the frequency of fatal (an, in some cases, reportable) accidents does not increase in line with forecast growth </li></ul><ul><li>CAP 784 – UK SSP </li></ul>
    40. 41. <ul><li>Australia collects a range of aviation activity and safety information to assess safety performance and trends, and to highlight areas of emerging risk. A key policy objective for Australia is the maintenance of positive trends in safety performance across the aviation sectors. </li></ul><ul><li>Australia’s State Aviation Safety Program </li></ul>
    41. 43. MAGIC NUMBERS <ul><li>10 -7 </li></ul>
    42. 44. <ul><li>Although ICAO provides much guidance on the concept of an ALoS, there are still some doubts as to what constitutes an ALoS and how states should establish one. </li></ul><ul><li>CAP 784 – UK SSP </li></ul>FINAL WORD
    43. 45. MORE INFORMATION <ul><li>ICAO Safety Management Manual </li></ul><ul><li>UK SSP & Associated Web Pages </li></ul><ul><li>Australia’s State Safety Program </li></ul>
    44. 46. DISKUSI
    45. 47. PERTANYAAN ?
    46. 48. PERAN, & TANGGUNG JAWAB & KEPEMIMPINAN LEADERSHIP, ROLES & RESPONSIBILITIES
    47. 49. AKUNTABILITAS MANAJEMEN <ul><li>Management Accountability </li></ul><ul><li>AKUNTABILITAS -v- TANGGUNG JAWAB </li></ul><ul><li>Accountability -v- Responsibility </li></ul>
    48. 50. WHY IMPORTANT?
    49. 51. STRUKTUR PENDUKUNG <ul><li>Supporting Structure </li></ul><ul><li>Accountable Executive </li></ul><ul><li>Organisational Structure </li></ul><ul><li>Delegation of Responsibilities </li></ul>
    50. 52. AKUNTABEL EKSEKUTIF <ul><li>Accountable Executive </li></ul><ul><li>Full authority for human resources issues </li></ul><ul><li>Authority for major financial issues </li></ul><ul><li>Direct responsibility for the conduct of the organisation’s affairs </li></ul><ul><li>Final authority over operations under certificate </li></ul><ul><li>Final accountability for all safety issues </li></ul>
    51. 53. STRUKTUR ORGANISASI <ul><li>Organisational Structure </li></ul>Who does what? Who talks to whom?
    52. 54. ICAO’S SUGGESTION
    53. 55. AIRSERVICES
    54. 56. MAJOR AIRPORT
    55. 57. DELEGASI TANGGUNG JAWAB <ul><li>Delegation of Responsibilities </li></ul><ul><li>Documentation </li></ul><ul><li>Awareness </li></ul><ul><li>Inline with Authority </li></ul>
    56. 58. BUT WAIT THERE’S MORE… LEADERSHIP GREATLY AFFECTS
    57. 59. BUDAYA CULTURE
    58. 60. LEVELS OF CULTURE
    59. 61. BAD CULTURE / GOOD CULTURE <ul><li>Pathological  Bureaucratic  Generative </li></ul>
    60. 62. PENGARUH <ul><li>Influence </li></ul><ul><li>The Accountable Executive greatly influences the organisational level of culture </li></ul>
    61. 63. DISKUSI
    62. 64. PERTANYAAN ?
    63. 65. DOKUMENTASI DOCUMENTATION
    64. 66. PERSYARATAN <ul><li>Requirements </li></ul><ul><li>One explicit feature of an SMS is that all safety management activities are required to be documented and visible. </li></ul><ul><li>ICAO SMM </li></ul>
    65. 67. JUGA <ul><li>Also </li></ul><ul><li>PKPS 139.033 & Appendix 1 </li></ul><ul><ul><li>Information to be included in an Aerodrome Manual </li></ul></ul><ul><li>PKPS 172 – Less clear </li></ul>
    66. 68. SATU DOKUMENTASI? <ul><li>One Document? </li></ul><ul><li>It depends on the organisation </li></ul>
    67. 69. INTEGRATED <ul><li>Included in Aerodrome Manual </li></ul>
    68. 70. SEPARATE MANUAL <ul><li>A manual on its own </li></ul>
    69. 71. MANY DOCUMENTS <ul><li>Hierarchy of documents linked to form complete picture </li></ul>
    70. 72. AIRSERVICES SAFETY DOCUMENTS
    71. 73. PERTANYAAN ?
    72. 74. KOORDINASI PERENCANAAN TANGGAP DARURAT COORDINATION OF EMERGENCY RESPONSE PLANNING
    73. 75. RENCANA TANGGAP DARURAT <ul><li>Emergency Response Plan </li></ul><ul><li>A plan providing for the orderly and efficient transition from normal to emergency operations and the return to normal operations </li></ul><ul><li>ICAO SMM </li></ul>
    74. 76. PERSYARATAN <ul><li>Requirements </li></ul><ul><li>Coordinate the emergency response plan with the plans of those organisations it must interact with during emergencies </li></ul><ul><li>Paraphrased from ICAO SMM </li></ul>
    75. 77. JUGA <ul><li>Also </li></ul><ul><li>PKPS 139.071 – Aerodrome Emergency Plan </li></ul><ul><li>PKPS 139.073 – Aerodrome Emergency Committee </li></ul><ul><li>PKPS 139.075 – Testing the AEP </li></ul><ul><li>PKPS 139 H </li></ul><ul><li>+ PKPS 139.033 & Appendix 1 </li></ul>
    76. 78. JUGA <ul><li>Also </li></ul><ul><li>Petunjuk Teknis (MOS) 172 </li></ul>
    77. 79. INTERAKSI <ul><li>Interaction </li></ul><ul><li>At this level however, the interaction of stakeholders is the important aspect. </li></ul>
    78. 80. PERTANYAAN ?
    79. 81. PROMOSI KESELAMATAN SAFETY PROMOTION
    80. 82. PROMOSI KESELAMATAN PELATIHAN & PENDIDIKAN TRAINING & EDUCATION KESELAMATAN KOMUNIKASI SAFETY COMMUNICATION
    81. 83. PELATIHAN & PENDIDIKAN <ul><li>Training & Education </li></ul><ul><li>The operator needs to “develop and maintain a safety training programme that ensures that personnel are trained and competent to perform the SMS duties” </li></ul><ul><li>ICAO SMM </li></ul>
    82. 84. GOOD PROCESS <ul><li>Identify Needs </li></ul><ul><li>Scope Requirements </li></ul><ul><li>Deliver Training </li></ul><ul><li>Validate & Evaluate Training </li></ul>
    83. 85. KESELAMATAN KOMUNIKASI <ul><li>Safety Communication </li></ul><ul><li>The operator shall “develop and maintain formal means for safety communication…” </li></ul><ul><li>ICAO SMM </li></ul>
    84. 86. <ul><li>So that personnel : </li></ul><ul><li>are aware of the SMS </li></ul><ul><li>receive safety-critical information </li></ul><ul><li>Understand why safety actions are taken, introduced or changed </li></ul><ul><li>ICAO SMM </li></ul>
    85. 87. BAGAIMANA? <ul><li>How? </li></ul><ul><li>Whatever works… </li></ul><ul><li>as long as its formal. </li></ul>
    86. 88. PERTANYAAN ?
    87. 89. MANAJEMEN RESIKO KESELAMATAN SAFETY RISK MANAGEMENT
    88. 90. BAGIAN BERPIKIR <ul><li>The Thinking Part </li></ul><ul><li>This is where safety management does all of its thinking </li></ul>
    89. 92. <ul><li>STRATEGIS </li></ul><ul><li>Strategic </li></ul><ul><li>OPERASIONAL </li></ul><ul><li>Operational </li></ul><ul><li>TAKTIS </li></ul><ul><li>Tactical </li></ul>
    90. 93. KETIKA? <ul><li>When? </li></ul><ul><li>Implementation of SMS </li></ul><ul><li>Accidents/Incidents Hazard Reports </li></ul><ul><li>Internal Audits External Audits </li></ul><ul><li>Change System Evaluation </li></ul>
    91. 94. FRAMEWORKS <ul><li>ICAO SMS </li></ul><ul><li>ISO 31000:2009 </li></ul>
    92. 95. ICAO <ul><li>Hazard Identification </li></ul><ul><li>Risk Assessment & Mitigation </li></ul>
    93. 96. ISO 31000:2009
    94. 97. KONSULTASI Consultation
    95. 98. KONTEKS <ul><li>Context </li></ul><ul><li>ISO 31000 is industry & application neutral </li></ul>
    96. 99. PENILAIAN RESIKO <ul><li>Risk Assessment </li></ul><ul><li>“ Risk assessment has always been the most challenging part of the risk management process for aviation operations.” </li></ul><ul><li>ARMS </li></ul>
    97. 100. IDENTIFIKASI RISIKO Risk Identification
    98. 101. ANALISIS RISIKO Risk Analysis
    99. 102. ALAT-ALAT Tools
    100. 103. Risk Evaluation EVALUASI RISIKO
    101. 104. PERLAKUAN TERHADAP RISIKO Risk Treatment
    102. 105. MONITORING <ul><li>JAMINAN KESELAMATAN </li></ul><ul><li>Safety Assurance </li></ul>
    103. 106. DISKUSI
    104. 107. PERTANYAAN ?
    105. 108. TERIMA KASIH
    106. 109. PHOTO CREDITS <ul><li>All icons & 12, 24, 25, 47, 64, 73 – (cc) Dan Parsons </li></ul><ul><li>16 – (cc) http://www.flickr.com/photos/elyob/ </li></ul><ul><li>17A – (cc) http://www.flickr.com/photos/skytruth/ </li></ul><ul><li>17B - http://www.flickr.com/photos/library_of_congress/ </li></ul><ul><li>34 – (cc) http://www.flickr.com/photos/pinksherbet/ </li></ul><ul><li>39 – (cc) http://www.flickr.com/photos/dimodi/ </li></ul><ul><li>38 – (cc) http://www.flickr.com/photos/23912576@N05/ </li></ul><ul><li>41 – (cc) http://www.flickr.com/photos/dexxus/ </li></ul><ul><li>46 – (cc) http://www.flickr.com/photos/kanegen/ </li></ul><ul><li>50 – (cc) http://www.flickr.com/photos/zooboing/ </li></ul><ul><li>59 – (cc) http://www.flickr.com/photos/drmtoiber/ </li></ul><ul><li>63 – (cc) http://www.flickr.com/photos/pagedooley/ </li></ul>
    107. 110. PHOTO CREDITS (CONT.) <ul><li>80 – (cc) http://www.flickr.com/people/27609180@N00 </li></ul><ul><li>88 – (cc) http://www.flickr.com/photos/olibac </li></ul><ul><li>92 – (cc) http://www.flickr.com/photos/infernal_elf/ </li></ul><ul><li>97 – (cc) http://www.flickr.com/photos/baltic-development-forum/ </li></ul><ul><li>100 – (cc) http://www.flickr.com/photos/jakecaptive/ </li></ul><ul><li>101 – (cc) http://www.flickr.com/photos/horiavarlan/ </li></ul><ul><li>102 – (cc) http://www.flickr.com/photos/booleansplit/ </li></ul><ul><li>103 – (cc) http://www.flickr.com/photos/thebusybrain/ </li></ul><ul><li>104 – (cc) http://www.flickr.com/photos/tinou/ </li></ul><ul><li>106 – (cc) http://www.flickr.com/photos/pagedooley/ </li></ul><ul><li>107 – (cc) http://www.flickr.com/photos/42033648@N00 </li></ul><ul><li>108 – (cc) http://www.flickr.com/photos/ask9/ </li></ul>

    ×