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Everything I will say and all information included my presentation is either
cited/referenced material from other sources or my personal opinion and does
not necessarily reflect any of the organisations I am associated with.
http://www.ifairworthy.com & sec@ifairworthy.com
On a scale of 1 to 5, do you think SMS is ......
1 – UNNECESSARY BURDEN
5 - PANACEA
Should incentives be used for
‘SAFETY PERFORMANCE TARGETS’
as well as commercial KPI’s?
YOU CAN SUBMIT YOUR COMMENTS & QUESTIONS
ANONYMOUSLY THROUGHOUT THIS SESSION
PLEASE GO TO www.pollev.com&
FIRST TYPE ‘469799’AND THEN CONTINUE
WITH YOUR COMMENTS
THEY WILL BE REVIEWED AND SHARED LATER ON
Do you think SMS is/has ...
1 Unnecessary Burden 456826
2 Bureaucratic 456827
3 Limited Benefits 456829
4 Absolutely Necessary 456830
5 Panacea 456831
PLEASE GO TO www.pollev.com&
TYPE THE CODE BELOW & SUBMIT YOUR VOTE
Should incentives be used for ‘SAFETY PERFORMANCE
TARGETS’ as well as commercial KPI’s?
461545 - YES
461546 - NO
PLEASE GO TO www.pollev.com&
TYPE THE CODE BELOW & SUBMIT YOUR VOTE
• SMS & HF/HP! Why Risk Based Model?
• From Compliance Monitoring to Safety Risk Management
• Proactive & Confidential Reporting, Just Culture & Employee Engagement
• Risk Management! Uncertainty, Subjectivity and the Human Element
• Conclusion
http://youtu.be/ReEWDnwlkFY
How did we come here?
HUMAN ERROR - DEFINITION
Source: James Reason
Unsafe
Acts
Unintended
Action
Intended
Action
SLIP
LAPSE
MISTAKE
VIOLATION
Attentional Failures
Omision
Misordering
Mistiming
Memory Failures
Omiting planed item
Place losing
Forgetting intentions
Rule Based Mistakes
Misapplication of good rule
Application of bad rule
Knowledge Based Mistakes
Many variable forms
Routine violations
Exceptional violations
Acts of sabotage
“Just Culture protects people’s
honest mistakes from being
seen as culpable. But what is
an honest mistake, or rather
when is a mistake no longer
honest?”
“We’ve lost the practical
differentiation between human
error, at-risk, and reckless
behaviours. In doing so, we’ve
created only one standard:
PERFECTION.......”
In 1900, Wilbur wrote to his father,
“Carelessness & overconfidence,”
he said, “are usually more
dangerous than deliberately
accepted risks.”
MANAGING HUMAN RISK IS THE KEY TO ENSURING FLIGHT SAFETY
Risk management is a balancing act. It involves balancing risks and rewards.
What did technology & automation do to us?
“My life was so simpler when apple and blackberry were just fruits”
Anonymous
http://youtu.be/R0rYX-Jn6o8
“Online social media is one of the most ANTI-social things invented ever”
CT
www.aviationsafety.ae
Source: My narrated presentation from the 3rd European SMS Symposium
https://talk.city.ac.uk/p47043247
Travelling Public’s Expectation – Passenger Rights
MANAGING HUMAN RISK IS THE KEY TO ENSURING FLIGHT SAFETY
cengiz.turkoglu.1@city.ac.uk

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ICAO Airworthiness Conference - SMS HF Perspective

  • 1.
  • 2. Everything I will say and all information included my presentation is either cited/referenced material from other sources or my personal opinion and does not necessarily reflect any of the organisations I am associated with.
  • 4. On a scale of 1 to 5, do you think SMS is ...... 1 – UNNECESSARY BURDEN 5 - PANACEA Should incentives be used for ‘SAFETY PERFORMANCE TARGETS’ as well as commercial KPI’s?
  • 5. YOU CAN SUBMIT YOUR COMMENTS & QUESTIONS ANONYMOUSLY THROUGHOUT THIS SESSION PLEASE GO TO www.pollev.com& FIRST TYPE ‘469799’AND THEN CONTINUE WITH YOUR COMMENTS THEY WILL BE REVIEWED AND SHARED LATER ON
  • 6. Do you think SMS is/has ... 1 Unnecessary Burden 456826 2 Bureaucratic 456827 3 Limited Benefits 456829 4 Absolutely Necessary 456830 5 Panacea 456831 PLEASE GO TO www.pollev.com& TYPE THE CODE BELOW & SUBMIT YOUR VOTE
  • 7. Should incentives be used for ‘SAFETY PERFORMANCE TARGETS’ as well as commercial KPI’s? 461545 - YES 461546 - NO PLEASE GO TO www.pollev.com& TYPE THE CODE BELOW & SUBMIT YOUR VOTE
  • 8. • SMS & HF/HP! Why Risk Based Model? • From Compliance Monitoring to Safety Risk Management • Proactive & Confidential Reporting, Just Culture & Employee Engagement • Risk Management! Uncertainty, Subjectivity and the Human Element • Conclusion
  • 10.
  • 11. HUMAN ERROR - DEFINITION Source: James Reason
  • 12. Unsafe Acts Unintended Action Intended Action SLIP LAPSE MISTAKE VIOLATION Attentional Failures Omision Misordering Mistiming Memory Failures Omiting planed item Place losing Forgetting intentions Rule Based Mistakes Misapplication of good rule Application of bad rule Knowledge Based Mistakes Many variable forms Routine violations Exceptional violations Acts of sabotage
  • 13.
  • 14.
  • 15. “Just Culture protects people’s honest mistakes from being seen as culpable. But what is an honest mistake, or rather when is a mistake no longer honest?” “We’ve lost the practical differentiation between human error, at-risk, and reckless behaviours. In doing so, we’ve created only one standard: PERFECTION.......”
  • 16.
  • 17.
  • 18. In 1900, Wilbur wrote to his father, “Carelessness & overconfidence,” he said, “are usually more dangerous than deliberately accepted risks.”
  • 19. MANAGING HUMAN RISK IS THE KEY TO ENSURING FLIGHT SAFETY
  • 20. Risk management is a balancing act. It involves balancing risks and rewards.
  • 21.
  • 22. What did technology & automation do to us? “My life was so simpler when apple and blackberry were just fruits” Anonymous http://youtu.be/R0rYX-Jn6o8 “Online social media is one of the most ANTI-social things invented ever” CT
  • 23. www.aviationsafety.ae Source: My narrated presentation from the 3rd European SMS Symposium https://talk.city.ac.uk/p47043247 Travelling Public’s Expectation – Passenger Rights
  • 24. MANAGING HUMAN RISK IS THE KEY TO ENSURING FLIGHT SAFETY