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

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