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Updated - Safety Management Systems - Workshop - DGCA SAG Members - As Presented

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The slides I used for a workshop on safety management concepts for members of the Indonesian DGCA's State Safety Program Safety Action Groups - specifically the Directorates of Airports and Air Navigation members.

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Updated - Safety Management Systems - Workshop - DGCA SAG Members - As Presented

  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. MANAJEMEN RESIKO KESELAMATAN SAFETY RISK MANAGEMENT
  64. 66. BAGIAN BERPIKIR <ul><li>The Thinking Part </li></ul><ul><li>This is where safety management does all of its thinking </li></ul>
  65. 68. <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>
  66. 69. 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>
  67. 70. FRAMEWORKS <ul><li>ICAO SMS </li></ul><ul><li>ISO 31000:2009 </li></ul>
  68. 71. ICAO <ul><li>Hazard Identification </li></ul><ul><li>Risk Assessment & Mitigation </li></ul>
  69. 72. ISO 31000:2009
  70. 73. KONSULTASI Consultation
  71. 74. KONTEKS <ul><li>Context </li></ul><ul><li>ISO 31000 is industry & application neutral </li></ul>
  72. 75. 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>
  73. 76. IDENTIFIKASI RISIKO Risk Identification
  74. 77. ANALISIS RISIKO Risk Analysis
  75. 78. ALAT-ALAT Tools
  76. 79. Risk Evaluation EVALUASI RISIKO
  77. 80. PERLAKUAN TERHADAP RISIKO Risk Treatment
  78. 81. MONITORING <ul><li>JAMINAN KESELAMATAN </li></ul><ul><li>Safety Assurance </li></ul>
  79. 82. DISKUSI
  80. 83. PERTANYAAN ?
  81. 84. SISTEM MANAJEMEN KESELAMATAN PRACTICAL EXERCISE
  82. 85. OBJECTIVE <ul><li>To perform the tasks of a safety action group tasked with reviewing low visibility operating procedures and standards </li></ul>
  83. 87. NTSC PRELIMINARY REPORT <ul><li>a. The National Transportation Safety Committee Director General of Civil Aviation recommend the review the procedures and requirements for usage of airport facilities such as runway lighting, especially during limited visibility , designed to improve safety of the flight. </li></ul>
  84. 88. BAGAIMANA? How?
  85. 89. OUTCOMES <ul><li>Safety Action Plan </li></ul><ul><li>Safety Objectives </li></ul>
  86. 90. BASED ON <ul><li>Risk Assessment </li></ul>
  87. 91. FRAMEWORK
  88. 92. KONSULTASI Consultation
  89. 93. KONTEKS <ul><li>Context </li></ul>
  90. 94. PENILAIAN RESIKO <ul><li>Risk Assessment </li></ul>
  91. 95. IDENTIFIKASI RISIKO Risk Identification Risk identification involves the identification of risk sources , events , their causes and their potential consequences
  92. 96. ANALISIS RISIKO Risk Analysis
  93. 97. Risk Evaluation EVALUASI RISIKO
  94. 98. PERLAKUAN TERHADAP RISIKO Risk Treatment
  95. 99. MONITORING <ul><li>TUJUAN KESELAMATAN </li></ul><ul><li>Safety Objectives </li></ul>
  96. 100. SISTEM MANAJEMEN KESELAMATAN CONCLUSION
  97. 101. WORKSHOP TITLE <ul><li>Determining, measuring and agreeing to Safety Performance Indicators for ATS Providers & Aerodrome Operators </li></ul>
  98. 102. 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>
  99. 103. 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>
  100. 104. 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>
  101. 105. WHAT CAN WE MEASURE?
  102. 106. 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>
  103. 107. BUDAYA CULTURE
  104. 108. LEVELS OF CULTURE
  105. 109. ALAT Tool
  106. 110. MANAJEMEN RESIKO KESELAMATAN SAFETY RISK MANAGEMENT
  107. 111. BAGIAN BERPIKIR <ul><li>The Thinking Part </li></ul><ul><li>This is where safety management does all of its thinking </li></ul>
  108. 112. ISO 31000:2009
  109. 113. KESEPAKATAN Agreement
  110. 114. PERTANYAAN ?
  111. 115. <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>KEEP TRYING
  112. 116. 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>
  113. 117. TERIMA KASIH
  114. 118. PHOTO CREDITS <ul><li>These were provided in the original presentations but all my cross-referencing got mixed up in putting this presentation together. </li></ul><ul><li>All material was either my own work or creative commons material from the web. </li></ul><ul><li>This file to be used for internal reference only. </li></ul>
  115. 119. PHOTO CREDITS (CONT.) <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>
  116. 120. 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>

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