Welcome. Safety Management Systems S.M.S Presented by Malcolm Rusby European Safety Director TAG Aviation Safety Management Systems S.M.S Presented by.

WelcomeWelcome

Safety Management Safety Management Systems Systems

S.M.S S.M.S Presented by Presented by Malcolm Rusby Malcolm Rusby European Safety Director TAG European Safety Director TAG AviationAviation

The JAR-OPS The JAR-OPS RequirementRequirement

Safety ManagementSafety Management

The Safety Management The Safety Management System requirementSystem requirement : :

JAR-OPS 1.037 requires an JAR-OPS 1.037 requires an “Accident Prevention “Accident Prevention Program” Program”

Safety ManagementSafety Management

JAR-OPS 1.037 also JAR-OPS 1.037 also requiresrequires : :

The Operator shall have a The Operator shall have a program to achieve and program to achieve and maintain risk awareness by all maintain risk awareness by all persons involved in the persons involved in the Companies business,Companies business,

An occurrence reporting An occurrence reporting scheme which has a scheme which has a anonymous element. anonymous element.

Safety ManagementSafety Management

Further JAR-OPS 1.037 Further JAR-OPS 1.037 requirements :requirements :

Evaluation of relevant Evaluation of relevant information relating to information relating to Incidents and Accidents and Incidents and Accidents and the Promulgation of Safety the Promulgation of Safety related information.related information.

A Person accountable for A Person accountable for managing the Program.managing the Program.

Safety ManagementSafety Management

1999 Management of Health 1999 Management of Health and Safety at work Act which and Safety at work Act which includes :includes :

Risk Assessment and SMSRisk Assessment and SMSDriven by E.U. DirectivesDriven by E.U. DirectivesIncludes Fire Awareness and Includes Fire Awareness and

Safety Management.Safety Management.

CAP 712CAP 712Safety Management Safety Management Systems (SMS) for Systems (SMS) for Commercial Air Commercial Air Transport Operations.Transport Operations.

Introduction to Introduction to S.M.SS.M.S

A working SMS will Improve A working SMS will Improve communication across your communication across your Company“ Harmonisation “Company“ Harmonisation “

Creates / Promotes Safety Policy Creates / Promotes Safety Policy and Cultureand Culture

People orientated organisation People orientated organisation “Ownership”“Ownership”

Meets corporate objectives and Meets corporate objectives and initiativesinitiatives

SAFETY SAFETY INFRASTRUCTUREINFRASTRUCTURE

C.E.O

SafetyManager

Safety Officers

Safety Safety Management Management Systems Systems “S.M.S.”“S.M.S.”

S.M.S the Building S.M.S the Building BlocksBlocks

Policy

Safety Risk

Management

Communication

Safe

ty P

rom

otio

n

“ “ Buy In “Buy In “

The S.M.S The S.M.S must be must be “Closed “Closed Loop”Loop”

““Buy In”Buy In”Everybody has a Everybody has a

responsibility for their own responsibility for their own safety and the safety of safety and the safety of others ! others !

““Duty of Care”Duty of Care”Everyone needs to be part Everyone needs to be part

of the system !of the system !

S.M.S ModelS.M.S Model

Specific Business

Focus

Safety Policies and Procedures

Corrective Actions

Hazard Identification

Risk Assessment

Anonymous reporting System

Company Incident \ Accident reporting System

Safety Committee

“ Oversight”

S.M.S a System of two S.M.S a System of two halveshalves

++ProactiveSystem

ReactiveSystem

Proactive S.M.S Proactive S.M.S ElementsElementsTraining / Policy

Oversight

Hazard

Identification

Risk

Assessment

Safety Concern

System

A Closer look A Closer look at Hazard at Hazard IdentificationIdentification

LikelihoodLikelihoodLikelihoodLikelihood

11 Never been known to happenNever been known to happen

22 Has been known to happenHas been known to happen

33 Happens several times a yearHappens several times a year

44 Happens several times a monthHappens several times a month

55 Happens all the timeHappens all the time

ThenThen

SeveritySeverityAircraftAircraft PeoplePeople EquipmeEquipme

ntntInfrastructInfrastructureure

11 No ImpactNo Impact No ImpactNo Impact No ImpactNo Impact No ImpactNo Impact

22 Superficial Superficial damage but, damage but, Aircraft still Aircraft still serviceableserviceable

Negligible injuries (cuts, Negligible injuries (cuts, bruises and or bruises and or abrasions ) abrasions )

Superficial Superficial DamageDamage

Superficial Superficial DamageDamage

33 Minor repair Minor repair required to required to make Aircraft make Aircraft ServiceableServiceable

Minor Injuries resulting Minor Injuries resulting in time off workin time off work

Repairs Repairs requiredrequired

Work required Work required to sustain to sustain operationsoperations

44 Significant Significant repair required repair required Cancellation of Cancellation of flight, and a flight, and a number of days number of days out of serviceout of service

Major Injuries including Major Injuries including damage to Limbs etc. damage to Limbs etc. Reportable to HSE Reportable to HSE RIDDOR (UK)RIDDOR (UK)

Equipment Equipment is written is written offoff

Significant Significant funds funds required to required to bring back on bring back on lineline

55 Aircraft could Aircraft could be destroyedbe destroyed

FatalityFatality Not usedNot used Not usedNot used

ThenThenCombine Combine the twothe two

Combining Severity and Combining Severity and LikelihoodLikelihood 55

44

33

22

11

11 22 33 44 55

S

E

V

E

R

I

T

YLikelihood

Red – the risk is unacceptable Red – the risk is unacceptable and action must be taken and action must be taken immediately to reduce it to a immediately to reduce it to a tolerable level.tolerable level.

Amber – the risk is tolerable if Amber – the risk is tolerable if the costs are significant and the the costs are significant and the benefits gained are minimal.benefits gained are minimal.

Green – The risks are acceptable Green – The risks are acceptable and no further action is and no further action is required.required.

Reactive ElementsReactive Elements

Oversight

Incident reporting System

Training

or Policy Changes

Hazard Identification

Risk assessment

Incident Investigation

But Really, But Really, why do we why do we need a S.M.S need a S.M.S ??

Public DisastersPublic Disasters

Space Shuttle – ChallengerSpace Shuttle – Challenger Kings Cross underground Kings Cross underground

firefire Herald of Free EnterpriseHerald of Free Enterprise Piper AlphaPiper Alpha ChernobylChernobyl PaddingtonPaddington Etc etc etc etc etcEtc etc etc etc etc

One Common One Common DenominatorDenominator“ “ A break down A break down in Safety in Safety Management “Management “

CommunicatiCommunicationon

CommunicationCommunicationReporting proceduresReporting proceduresReporting Links - Internal Reporting Links - Internal

Reporting SystemReporting SystemMOR’s Mandatory MOR’s Mandatory

Reporting System Reporting System ( external )( external )

Anonymous Reporting Anonymous Reporting SystemSystem

Communication Communication ProcessProcess Management of Management of

ReportsReportsInvestigating Investigating ReportsReports

Safety ForumsSafety ForumsSafety bulletinsSafety bulletins

The role of the The role of the Safety ManagerSafety Manager

Safety ManagerSafety Manager

Is responsible for safety Is responsible for safety within the Company.within the Company.

Reports Directly to the Reports Directly to the C.E.O. on Safety C.E.O. on Safety matters.matters.

Monitors Trend Monitors Trend Analysis.Analysis.

Chairs Safety Chairs Safety Committee’sCommittee’s

The role of the The role of the safety Officersafety Officer

The Safety The Safety OfficerOfficer The Safety Officer must have clear The Safety Officer must have clear responsibilities for :-responsibilities for :-

Day to Day running of the S.M.S.Day to Day running of the S.M.S. Management of the safety improvement plan.Management of the safety improvement plan. The facilitation of Hazard Management and Risk The facilitation of Hazard Management and Risk

Assessment.Assessment. Advise other managers on Safety matters.Advise other managers on Safety matters. The Emergency response Plan.The Emergency response Plan. Investigation of Accidents and Incidents.Investigation of Accidents and Incidents. Dissemination of appropriate Safety information.Dissemination of appropriate Safety information. Must be part of safety Oversight (Safety Must be part of safety Oversight (Safety

Review)Review)

InvestigatiInvestigationon

The most Important The most Important aspect of any aspect of any Investigation is to Investigation is to Find :-Find :-“ “ Route Cause Route Cause ””

Reporting ProceduresReporting Procedures The Company must have very clear The Company must have very clear

Incident /Accident reporting procedures.Incident /Accident reporting procedures. Upon receiving an Incident report, prompt Upon receiving an Incident report, prompt

reply to the sender is essential to ensure reply to the sender is essential to ensure the reporter see’s that the company is the reporter see’s that the company is taking the report seriously.taking the report seriously.

The reporter should be kept in the loop The reporter should be kept in the loop during the investigation and receive the during the investigation and receive the “Closure report “ “Closure report “

SummarySummaryBenefitsBenefitsCostsCostsStaffStaffCustomersCustomers

Thank youThank you

Any Any QuestionsQuestions