updated - safety management systems - workshop - dgca sag members - as presented

SISTEM MANAJEMEN KESELAMATAN

SAFETY MANAGEMENT SYSTEMSFOR DGCA AERODROME & AIR NAVIGATION SAG

MEMBERS

OBJECTIVE

To enhance the SMS knowledge of the DGCA’s Safety Action Group

Members from the Directorates of Airports & Air Navigation.

FACILITATORS

DAN PARSONSAerodrome InspectorCivil Aviation Safety Authority

+61 7 3144 7362

daniel.parsons@casa.gov.au

TIM ABBERTONResearch Consultant Airservices Australia

+61 2 6268 5724

Tim.Abberton@airservicesaustralia.com.au

TRANSLATIONS PROVIDED BY

PROGRAM

Monday TuesdayWednesda

yThursday Friday

Theory & Case Studies(together)

Public Holiday Practical

Exercises (in functional groups &

together)

THEORY & CASE STUDIES

Presentations on various requested topicsSelected topics enhanced by group discussion of case studies

PRACTICAL EXERCISE

Group exercises based on single scenarioInvolves planning, implementation and audit of safety management systems

CONDUCT

Participants are encouraged to ask questions and discuss issues at any time on any subject

Although facilitators may steer the discussion back if we get too far off topic

SISTEM MANAJEMEN

KESELAMATAN

OVERVIEW

WHAT IS IT ABOUT?

KESELAMATAN

Safety

The state in which the possibility of harm … is reduced to, and maintained at or below, an acceptable level…

ICAO SMM

BUT WHAT IS IT REALLY

ABOUT?

PENDEKATAN SISTEMATIK

Systematic Approach

A system is an organised & highly integrated collection of parts that accomplish an overall goal

AKUNTABILITAS MANAJEMEN

Management Accountability

MENJEMBATANI KESENJANGAN

Bridging the Gap

HISTORY

Disasters Quality Management

Annex 11 – Air Traffic ServicesAnnex 14 – Aerodromes

ICAO

SMS COMPONENTS

KEBIJAKAN DAN SASARAN KESELAMATANSAFETY POLICY AND OBJECTIVES

MANAJEMEN RESIKO KESELAMATANSAFETY RISK MANAGEMENT

JAMINAN KESELAMATANSAFETY ASSURANCE

PROMOSI KESELAMATANSAFETY PROMOTION

KEBIJAKAN DAN SASARAN KESELAMATAN

MANAJEMEN KOMITMEN & TANGGUNG JAWABMANAGEMENT COMMITMENT & RESPONSIBILITY

KESELAMATAN AKUNTABILITASSAFETY ACCOUNTABILITIES

PENUNJUKAN TENAGA KESELAMATAN KUNCIAPPOINTMENT OF KEY SAFETY PERSONNELKOORDINASI PERENCANAAN TANGGAP

DARURATCOORDINATION OF EMERGENCY RESPONSE

PLANNINGSMK DOKUMENTASISMS DOCUMENTATION

MANAJEMEN RESIKO KESELAMATAN

IDENTIFIKASI BAHAYAHAZARD IDENTIFICATION

PENILAIAN & MITIGASI RISIKO KESELAMATAN

SAFETY RISK ASSESSMENT & MITIGATION

JAMINAN KESELAMATAN

KINERJA KESELAMATAN PEMANTAUAN & PENGUKURANSAFETY PERFORMANCE MONITORING & MEASUREMENT

PERUBAHAN MANAJEMENTHE MANAGEMENT OF CHANGE

PERBAIKAN TERUS MENERUSCONTINUOUS IMPROVEMENT OF THE SMS

PROMOSI KESELAMATAN

PELATIHAN & PENDIDIKANTRAINING & EDUCATION

KESELAMATAN KOMUNIKASISAFETY COMMUNICATION

PERTANYAAN?

SPECIAL TOPICS

TUJUAN KESELAMATAN

SAFETY OBJECTIVES

PERINGATAN

Warning

The following discussion is confusing even for native-English speakers…… at least it is to me!

ACCEPTABLE LEVEL OF SAFETY

The minimum degree of safety that must be assured by a system in actual practice

ICAO SMM

DEFINITIONS

Safety Measurement

Measurement of high-consequence events & high-level functions

Safety Performance Measurement

Measurement of low-consequence events & low-level

functions

MORE DEFINITIONS

Indicator – the aspect of safety being measured

Target – the objective of our safety actions

Value – the actual number assigned to the above

Paraphrased from ICAO SMM

ONE MORE DEFINITION

Goal – the expression of a safety indicator with a specific target value

ICAO tends to express safety indicators and targets separately each with their own values.

EXAMPLE – SAFETY GOAL

Maximum of 10 breakdowns of separation per 100,000 flight

hours

Grey = Indicator, Red = Target, Blue = Value

INITIAL ALoS

OutcomeMaximum of 5 runway excursions at certified aerodromes

FunctionMinimum of 85% of

aerodrome operator safety audits

completed within 12 months of certification

Selected goals relating to safety measurement

WHY STAGED?

MATURE ALoS

OutcomeMaximum of 25 Cat B

& C runway incursions

Selected goals relating to safety measurement plus

Selected goals relating to safety performance measurement

INFLUENCES

International

Political

Social

Economic

Historical

WHAT IS EVERYONE

ELSEDOING?

UNITED STATES

?

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 growthCAP 784 – UK SSP

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.

Australia’s State Aviation Safety Program

MAGIC NUMBERS

10-7

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.

CAP 784 – UK SSP

FINAL WORD

MORE INFORMATION

ICAO Safety Management Manual

UK SSP & Associated Web Pages

Australia’s State Safety Program

DISKUSI

PERTANYAAN?

PERAN, & TANGGUNG JAWAB &KEPEMIMPINAN

LEADERSHIP, ROLES & RESPONSIBILITIES

AKUNTABILITAS MANAJEMEN

Management Accountability

AKUNTABILITAS -v- TANGGUNG JAWABAccountability -v- Responsibility

WHY IMPORTANT?

STRUKTUR PENDUKUNG

Supporting Structure

Accountable ExecutiveOrganisational StructureDelegation of Responsibilities

AKUNTABEL EKSEKUTIF

Accountable Executive

Full authority for human resources issuesAuthority for major financial issuesDirect responsibility for the conduct of the organisation’s affairsFinal authority over operations under certificateFinal accountability for all safety issues

STRUKTUR ORGANISASI

Organisational Structure

Who does what? Who talks to whom?

ICAO’S SUGGESTION

AIRSERVICES

MAJOR AIRPORT

DELEGASI TANGGUNG JAWAB

Delegation of Responsibilities

DocumentationAwarenessInline with Authority

BUT WAIT THERE’S MORE…

LEADERSHIP GREATLY AFFECTS

BUDAYACULTURE

LEVELS OF CULTURE

BAD CULTURE / GOOD CULTURE

Pathological Bureaucratic Generative

PENGARUH

Influence

The Accountable Executive greatly influences the organisational level of culture

DISKUSI

PERTANYAAN?

MANAJEMEN RESIKO KESELAMATAN

SAFETY RISK MANAGEMENT

BAGIAN BERPIKIR

The Thinking Part

This is where safety management does all of its thinking

STRATEGISStrategic

OPERASIONAL Operational

TAKTISTactical

KETIKA?

When?

Implementation of SMSAccidents/Incidents Hazard ReportsInternal Audits External AuditsChange System Evaluation

FRAMEWORKS

ICAO SMS ISO 31000:2009

ICAO

Hazard Identification

Risk Assessment & Mitigation

ISO 31000:2009

KONSULTASIConsultation

KONTEKS

Context

ISO 31000 is industry & application neutral

PENILAIAN RESIKO

Risk Assessment

“Risk assessment has always been the most challenging part of the risk management process for aviation operations.”

ARMS

IDENTIFIKASI RISIKORisk Identification

ANALISIS RISIKORisk Analysis

ALAT-ALAT Tools

Risk Evaluation EVALUASI RISIKO

PERLAKUAN TERHADAP RISIKO

Risk Treatment

MONITORING

JAMINAN KESELAMATANSafety Assurance

DISKUSI

PERTANYAAN?

SISTEM MANAJEMEN KESELAMATAN

PRACTICAL EXERCISE

OBJECTIVE

To perform the tasks of a safety action group tasked with

reviewing low visibility operating procedures and standards

NTSC PRELIMINARY REPORT

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.

BAGAIMANA?How?

OUTCOMES

Safety Action Plan Safety Objectives

BASED ON

Risk Assessment

FRAMEWORK

KONSULTASIConsultation

KONTEKS

Context

PENILAIAN RESIKO

Risk Assessment

IDENTIFIKASI RISIKORisk Identification

Risk identification involves the identification of risk sources, events, their

causes and theirpotential consequences

ANALISIS RISIKORisk Analysis

Risk Evaluation EVALUASI RISIKO

PERLAKUAN TERHADAP RISIKO

Risk Treatment

MONITORING

TUJUAN KESELAMATANSafety Objectives

SISTEM MANAJEMEN KESELAMATAN

CONCLUSION

WORKSHOP TITLE

Determining, measuring and agreeing to Safety Performance

Indicators for ATS Providers & Aerodrome Operators

ACCEPTABLE LEVEL OF SAFETY

The minimum degree of safety that must be assured by a system in actual practice

ICAO SMM

DEFINITIONS

Safety Measurement

Measurement of high-consequence events & high-level functions

Safety Performance Measurement

Measurement of low-consequence events & low-level

functions

EXAMPLE – SAFETY GOAL

Maximum of 10 breakdowns of separation per 100,000 flight

hours

Grey = Indicator, Red = Target, Blue = Value

WHAT CAN WE MEASURE?

INFLUENCES

International

Political

Social

Economic

Historical

BUDAYACULTURE

LEVELS OF CULTURE

ALATTool

MANAJEMEN RESIKO KESELAMATAN

SAFETY RISK MANAGEMENT

BAGIAN BERPIKIR

The Thinking Part

This is where safety management does all of its thinking

ISO 31000:2009

KESEPAKATANAgreement

PERTANYAAN?

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.

CAP 784 – UK SSP

KEEP TRYING

FACILITATORS

DAN PARSONSAerodrome InspectorCivil Aviation Safety Authority

+61 7 3144 7362

daniel.parsons@casa.gov.au

TIM ABBERTONResearch Consultant Airservices Australia

+61 2 6268 5724

Tim.Abberton@airservicesaustralia.com.au

TERIMA KASIH

PHOTO CREDITS

These were provided in the original presentations but all my cross-referencing got mixed up in putting this presentation

together.

All material was either my own work or creative commons material from the web.

This file to be used for internal reference only.

PHOTO CREDITS (CONT.)

All icons & 12, 24, 25, 47, 64, 73 – (cc) Dan Parsons16 – (cc) http://www.flickr.com/photos/elyob/

17A – (cc) http://www.flickr.com/photos/skytruth/ 17B - http://www.flickr.com/photos/library_of_congress/

34 – (cc) http://www.flickr.com/photos/pinksherbet/39 – (cc) http://www.flickr.com/photos/dimodi/

38 – (cc) http://www.flickr.com/photos/23912576@N05/ 41 – (cc) http://www.flickr.com/photos/dexxus/

46 – (cc) http://www.flickr.com/photos/kanegen/ 50 – (cc) http://www.flickr.com/photos/zooboing/

59 – (cc) http://www.flickr.com/photos/drmtoiber/ 63 – (cc) http://www.flickr.com/photos/pagedooley/

PHOTO CREDITS (CONT.)

80 – (cc) http://www.flickr.com/people/27609180@N00 88 – (cc) http://www.flickr.com/photos/olibac

92 – (cc) http://www.flickr.com/photos/infernal_elf/ 97 – (cc) http://www.flickr.com/photos/baltic-development-

forum/100 – (cc) http://www.flickr.com/photos/jakecaptive/ 101 – (cc) http://www.flickr.com/photos/horiavarlan/

102 – (cc) http://www.flickr.com/photos/booleansplit/ 103 – (cc) http://www.flickr.com/photos/thebusybrain/

104 – (cc) http://www.flickr.com/photos/tinou/ 106 – (cc) http://www.flickr.com/photos/pagedooley/

107 – (cc) http://www.flickr.com/photos/42033648@N00 108 – (cc) http://www.flickr.com/photos/ask9/