updated - safety management systems - workshop - dgca sag members - as presented
DESCRIPTION
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.TRANSCRIPT
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
TIM ABBERTONResearch Consultant Airservices Australia
+61 2 6268 5724
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
TIM ABBERTONResearch Consultant Airservices Australia
+61 2 6268 5724
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/