george firican icao eur/nat regional officer almaty, 5 to 9 september 2005 safety management systems
TRANSCRIPT
George FiricanICAO EUR/NAT Regional Officer
Almaty, 5 to 9 September 2005
SAFETY MANAGEMENT SYSTEMS
Almaty, 5 – 9 September 2005 2
SUMMARY
What is SMS?
Why SMS?
Definitions
Systems approach
SMS Strategy
SMS principles
Building an SMS
Safety culture
Safety versus efficiency
Safety through SMS
Basic safety process
Traditional versus current
Safety management
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SAFETY MANAGEMENT SYSTEM
Businesslike approach to safety
Managing safety risks Setting goals Planning Measuring performance
Integral part of an organization Organizational culture Way people work
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WHY SMS?
Accident causes Human errors?
Causal factors Chain links
Organizational issues
Making the system safer Actions by an organization Systems approach to safety management Address latent failures
ICAO requirements
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NOTIONS
Failure - system
Fault - equipment
Error - human
Active failures – can be observed
Latent failures – (hidden) hazards, unsafe conditions
ERROR and/or FAULT = FAILURE
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SYSTEMS APPROACH
System includes People Procedures Technology
Role of organization Prevention of
Accidents Incidents
Safety management includes: whole range of activities all levels of organization
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SMS STRATEGIES (1/2)
Reactive strategy – investigate accidents and incidents Focused on compliance Measured on accidents and incidents limited
by: Actual failures Insufficient data “root causes”unknown
Constant catching up required to match human inventiveness for new errors
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SMS STRATEGIES (2/2)
Proactive strategy - constant and aggressive seek for information through: Reporting systems Identifying latent conditions Safety surveys Data analysis Operational inspections Operational audits
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Organization
Safety assessments
Occurrence reporting
Hazard identification
Investigation & analysis
Performance monitoring
Safety promotion
Safety monitoring
KEY SAFETY MANAGEMENT ACTIVITIES
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SMS PRINCIPLES
The Four Principles (4 Ps) of Safety Management:
Philosophy
Policy
Procedure
Practices
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SMS PHILOSOPHY
Safety management starts with Management Philosophy:
recognizing that there will always be threats to safety;
setting the organization's standards; and
confirming that safety is everyone's responsibility.
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SMS POLICY
Specify how safety will be achieved:
clear statements of responsibility, authority, and accountability;
development of organizational processes and structures to incorporate safety goals into every aspect of the operation; and
development of the skills and knowledge necessary to do the job.
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SMS PROCEDURES
What management wants people to do to execute the policy:
clear direction to all staff;
means for planning, organizing, and controlling; and
means for monitoring and assessing safety status and processes (e.g. reporting and communication)
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SMS PRACTICES
What really happens on the job:
following well designed, effective procedures;
avoiding the shortcuts that can detract from safety; and
taking appropriate action when a safety concern is identified.
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BUILDING A SMS
Good ideas do not guarantee success Resistance to change
Three critical elements to success: Commitment Cognizance Competence
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SAFETY CULTURE
Organisation’s culture is defined by:
“… what people do”
“… how we do things around here”
Safety culture is: “Informed” culture “Just” culture “Reporting” culture “Learning” culture
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INFORMED CULTURE
People understand Hazards Risks
Staff work continuously to Identify Overcome threats to safety
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JUST CULTURE
Errors Human factors understood
Willful violations Not tolerated
Everyone agrees on Acceptable Unacceptable
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REPORTING CULTURE
People encouraged to voice safety concerns
Safety concerns Reported Analyzed
Action taken
Feed-back
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LEARNING CULTURE
People encouraged to develop and apply Skills Knowledge
Staff updated and informed on safety issues
Safety reports are fed back to staff
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ENCOURAGING SAFETY CULTURE
Management:
Practices what it preaches
Allocates adequate resources
Acknowledges safety concerns and suggestions
Gives feedback on decisions
Feedbacks are timely, relevant and clear
“Do nothing” decisions - explained
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SAFETY VERSUS EFFICIENCY
Traditional thinking: Avoid costs
Cost of occurrences Cost of accidents
Current (modern) thinking: Safety and efficiency linked:
Safety reduces losses Safety enhances productivity Safety is good for business
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SAFETY THROUGH SMS
SMS approach:
Proactive Anticipates and addresses issues (e.g. latent
failures)
Deals effectively with incidents and accidents
Applies lessons learned to improve safety
Reduces losses
Improves productivity
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BASIC SAFETY PROCESS
REPORT:
• safety concern• problem• hazard• occurrence
ANALYSE
CORRECT
Evaluate
Resolved
Not resolved
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TRADITIONAL VERSUS CURRENT (1/2)
Traditional approach
Independent safety officer Reporting to head of organization No authority
Results achieved Ability to persuade management
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TRADITIONAL VERSUS CURRENT (2/2)
Current Approach
SMS basic safety process Part of organization’s management
No additional regulations
No additional safety oversight
Managers accountable Safety-related actions No action
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SAFETY MANAGEMENT
Management of organisation is Responsible Accountable
Authority and accountability co-exist
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Review
What is SMS?
Why SMS?
Definitions
Systems approach
SMS Strategy
SMS principles
Building an SMS
Safety culture
Safety versus efficiency
Safety through SMS
Basic safety process
Traditional versus current
Safety management
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QUESTIONS, COMMENTS
?
George FiricanICAO EUR/NAT Regional Officer
Almaty, 5 to 9 September 2005
SAFETY MANAGEMENT SYSTEMS
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