george firican icao eur/nat regional officer almaty, 5 to 9 september 2005 safety management systems

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George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

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Page 1: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

George FiricanICAO EUR/NAT Regional Officer

Almaty, 5 to 9 September 2005

SAFETY MANAGEMENT SYSTEMS

Page 2: George Firican ICAO 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

Page 3: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 3

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

Page 4: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 4

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

Page 5: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 5

NOTIONS

Failure - system

Fault - equipment

Error - human

Active failures – can be observed

Latent failures – (hidden) hazards, unsafe conditions

ERROR and/or FAULT = FAILURE

Page 6: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 6

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

Page 7: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 7

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

Page 8: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 8

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

Page 9: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 9

Organization

Safety assessments

Occurrence reporting

Hazard identification

Investigation & analysis

Performance monitoring

Safety promotion

Safety monitoring

KEY SAFETY MANAGEMENT ACTIVITIES

Page 10: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 10

SMS PRINCIPLES

The Four Principles (4 Ps) of Safety Management:

Philosophy

Policy

Procedure

Practices

Page 11: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 11

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.

Page 12: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 12

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.

Page 13: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 13

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)

Page 14: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 14

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.

Page 15: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 15

BUILDING A SMS

Good ideas do not guarantee success Resistance to change

Three critical elements to success: Commitment Cognizance Competence

Page 16: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 16

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

Page 17: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 17

INFORMED CULTURE

People understand Hazards Risks

Staff work continuously to Identify Overcome threats to safety

Page 18: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 18

JUST CULTURE

Errors Human factors understood

Willful violations Not tolerated

Everyone agrees on Acceptable Unacceptable

Page 19: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 19

REPORTING CULTURE

People encouraged to voice safety concerns

Safety concerns Reported Analyzed

Action taken

Feed-back

Page 20: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 20

LEARNING CULTURE

People encouraged to develop and apply Skills Knowledge

Staff updated and informed on safety issues

Safety reports are fed back to staff

Page 21: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 21

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

Page 22: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 22

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

Page 23: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 23

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

Page 24: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 24

BASIC SAFETY PROCESS

REPORT:

• safety concern• problem• hazard• occurrence

ANALYSE

CORRECT

Evaluate

Resolved

Not resolved

Page 25: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 25

TRADITIONAL VERSUS CURRENT (1/2)

Traditional approach

Independent safety officer Reporting to head of organization No authority

Results achieved Ability to persuade management

Page 26: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 26

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

Page 27: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 27

SAFETY MANAGEMENT

Management of organisation is Responsible Accountable

Authority and accountability co-exist

Page 28: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 28

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

Page 29: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

Almaty, 5 – 9 September 2005 29

QUESTIONS, COMMENTS

?

Page 30: George Firican ICAO EUR/NAT Regional Officer Almaty, 5 to 9 September 2005 SAFETY MANAGEMENT SYSTEMS

George FiricanICAO EUR/NAT Regional Officer

Almaty, 5 to 9 September 2005

SAFETY MANAGEMENT SYSTEMS

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