heliexpo2012 reason practicable - ihsf.aeroihsf.aero/sms/heliexpo_workshop_sms_integration.pdf ·...

15
SMS & FDM Integra.on II Are we ge2ng what we need? CAPACG | SMS and FDM Integration | February 2012

Upload: others

Post on 21-Aug-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

SMS  &  FDM  Integra.on  II    Are  we  ge2ng  what  we  need?  

CAPACG | SMS and FDM Integration | February 2012

Page 2: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

CAPACG | SMS and FDM Integration | February 2012

Page 3: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

T  

Suppor.ng  the  SMS:  The  SMS  Contract  between  Organiza.on  and  Individual  

….”teach personnel to to support the SMS by training hazard identification, controlling when able, reporting when needed, questioning process and procedural changes if necessary and continually monitoring. In return reports will be justly treated; managers and supervisors will be flexible in receiving input from task experts and lessons will be learned and applied. *

“Implementing Safety Management Systems In Aviation” P 274

Page 4: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

Bankruptcy

Catastrophe

Protection

Production

Safety Space

Financial Management

Safety Management

Life of the system

Unrocked Boat

Reason: Managing The Risk Of Organizational Accidents P5

Page 5: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

 “  Essen.ally,  HFDM  is  the  tac.cal  component  of  a  strategic  SMS.    By  monitoring  rou.ne  flight  data,  the  organiza(on  can  achieve  greater  insight  into  the  flight  opera.on  and  provides  addi.onal  informa.on  to  enhance  safety.”  

CAPACG | SMS and FDM Integration | February 2012

Page 6: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

“Managing the Risk of Organizational Accidents” James Reason Page 195-196

         James  Reason-­‐  Informed  Culture  

•  Reports*  •  Learns  •  Flexible  •  Just  

SMS  (FDM)-­‐Raison  d'être  

Page 7: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

FDA  Highly  Efficient  and  Predic.ve  !"#$%! &'()*+!,'-'.)/)-*!,'-0'1!2&,,3!

!

!!"#$%&'()*+'''',-%.-&#"&/'0'1&2&3/'45'"6-&%2&6-"46'.67'-443/'

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

!"#$%&'%(#

!"#$%&'(")"*$($)%'+$,$+-

)%*+,-.#//%&%#0'

1#2%"34,#.5303*#5#0',#(#,2

6#"-.#//%&%#0'

)%*+ 7%$$,# 89:

)3;3"$2

<02=//%&%#0'

>&&%$#0'30$.%0&%$#0'

"#?9"'2

>@A7BA

>@A@="(#-2>=$%'2

C1>1%"#&'

942#"(3'%902-2'#52

D//%&%#0'

!"93&'%(# A#3&'%(# A#3&'%(#

CAPACG | SMS and FDM Integration | February 2012

Page 8: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

CAPACG | SMS and FDM Integration | February 2012

         The  Flight  Data  Analysis  Program    

Page 9: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

CAPACG | SMS and FDM Integration | February 2012

Page 10: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

!"#$%! &'()*+!,'-'.)/)-*!,'-0'1!2&,,3!

!

!!"#$%&'()*+'''',-%.-&#"&/'0'1&2&3/'45'"6-&%2&6-"46'.67'-443/'

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

!"#$%&'%(#

!"#$%&'(")"*$($)%'+$,$+-

)%*+,-.#//%&%#0'

1#2%"34,#.5303*#5#0',#(#,2

6#"-.#//%&%#0'

)%*+ 7%$$,# 89:

)3;3"$2

<02=//%&%#0'

>&&%$#0'30$.%0&%$#0'

"#?9"'2

>@A7BA

>@A@="(#-2>=$%'2

C1>1%"#&'

942#"(3'%902-2'#52

D//%&%#0'

!"93&'%(# A#3&'%(# A#3&'%(#

CAPACG | SMS and FDM Integration | February 2012

Page 11: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

Reporting = Actionable Information

•  Aggregate Data (historical, deidentified info used for trending)

•  FOQA/FDM Information (processed info within the “program” – flight safety centered)

•  Flight Data (data off the aircraft for purposes (MX, admin, etc.) other than FDM/FOQA – typically maintenance-centered)

CAPACG | SMS and FDM Integration | February 2012

Page 12: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

Scheduled Reports

 Monthly/Quarterly Reports  Due to statistical variance (low number

of flights/events) – actionable recommendations are based on Quarterly or Trailing 3-month rates and trends.

 Reporting typical of airline FOQA programs include:   Top 5/10  Drill down based on severity   Extensive drill down into higher threat events

such as Excessive Descent 3 (HI) and Excessive Pitch Up on Landing events

CAPACG | SMS and FDM Integration | February 2012

Page 13: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

Special Studies

•  Studies have focused on all areas of the MOST model –  Maintenance – Autopilot Excursion/

Excessive Yaw –  Operations – Noise Study –  Safety – Excessive Descent –  Training – Check Airman can pull

cards and review animation of actual flights

CAPACG | SMS and FDM Integration | February 2012

Page 14: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

•  Challenge us, your analysts to give you what you need.

•  Let us Drill

•  Your FDM Program is dynamic

•  The function of FDM is to REPORT.

•  We REPORT you DECIIDE*

• Implementing Safety Management Systems In Aviation, “Change Management” pg. 279

Page 15: HeliExpo2012 Reason Practicable - ihsf.aeroihsf.aero/SMS/HELIEXPO_Workshop_SMS_Integration.pdf · Suppor.ng#the#SMS:# The#SMS#Contractbetween# Organizaon#and#Individual# ….”teach

CAPACG | SMS and FDM Integration | February 2012