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The “Why” and “What” of Safety Management Systems. Presented by Captain Rick Clarke Director, SMS Project Air Line Pilots Association. The Issue of Safety. What do we understand? The record is a good one Air transportation will continue to grow
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The “Why” and “What” of Safety Management Systems Presented by Captain Rick Clarke Director, SMS Project Air Line Pilots Association
The Issue of Safety What do we understand? • The record is a good one • Air transportation will continue to grow • The Air Transportation System is outgrowing the capabilities of the current aviation safety system
Safety Efforts are Changing What is Driving this? • Financial stress for Air Carriers and Regulators • A Tangle of Regulations, Standards, Annexes, Policies and Procedures • Lessons Learned
The Issue of Focus What does ALPA want for the Industry? • Safe and Efficient Air Carrier Service • Effective and Strong Air Carriers
A foundation of rules aimed to improve the standards of … behavior, practice and of operating…the level of which is governed by societal, cultural, philosophical factors, legal systems, technological progress and experience. The Traditional Way – “Regulatory Safety”
Design, manufacture and operations of aircraft must comply with regulations… …but you can’t write a regulation to address every potential hazard… …so, the goal becomes compliance with existing rules … ignoring other hazards Regulatory Safety Has Limits
What is the Regulator’s Duty? • It is NOT safety achievement • It IS safety oversight
What is the Airline’s Duty? • Safety achievement is the responsibility of the airline Regulators’ diminishing resources are best applied in assisting / enabling airline safety management
Safety via the Proactive Way “Safety Management Systems” A systematic and continuous Management process based on proactive identification of Hazards, and analyses of their Risk.
SMS comes from System Safety “Cradle to Grave” Concept
SMS ….. • Is an Operator based system • Integrates Employee expertise • Interfaces with Regulators’ oversight systems Operator Employee Regulator
SMSis the toolbox • Management tools • System Safety tools • Safety Information tools
Three “Hallmarks” ofSMS The CEO establishes the policy and sets the SMS into motion The airline uses and maintains a robust Risk Management system The airline has a non-punitive safety reporting system for all the employees
SMSis… … a top-down program starting with the “Accountable Executive”
SMS…emphasizes Risk Management …It integrates safety with Line Management
A SMS Company… Organizes: Policy, Procedure, and Practice Management Systems and Communications
A SMS Company… Adopts Risk Management Practices to: • Adapt to Change • Manage Resource Application • Understand the pitfalls of the operating environment
A SMS Company… Develops a “Just Culture” or “Safety Culture” to: Capture the operational knowledge and experience of the employees Involve the employees in the safety achievement process
What’s in a “Just Culture?” • The immediate response is to find “what happened,” not “who to blame and punish” • Acceptance that more can be learned through full reporting and detailed investigation • Partnership in identifying hazards and root causes
SMS is about… “Process” instead of “Events”
Root Causes Focusing on “Processes”
In Business andSMS “Risk” manageable, but what is it?
“Risk” The consequence of a hazard, measured in terms of Probability and Severity
S E V E R I T Y 5 5 10 15 20 25 4 4 8 12 16 20 3 3 6 9 12 15 2 2 4 6 8 10 1 1 2 3 4 5 1 2 3 4 5 PROBABILITY Risk Assessment Matrix
Risk Management is…. New Info? Tracking? ….a continuous process ….a closed loop process ….cross discipline SMS
SMSis a “System” that Integrates … Organization Risk Management Safety Information
Keep This In Mind… SMSis the toolbox for… • Management tools • Risk Management tools • Safety Information tools
The Issue of Safety • Current safety approaches can’t keep up with aviation growth • We need a new approach to the problem
The Industry’s Answer ALPA, Regulators, Air Carriers, ICAO, IATA, IBAC SMS Launching a common idea and a new approach:
The End A product from the ALPA Safety Management System (SMS) Project