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SMS Course English 2020
SMS Course English 2020
SMS Course English 2020
2020
Welcome
to
Eng.Hoida Shlaha 2
Understanding Safety Management Systems
(SMS)
Awareness of safety culture
Understanding the risk management
process
Awareness of duties & responsibilities
Making use of different risk assessment
tools
3
Eng.Hoida Shlaha
Day 1
Part 1 – The Concept of Safety
Part 2 – Safety Management
Part 3 – Culture
Part 4 – Safety Reporting
Part 5 – Hazard Identification
Day 2
Part 6 – Risk Management
Part 7 – Safety Management Systems (SMS)
Part 8 – SMS components
Day 3
Part 9 – Course summary and written test
Eng.Hoida Shlaha 4
09:00-10:30: course
activity
10:30-10:45: coffee
break
10:45-12:30: course
activity
12:30-13:00: coffee
break
13:00-14:30: course
activity
Eng.Hoida Shlaha 5
09:00-10:30: course
activity
10:30-10:45: coffee
break
10:45-12:30: course
activity
12:30-13:00: coffee
break
13:00-14:30: course
activity
Eng.Hoida Shlaha 6
09:00-10:30: course
activity
10:30-10:45: coffee
break
10:45-12:30: course
activity
12:30-13:00: coffee
break
13:00-14:30: Test
Eng.Hoida Shlaha 7
PART 1
Eng.Hoida Shlaha 8
No accidents or serious incidents
Freedom from hazards (factors which cause
or are likely to cause harm)
Various attitudes by the Operator’s
employees towards unsafe acts and unsafe
conditions
Error avoidance
Regulatory compliance
Eng.Hoida Shlaha 9
Safety is a state in which risk of harm to
persons, or damage to property, is kept at
an acceptable level.
Eng.Hoida Shlaha 10
Safety is the state in which the risk of harm
to persons or property damage is reduced
to, and maintained at or below, an
acceptable level through a continuing
process of hazard identification and risk
management.
Eng.Hoida Shlaha 11
The elimination of accidents (and serious
incidents) is unachievable.
Failures will occur, despite the most
accomplished prevention efforts.
No human activity or man-made system can
be guaranteed to be absolutely free from
hazard and operational errors.
Eng.Hoida Shlaha 12
PART 2
SAFETY MANAGEMENT
Eng.Hoida Shlaha 13
ICAO Annex 19 is called Safety Management.
Eng.Hoida Shlaha 14
Fast pace of technological change - new business model
Increased complexity - cause and effect are less and less related
in a direct/linear way
Eng.Hoida Shlaha 15
The immediate cause of many accidents is
identified as human or technical failure.
Eng.Hoida Shlaha 16
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A Safety Management System embraces
1. Technical
2. Human Factors
3. Organizational
Eng.Hoida Shlaha 18
Eng.Hoida Shlaha 19
To achieve its production objectives, the
management of any aviation organization
requires the management of many business
processes.
Managing safety is one such business process.
Safety management is a core business function
just as financial management, HR management,
etc.
There is no aviation organization that has been
created to deliver only safety.
This brings about a potential dilemma for
management.
Eng.Hoida Shlaha 20
Eng.Hoida Shlaha 21
Safety issues are a by-product of activities
related to production/services delivery.
An operator must have a balanced and
realistic allocation of resources between
protection and production goals, which
supports the needs of the organization.
The product/service provided by any
aviation organization must be delivered
safely
(i.e. protecting users and stakeholders).
Eng.Hoida Shlaha 22
Based upon the idea of waiting until
something breaks to fix it.
Eng.Hoida Shlaha 23
Based on the idea that system failures can be
minimized by:
identifying safety risks within the system
before the system fails; and
taking the necessary actions to reduce such
safety risks.
Eng.Hoida Shlaha 24
Based on the idea that safety management is
best accomplished by looking for trouble,
not waiting for it.
Aggressively looking for information from a
variety of sources which may be indicative
of emerging safety risks.
Eng.Hoida Shlaha 25
Eng.Hoida Shlaha 26
Early safety management was an unstructured
mixture of good things.
Progress was based upon response to
accidents/incidents.
Measures were outcome-based (crashes, etc.).
There were no process definitions (how to do
it).
This worked very well at the beginning, but
expectations have been raised over the years
and now everyone expects that every flight will
be safe.
Eng.Hoida Shlaha 27
Eng.Hoida Shlaha 28
Eng.Hoida Shlaha 29
“You can’t manage what you can’t measure”
What does active Management for Safety mean?
- Defining goals
- Measuring performance
- Comparison of performance targets vs.
indicators
- Taking corrective action if necessary
Eng.Hoida Shlaha 30
PART 3
CULTURE
Eng.Hoida Shlaha 31
Culture binds people together as how to
behave in both normal and
unmembers of groups and provides clues as
to usual situations.
Eng.Hoida Shlaha 32
Eng.Hoida Shlaha 33
National culture : the value system of a particular nation
Eng.Hoida Shlaha 34
Safety Culture is the way safety is perceived,
valued and prioritized in an organization.
Eng.Hoida Shlaha 35
Safety Culture refers to the extent to which
every individual and every group of the
organization is:
Eng.Hoida Shlaha 36
Safety Culture is the set of enduring values
and attitudes regarding safety, shared by
every member at every level of an
organization.
Eng.Hoida Shlaha 37
1. Human error – is when there is general agreement that the
individual should have done other than what they did. In the
course of that action, where they inadvertently caused (or
could have caused) an undesirable outcome, the individual is
labeled as having committed an error.
2. Negligent behavior – Negligence is conduct that falls below
the standard required as normal in the community. It applies
to a person who fails to use the reasonable level of skill
expected of a person engaged in that particular activity,
whether by omitting to do something that is prudent and
reasonable in the circumstances or by doing something that
no prudent or reasonable person would have done in the
circumstances
Eng.Hoida Shlaha 38
3. Reckless conduct/Gross negligence – is
more culpable that negligence. Negligence
is the failure to recognize a risk that should
have been recognized, while recklessness is
a conscious disregard of an obvious risk.
4. Intentional “willful” violations – when a
person knew or foresaw the result of the
action, but went ahead and did it anyway.
Eng.Hoida Shlaha 39
PART 4
SAFETY REPORTING
Eng.Hoida Shlaha 40
1. Safety Occurrence Reporting
2. Mandatory Occurrence Reporting
3. Voluntary Occurrence Reporting
4. Confidential Reporting
Eng.Hoida Shlaha 41
• Safety reporting is the filing of reports and
collection of information on actual or potential
safety deficiencies.
Eng.Hoida Shlaha 42
• The ICAO requirements laid down in several
Annexes relating to the implementation of SMS
requires operators to develop and maintain a
formal process for collecting, recording acting on
and generating feedback about hazards in
operations.
Eng.Hoida Shlaha 43
ICAO requirements relating to the
implementation of SMS require that operators
develop and maintain a formal process for
effectively collecting, recording, acting on and
generating feedback about hazards in
operations, based on a combination of reactive,
proactive and predictive methods of safety data
collection.
Eng.Hoida Shlaha 44
In mandatory reporting systems operational
personnel are required to report accidents and
certain types of incidents.
Eng.Hoida Shlaha 45
• A proactive process and related
arrangements for collecting information
about safety concerns, issues and hazards,
which otherwise will not be revealed by a
mandatory reporting system
Eng.Hoida Shlaha 46
Key principles of Voluntary Occurrence
Reporting:
• Trust
• Non-punitive
• Organization-wide
• Confidentiality
• Ease of reporting
• Acknowledgement
• Safety Promotion
Eng.Hoida Shlaha 47
Confidential reporting systems aim to protect the
identity of the reporting person to ensure that the
voluntary reporting systems are non-punitive.
Eng.Hoida Shlaha 48
PART 5
HAZARDS
Eng.Hoida Shlaha 49
• Hazard – Condition or object with the
potential of causing injuries to personnel,
damage to equipment or structures, loss of
material or reduction of ability to perform a
prescribed function
Eng.Hoida Shlaha 50
• Natural
• Technical
• Economic
Eng.Hoida Shlaha 51
Severe weather or climatic
events:
- winter storms
- thunderstorms
- lightning
- wind-shear
• Adverse weather
conditions:
- Icing
- freezing rain
- heavy rain
- snow
- Winds
- low visibility
Eng.Hoida Shlaha 52
Geophysical events:
- earthquakes
- volcanic eruptions
- tsunamis / floods
- landslides
• Geographical conditions:
- adverse terrain large bodies of
water
• Environmental events:
- Wildfires
- wildlife activity
- insect or pest infestation
• Public health events:
- epidemics of flu or other
diseases
Eng.Hoida Shlaha 53
Deficiencies regarding:
- Aircraft
- components systems
equipment
- an organization’s
facilities
- tools
- related equipment
- facilities
- related equipment that
is
external to the
organization
Eng.Hoida Shlaha 54
Internal
- Flight Data Analysis
- Company voluntary
reporting system
- Audits and surveys
External
- Accident reports
- State mandatory
occurrence system
Eng.Hoida Shlaha 55
• By whom?
- By anybody
- By designated personnel
• How?
- Through formal
processes
- Depends on the
organization
• When?
- Anytime
- Under specific conditions
Eng.Hoida Shlaha 56
Specific Conditions:
- Unexplained increase
in
safety-related events or
Infractions
- Major operational
changes are foreseen
- Periods of significant
organizational change
Eng.Hoida Shlaha 57
ABC of Hazard Analysis
State the generic
Hazard
Identify specific
(Hazard statement) components of
the hazard Define specific
consequence(s)
Airport Construction
Equipment Aircraft colliding
construction with construction
Closed taxiways Equipment
Aircraft taking
wrong taxiway
Eng.Hoida Shlaha 58
• Efficient and safe operations or provision of service
require a constant balance between production goals...
maintaining regular aerodrome operations during a
runway construction project
Eng.Hoida Shlaha 59
Appropriate
documentation
management is important
as:
It is a formal procedure
to
translate operational safety
data into hazard-related
Information
It becomes the “safety
library” of an
organization
Eng.Hoida Shlaha 60
PART 6
RISK MANAGEMENT
Eng.Hoida Shlaha 61
Safety Risk is defined as the assessment,
expressed in terms of predicted probability
and severity, of the consequences of a
hazard.
Eng.Hoida Shlaha 62
What is it?
• The identification, analysis and elimination and/or
mitigation to an acceptable level of risks that threaten the
capabilities of an organization
Why is it important?
• A key component of safety management systems.
• Data-driven approach to safety resources allocation,
thus defensible and easier to explain
Eng.Hoida Shlaha 63
Mitigation = Measures to address the potential
hazard or to reduce the risk probability and/or
Severity
Eng.Hoida Shlaha 64
The risk is
unacceptable
Intolerable region at any level
The risk is
acceptable based
Tolerable on
mitigation.
region Cost benefit
analysis
is required.
The risk is
Acceptable acceptable as
it
region
currently
stands
Eng.Hoida Shlaha 65
Probability = The likelihood that an unsafe
event or condition might occur
Eng.Hoida Shlaha 66
Probability of occurrence
Qualitative Meaning Value
definition
Frequent Likely to occur many times (has occurred 5
frequently
Occasional Likely to occur some times (has occurred 4
infrequently)
Remote Unlikely, but possible to occur (has 3
occurred rarely)
Improbable Very unlikely to occur (not known to have 2
occurred)
Extremely Almost inconceivable that the event will 1
improbable occur
Eng.Hoida Shlaha 67
Severity = The possible effects of an unsafe
event or condition taking as reference the
worst foreseeable situation
Eng.Hoida Shlaha 68
Severity of occurrences
Aviation Meaning Value
definition
Catastrophic Equipment destroyed A
Multiple deaths
Eng.Hoida Shlaha 72
Strategy 1
Avoidance = The operation or activity is cancelled
because risks exceed the benefits of continuing
the operation or activity.
Eng.Hoida Shlaha 73
Strategy 2
Reduction = The operation or activity is subject to
limitations, or action is taken to reduce the
magnitude of the consequences of the accepted
risks.
Eng.Hoida Shlaha 74
Strategy 3
Segregation of exposure = Action is taken to
isolate the effects of the consequences of the hazard
or build-in redundancy to protect against it.
Eng.Hoida Shlaha 75
Recalling the three
basic
defenses' in aviation:
• Technology
• Training
• Regulations
Eng.Hoida Shlaha 76
Scenario:
Fuel spill on the ramp of approximately 25m
x 5m produced by an A320, which is ready
to push-back
Eng.Hoida Shlaha 77
3. Assess the probability
1. Identify the hazard(s) of the risk:
Remote
Fuel spill a) Fire
Eng.Hoida Shlaha 79
3. Assess the probability
1. Identify the hazard(s) of the risk:
Remote
Foreign object a) Engine ingestion
Eng.Hoida Shlaha 81
3. Assess the probability
1. Identify the hazard(s) of the risk:
Occasional
Unsecured equipment a) Damage to aircraft
a) Damage to aircraft
b) Injury to persons
6. Establish the risk Acceptable based on
tolerability risk mitigation. It
might require
management
decision
Eng.Hoida Shlaha 82
PART 7
(SMS)
Eng.Hoida Shlaha 83
SMS is defined as a systematic approach to
managing organizational safety including the
necessary organizational structures, accountabilities,
policies and procedures using safety performance
measurement.
Eng.Hoida Shlaha 84
ICAO Annex 19
Eng.Hoida Shlaha 85
• Systematic – Safety management activities are in
accordance with a pre-determined plan, and
applied in a consistent manner throughout the
organization
• Proactive – An approach that emphasizes hazard
identification and risk control and mitigation,
before events that affect safety occur.
• Explicit – All safety management activities are
documented and visible
Eng.Hoida Shlaha 86
SMS differs from QMS in
that:
• SMS focuses on the
safety, human and
organizational aspects of
an organization
i.e. safety satisfaction
• QMS focuses on the
product(s) and service(s)
of an organization
i.e. customer satisfaction
Eng.Hoida Shlaha 87
SMS builds partly upon QMS
Principles
Eng.Hoida Shlaha 88
Safety oversight
Is what the CAA performs with regard to operators’
SMS
Safety assurance
Is what the operators do with regard to safety
performance monitoring and measurement
Safety audit
Is what the CAA performs with regard to its safety
programme and the operators perform with regard
to the SMS
Eng.Hoida Shlaha 89
PART 8
SMS components
Eng.Hoida Shlaha 90
1) Safety policy and objectives
3) Safety assurance
4) Safety promotion
Eng.Hoida Shlaha 91
1. Safety policy and objectives
1.1 – Management commitment and responsibility
1.2 – Safety accountabilities
1.3 – Appointment of key safety personnel
1.4 – Coordination of emergency response planning
1.5 – SMS documentation
2. Safety risk management
2.1 – Hazard identification
2.2 – Risk assessment and mitigation
Eng.Hoida Shlaha 92
3. Safety assurance
3.1 – Safety performance monitoring and
measurement
3.2 – The management of change
3.3 – Continuous improvement of the SMS
4. Safety promotion
4.1 – Training and education
4.2 – Safety communication
Eng.Hoida Shlaha 93
1.1 – Management commitment and responsibility
The Operator shall define the safety policy of the
organization which shall include a commitment to:
1. achieve the highest safety standards;
2. Be in accordance with international and national
requirements;
3. adopt proven best practices;
4. Ensure safety is a primary responsibility of all
managers;
5. follow the disciplinary policy; and
6. ensure that the safety policy is understood,
implemented and maintained at all levels.
Eng.Hoida Shlaha 94
1.1 – Management commitment and responsibility
The safety policy shall:
1. Be signed by the Accountable executive;
2. Reflect organizational commitments regarding
safety;
3. Include a clear statement about the provision of
the necessary resources for the implementation of
the safety policy; ...
Eng.Hoida Shlaha 95
1.1 – Management commitment and responsibility
(cont.) The safety policy shall :
4) Be communicated, with visible endorsement,
throughout the organization;
5) Include the safety reporting procedures;
6) Clearly indicate which types of operational
behaviours are unacceptable;
Eng.Hoida Shlaha 96
1.1 – Management commitment and responsibility
(cont.) The safety policy shall :
4) Be communicated, with visible endorsement,
throughout the organization;
5) Include the safety reporting procedures;
6) Clearly indicate which types of operational
behaviours are unacceptable;
7) Be periodically reviewed to ensure it remains
relevant and appropriate to the organization;
Eng.Hoida Shlaha 97
1.2 – Safety accountabilities
The organization shall identify:
the Accountable Executive who, irrespective of
Eng.Hoida Shlaha 98
1.2 – Safety accountabilities (cont’d)
Eng.Hoida Shlaha 99
1.2 – Safety accountabilities
The Accountable Executive must have:
organization’s affairs;
final authority over operations under certificate;
Reactive method
Proactive method
Predictive method
Are we improving?
• Staffing levels;
• Compliance with approved procedures and
instructions;
• Level of competency and training to operate
equipment and facilities and to maintain their levels of
performance
Changes can:
• Introduce new hazards;
• Impact the suitability of risk mitigation;
• Impact the effectiveness of risk mitigation.
SMS Team