NATA Safety 1st® eToolkit – Volume I, Issue 12 – August 16, 2005 Page 1
NATA Safety 1st® eToolkitNATA Safety 1st® eToolkit
The NATA Safety 1st® Management System Initiative is now fully operational. Many of the tools discussed in this and other eToolkits will be provided as a part of the program.
Welcome to the thirteenth issue of the NATA Safety 1st® eToolkit, our monthly online safety newsletter, supporting the NATA Safety 1st® Management System (SMS) Initiative. This monthly newsletter will highlight known and emerging trends, environmental and geographical matters, as well as advances in operational efficiency and safety. Flight and ground safety have been enhanced and many accidents prevented because of shared experiences.
A recent accident has focused the spotlight on fuel quality control and how it may have contributed to this very unfortunate accident. While the investigation is underway and many within the media rush to apportion blame, we will leave the investigative process to the authorities whose jurisdiction this accident occurred in. However, for illustrative purposes we encourage you to read on and then answer the four questions at the end of the section. It may be cause for Action!
ROME (AP) - The pilot of a Tunisian charter plane that crashed off the coast of Sicily and the driver of the refueling truck that serviced the plane before takeoff have been placed under investigation, news reports said Tuesday.
Thirteen people were killed in Saturday's crash of the Tuninter ATR-72 and 23 people survived. Three people were missing.
Volume I, Issue 13 August 16, 2005
Fuel QC is a Daily Task
ALERT:
NATA Safety 1st® eToolkit Celebrates One Year!
We have enjoyed hearing from you over the past year. Thankyou for sharing words of encouragement and praise. Betteryet…thank you for letting us know how we have helpedimprove safety at your operation with this valuable tool. Thank you for thanking us…
Creative Ways to Keep Your Safety Message Up Front and Fresh
Jason Pons, Business Jet Services, says, “I wanted to let youknow that we have created a binder for the E-tool kits. It isprominently located in the Line Service Office and we arepromoting that everybody take time to read the articles. Wehave begun taking parts of the tool kits and are discussingspecific related items at our monthly Line Service meetings.Thanks for everything…”
Gary Arms, Gulfstream Aerospace, says, “I edit a technicalnewsletter … called Breakfast Minutes. I'd like permission touse excerpted text from … an issue of NATA Safety 1steToolkit relating to The Professional Ramp.”
We encourage all of you to share the information printed inthe eToolkits. We would like you to acknowledge the sourceof your information and include a link from past issues of theeTookit so that your readers will be able to subscribe to futureissues.
In This Issue: ► NATA Safety 1st® eToolkit Celebrates One Year .............................1 ► ALERT: Fuel QC is a Daily Task........................................................1 ► Getting the Word Out .........................................................................2 ► The Fine Art of Recognition ...............................................................3 ► NetJets Uses SMS Video for NetJets-101 Program ..........................3 ► Incident Roundup ...............................................................................3 ► Safety Culture – Say Again? ..............................................................4 ► Online Training Resources.................................................................5
Both engines gave out within minutes of each other before thecrash, and prosecutors have been looking into the possibilitythat impurities in the fuel or lack of fuel might havecontributed.
New SMS Participants
Company Name City State
Air Service Hawaii Honolulu HI
Ronson Aviation – Trenton Trenton NJ
Starflite Aviation Houston TX
TXI Aviation Inc. Dallas TX
New SMS Participants
Company Name City State
Air Service Hawaii Honolulu HI
Ronson Aviation – Trenton Trenton NJ
Starflite Aviation Houston TX
TXI Aviation Inc. Dallas TX
NATA Safety 1st® eToolkitNATA Safety 1st® eToolkitThe charter, flying from the Adriatic port of Bari to the Tunisian resort of Djerba, crashed into choppy waters off Sicily's northern coast.
The authorities are also investigating the manager of the fuel depot at Bari's airport and the driver of the tanker truck that refueled the aircraft, the news reports said.
News agencies reported Tuesday that authorities in Bari had determined that the tanker refueled the ATR after servicing five other aircraft. Since the tankers can carry residue of water and kerosene, it was possible that an unusually high amount of such residue was loaded onto the ATR, authorities said.
Now, if you and the company you work for provide aviation fuel to general aviation, corporate or commercial aircraft, answer these questions:
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Does your company maintain records of daily fuel quality control inspections? Have you (or your Supervisor) checked to make sure the daily inspections are fully completed in accordance with the NATA PLST Program? Have you (or your Supervisor) observed the daily inspections to ensure they are being performed in accordance with the NATA PLST Program? Has your company audited the quality control records (ATA-103) to ensure they are being performed properly?
If you answered NO to any of these questions, you need to bring this to the attention of your Manager and Safety Coordinator immediately.
Fuel quality control inspections can, and have been, taken for granted because your employees do the same checks day in and day out. Because of the repetitive nature of the daily checks, employees tend to become complacent and can, in some recent cases, fail to properly complete the inspection and the form. The important thing to note is that on any given day,
for a variety of reasons, your fuel supply or refuelers can become contaminated. The Daily Fuel Quality inspections are designed to catch any problems or anomalies BEFORE they get into the aircraft. The form used to
record these checks should be used as a FACTUAL record of the check and anything observed. If there are problems with the truck, or systems, or the truck is out of service, these items need to be noted in the Notes section of the form. Anyone reviewing or auditing your records will then have a clear understanding of what took place and why. It is NEVER
acceptable to record anything other than actual observations on the form. If you forgot one of the checks, go back and do it again and note it on the form. Our Recommended Best Practice is to take the Daily Truck or Fuel Farm Sheet (Fueling Vehicle Checks ATA Form 103.04 A/B/C, Fuel Facility Checks ATA – 103.04 A/B/C/D) to the vehicle or fuel farm when completing these inspections. Without performing and recording these checks, every day, the risk of fuel contamination is ever present. Don’t let this happen to your company.
Helpful Reminder: If you use employee initials or identification numbers as a means to record completion of the inspection, you must maintain a copy of the employee’s full name, sample of signature, initials and employee number. This is a commonly audited area of any fuel quality control program.
This Just In…
ATR crash probe finds no problem with Bari fuel supply (12Aug05 14:08 GMT) Italian investigators have ruled out contamination of the fuel supply at Bari Airport as a cause of the fatal Tuninter ATR 72 crash off Sicily earlier this month.
Refuelling error caused serious ATR exhaustion incident (12Aug05 16:53 GMT) Irish regional operator Aer Arann has tightened its refuelling procedures following a serious incident in which an ATR 42-300’s starboard engine stopped following fuel exhaustion of the aircraft’s right-hand wing tank.
Getting the Word Out! Creative ways to use the eToolkit
On recent visits to SMS participating members, SH&E has observed several member companies providing the eToolkits in creative ways to get the word out.
One FBO is providing the printed eToolkits to linemen in a three ring binder located in the line shack. The employees are encouraged to read each eToolkit and provide insight to their supervisors if the employee thinks “this can happen here!” Provide eToolkits in a nice, clean binder located in the Pilot’s Lounge to communicate to your customers that you take safety and the protection of their investment seriously.
NATA Safety 1st® eToolkit – Volume I, Issue 12 – August 16, 2005 Page 2
NATA Safety 1st® eToolkitNATA Safety 1st® eToolkit
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Provide the eToolkits to your Airport Safety Committee to show them what you are doing to improve safety and spread ideas to other tenants! SHARE the eToolkits: one medium sized FBO chain had all of the eToolkits going to one person who was not told to coordinate distribution of the eToolkit to the frontlines.
NetJets Uses SMS Video for NetJets-101 Program
NATA Safety 1st learned recently that the NetJets organization is using the SMS promotional and educational
video as part of their FBO Road Show to demonstrate what can go wrong at an FBO when the correct safety procedures are not in place.
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well done. ►
THE FINE ART OF RECOGNITION
Do you have employee recognition programs in place? Manyprofessionals give their company’s recognition programs ahigh rating but indicated they could be improved. It’simportant to adequately acknowledge employee achievements.Failure to do so could cause a rise in turnover as the economyimproves or as more job opportunities become available. So what do you do? Think about the following:
Recognize All Your Employees: Many of your long-time employees require less encouragement than your other employees. Make sure you recognize the efforts of everyone, at all levels, and encourage everyone else on your team to do the same. Make a Sincere Effort: Be thoughtful in your compliments or they will lose their meaning. Praise needs to be genuine to be effective. Think Beyond Money: Money is a powerful motivator but it is not the only way to acknowledge extra effort. Other thoughtful options include sending a hand-written thank-you, featuring an employee in a company newsletter or staff meeting or giving time off for a job Reward the Right Behavior: Make sure your rewards programs are tied to actions that are most important to the business, such as solving problems or providing superior customer service.
“The feedback I received at the last NetJets 101 was overwhelmingly positive,” stated NetJets, Inc.’s Rick Boyce. “We showed the video & discussed the SMS program right after our FBO Road show which is a compilation of pictures showing what can go wrong on a ramp will go wrong without proper training, situational awareness, ramp management & procedures. Interest in the SMS Program was so high we actually ran out of brochures! If you could send more before our October NJ 101 class we will pass them out again.”
Boyce added that the enthusiasm for the program is not just coming from the folks on the ground, but also from owners and management.
“Even more telling than the NJ101 response was informal discussions with FBO owners at our vendor appreciation banquet, Boyce added. “A handful of independent FBO owners I spoke with who have implemented the system in their operations are very satisfied with the heightened level of awareness and the increased stake in the safety culture within their business. It’s one thing to talk about safety, it’s another for an owner or senior management to witness it and take pride in discussing how it has helped their business.”
We want to hear from more of you on how the SMS program is effecting your organization and any ways in which the program is creating successes at your operation. Have you noticed any changes in your bottom line? Are your customers noticing improvements in the efficiency of your operation? Please share your stories with us and we will include them in future issues of the Safety 1st eToolkit. SHARE YOUR EMPLOYEE RECOGNITION
PROGRAM AND WIN $$$$
Email or fax us your recognition program! The winner of the best recognition program will receive a
$50 certificate towards purchase of any NATA Safety 1st publication or seminar. Email:
[email protected] or FAX: (703) 845-8176.
E-mail us at: mailto:[email protected]
INCIDENT ROUND UP
Near Miss: A sharp-eyed supervisor witnessed one of his linemen positioning chocks on a recent arrival while the nav lights/strobe were still on, indicating the master switch was still energized. The lineman was cautioned by the Supervisor who felt the employee was rushing to place chocks so he could get to another arriving aircraft. The moral of this event is ‘Rushing and Short Cuts can Kill’.
NATA Safety 1st® eToolkit – Volume I, Issue 12 – August 16, 2005 Page 3
NATA Safety 1st® eToolkitNATA Safety 1st® eToolkit
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► INCIDENT ROUND UP, Continued
Ground Damage: A base tenant advised the Line Manager that his nose wheel collar was damaged as a result of being towed by Line Service. Upon further investigation by the Line Service Manager, it was noted that the Aircraft Movement Log did not show the Navajo had been handled by his Line Service. When he advised the tenant of this, he recalled he may have damaged it himself or at another FBO. Be on the lookout for pre-existing damage – Inspect before you tow!
Ground Damage: GPU rolled into parked van after jet blast from departing Learjet pushed unchocked and unsecured GPU approximately six feet into the van. Minor damage to the van but investigation revealed GSE was not chocked or brakes set as per company policy.
Safety Culture: Say Again?
Your organization's culture is defined by what your employees do. The decisions your employees’ make tells you quite a bit about the values of your organization. The way your managers and employees react to safety speaks more loudly than words about what values motivate their actions. A safety culture is "How you do things at your organization." A safety culture requires effort on everyone’s part. The good news is that with senior management leadership, it can be accomplished.
What a safety culture is:
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o Employees understand the hazards and risks involved in your operation o Employees work continuously to identify and overcome threats to safety
A just culture o Errors must be understood but willful violations cannot be tolerated o Employees know and agree on what is acceptable and unacceptable
A reporting culture o Employees are encouraged to voice safety concerns o Safety concerns are reported, analyzed and appropriate action is taken
A learning culture o Employees are encouraged to develop and apply their own skills and knowledge to enhance organizational
safety o Employees are updated on safety issues by management o Safety reports are communicated to all employees so that everyone learns the lessons
Organizational safety from the worst to the best:
Pathological: The organization cares less about safety than about not being caught. Reactive: The organization looks for fixes to accidents and incidents only after they happen. Calculative: The organization has systems in place to manage hazards, however the system is applied mechanically. Employees and management follow the procedures but do not necessarily believe those procedures are critically important to their jobs or the operation. Proactive: The organization has systems in place to manage hazards. Employees and management have begun to acquire beliefs that safety is genuinely worthwhile. Generative: Safety behavior is fully integrated into everything the organization does. The value system associated with safety and safe working is fully internalized, almost to the point of invisibility.
Arriving at the generative stage of this evolutionary process is the ultimate goal. Can your safety culture be improved? Where is your organization along this journey…honestly?
NATA Safety 1st® eToolkit – Volume I, Issue 12 – August 16, 2005 Page 4 More on Safety Culture Characteristics and Challenges in our next eToolkit…
NATA Safety 1st® eToolkitNATA Safety 1st® eToolkitONLINE TRAINING RESOURCES
General Education Offerings: NATA Safety 1st De/Anti-Icing Seminar September 7th in Windsor Locks, CT September 14th in Dayton, OH September 21st in Denver, CO September 28th in Milwaukee, WI Website: http://www.nata.aero/events/index.html
14 CFR 139 Fire Training Seminar September 8th in Windsor Locks, CT September 22nd in Denver, CO September 29th in Milwaukee, WI Website: http://www.nata.aero/events/index.html NATA Line Service Supervisor Training Seminar September 15th/16th in Dayton, OH December 1st/2nd in Albuquerque, NM Website: http://www.nata.aero/events/index.html
Aviation Safety and Security Offerings: Embry-Riddle Aeronautical University's Center for Aerospace Safety/Security Education (CASE) Website: http://www.avsaf.org/case/programs_events.html Phone: 386/226-6928 Email: [email protected]
Southern California Safety Institute Website: http://www.scsi-inc.com/Phone: 310-517-8844 ext. 5 The GW Aviation Institute Aviation Safety and Security Certificate Program Website: http://www2.gwu.edu/~aviation/safetyandsecurity/ ss_courses.html Phone: 703/726-8334
Transportation Safety Institute Website: http://www.tsi.dot.gov/divisions/Aviation/ aviation.htm Phone: 405/954-3614
University of Southern California AVIATION SAFETY COURSE Website: http://viterbi.usc.edu/pdfs/unstructured/ aviation/Course_Schedule.htm Phone: 310/342-1345
Wireless Information System for Emergency Responders (WISER)
WISER is a system designed to assist first responders in hazardous material incidents. WISER provides a wide range of information on hazardous substances, including substance identification support, physical characteristics, human health information, and containment and suppression advice. The operational version of WISER is available for Windows, Palm OS and Pocket PC. Additional information may be found at http://wiser.nlm.nih.gov/index.html.
NATA Safety 1st PLST participants: We have corrected Exam # 3 answers on your 2005 PLST CD ROM. Please email Louis Soares or
Deborah Highsmith for your corrected copy.
The NATA Safety 1st® eToolkit is brought to you by NATA Safety 1st® SMS and SH&E. SH&E is the leading expert in safety
and operational integrity evaluations and safety management consulting. SH&E has developed a proprietary evaluationmethodology, called Safety Architecture, which is unique within the industry as it focuses on systemic surveillance and process evaluation. This is a systems and controls look at how an operator manages those technical functions that support aviation operations.
Subscribe To NATA Safety 1st® e Toolkit If you are not currently a subscriber to NATA Safety 1st® eToolkit and would like to receive it on a regular basis, please send an email to [email protected] with the word "Subscribe" in the header. Please include your name, title, company and e-mail address. Safety 1st® eToolkit is distributed free of charge to NATA member companies and NATA Safety 1st® participants.
NATA Safety 1st® eToolkit – Volume I, Issue 12 – August 16, 2005 Page 5
